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Do I need to go to the emergency room if I am only a little sick?

No.  The emergency room should be used for people who are very sick.  You should not go to the emergency room if you are only mildly ill.  If you have the emergency warning signs of flu sickness, you should go to the emergency room.  If you get sick with flu symptoms and are at high risk of flu complications or you are concerned about your illness, call your health care provider for advice.  If you go the emergency room and you are not sick with the flu, you may catch it from people who do have it.