<s>[INST] 5 year old with fever and headache, has headache frequently it seems over the last several months. has history asthma and pneumonia. fever 102. Tylenol given 4 hrs later ibuprofen due to temp still being 100 im concerned about menningitus or something more serious [/INST] HI, I understand your concern.  Your baby has frequent fever with headache. He also has history of pneumonia/ asthma, you are worried about possibility of meningitis.  - Meningitis shows 5 typical signs-High grade fever, vomiting, severe headache, neck stiffness, irritability, Photophobia.-- * If you find all these symptoms (Specially headache, neck stiffness, irritability along with fever)- the child should be taken to ER.  * In case of asthma /pneumonia-also bacterial infection, along with breathlessness / sinusitis can give rise to headache & fever, * the child should in any case be taken to a child Chat Doctor.  Thanks </s>