• Fast breathing or trouble breathing;
• Bluish or gray skin color;
• Not drinking enough fluids;
• Severe or persistent vomiting;
• Not waking up or not interacting with people and things around them;
• Being so irritable that the child does not want to be held;
• Flulike symptoms improve, but then return with fever and worse cough.

For more information, see: www.idph.state.ia.us/h1n1

Iowans with questions can call (800) 447-1985.