Call Your Doctor Now (night or day) If

• You think your child has a serious injury
• Puncture on the head, neck, chest, abdomen that isn't deep
• Puncture overlying a joint
• Tip of the object is broken off and missing
• Feels like something still in the wound
• Won't stand (bear weight or walk) on punctured foot
• Needle stick from used or discarded injection needle
• Sharp object or setting was very dirty (e.g., a barnyard)
• No previous tetanus shots
• Dirt (debris) or pencil lead pigment is not gone after 15 minutes of scrubbing
• Severe pain
• Wound looks infected (redness, red streaks, swollen, tenderness)
• Fever occurs