<s>[INST] MY 8 YR OLD GREAT GRANDDAUGHTER HAS HAD A EAR ACHE WE TOOK HER TO THE DOCTOR TODAY NO FEVER AT 2PM EARS SHOW INFECTION , WE STARTED HER ON ARITHOMYCIN, ABOUT 3:30 SHE VOMITTED, NOW AT 5:30 SHE HAS A TEMP OF 102 AND SAYS HER NECK HURTS. ANY SUGGESTIONS WE DID GIVE A TYLINOL AT 5:20 [/INST] Hi, In the care of child Chat Doctor.  While an acute middle ear infection is usually serious, it is not dangerous. Your great-granddaughter has a high fever and neck pain.  These symptoms can be caused by meningitis which is a dangerous infection of the coverings of the brain. The best advice I can give you is that she needs to be seen by a physician now to make sure she does not have a dangerous infection like meningitis. Take her back to her doctor immediately or if his/her office is closed, bring her to the nearest emergency room as soon as possible. Few child </s>