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Other signs to get medical care are: Trouble breathing Trouble swallowing Trouble opening your mouth Hoarse voice that wont go away A lump in the back of your throat Blood in your spit or phlegm Fever of 100.4 F or higher Earache Puffiness in your neck or face A lump on your neck Joint pain Rash Get immediate help if your child has: Trouble breathing Trouble swallowing Unusual drooling How to Prevent Sore Throat To help prevent a sore throat, you can: Get vaccinated