Fever

• Greater than or equal to 38°C (100.4°F), Less than 38°C (100. 4°F)

Pain in ankle region without achilles tendon

• Polyarthralgia

• Moves from one place to the another

or Joint pain

• Elbows, At wrist, Knees

• Moves from one joint to the other

Enlarged wrist

• Both wrists

• With redness

or Enlarged knee joint

• With redness

• In both knees

or Enlarged elbow

or Ankle joint swelling

• Bilateral

• With redness

Rapid heart rate

Joint stiffness

• Difficulty moving elbow, Difficulty moving wrist, Difficulty moving knee, Limited ankle movement

Fatigue

Difficulty breathing

• Occurs or worsens with exertion

Chest discomfort

• Center of the chest, Left side

Irregular heartbeat

• Recurrent

Skin rash and redness

• Marginatum

Strange non-vibrating involuntary movements

Recent upper respiratory tract infection

History of Rheumatic Fever