his pulse is a little bit elevated for his age - does he seem nervous or agitated. pain can also elevate your heart rate. This is not a consistent presentation with any significant illness.
Ear infections are typically unilateral, can be both ears but generally dont appear just to start from no where. generally there is a preceding cold or cough symptoms.
I am concerned with the chest pain that just started. has it been persistent for the past 2 hours. how severe is it? is he having any difficulty breathing? did he perform any strenuous activity today where he could have pulled a muscle - heavy lifting or contact sports.
Does he have a sore throat? is it winter time for you in new zealand?
Its officially spring here. hes not nervous or agitated (happily watching Star Wars) definitely no cough or cold prior to onset.
Chest pain/ discomfort is not persistant and has no particular identifying factors (ie crushing stabbing etc) Its not made worse on breathing in or out seems to be the least of the little fellas concerns.
temp has reduced to 38.22c axilla so Paracetamol seems to be working Josh describes no alteration in his hearing. No lifting or sports.
I am glad that the chest pain is not persistent and not having any difficulty breathing. It sounds like he is coming down with a viral illness - certainly nothing to be overly concerned with. just keep an eye on the symptoms and keep the fever down with fever reducers. If the ear pain gets worse, i would have him checked for ear infection - but for now just keep an a watch on it. If the headache worsens to a severe level, I would seek more immediate medical attention.
I hope that this information has been helpful. Please reply with any further questions. i think that he will be just fine, but any worsening symptoms will require evaluation.