Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get urgent or emergency help if you have:
Severe difficulty breathing or rapidly increasing neck swelling
Chest pain, fainting, or a very fast or irregular heartbeat
New confusion, extreme weakness, or inability to stay awake
Signs of a serious medicine reaction, such as facial swelling or breathing trouble
And for anyone, someone who:
is bleeding heavily and it will not stop with firm pressure
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if you have a high fever with increasing neck redness or swelling, severe pain that is rapidly worsening, or difficulty swallowing fluids.
These features may point to an infection or another cause that needs faster assessment.
If you are pregnant or trying to conceive, contact your maternity or thyroid care team promptly about possible thyroid symptoms rather than waiting for routine follow-up.
And for anyone, someone who:
has a wound that is hot, spreading red, or leaking pus
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you have ongoing pain or tenderness at the front of your neck, unexplained symptoms of high or low thyroid hormone, or a neck swelling that does not settle.
Medical assessment is also appropriate if symptoms return after treatment.
The article also says
Pregnancy can change how thyroid tests and treatments are handled.
Every sign above is quoted from the sofidex article on Subacute thyroiditis. If you are not sure, err upward — it is always reasonable to be checked.