I don't take any chances when it comes to strep. My son had strep with no symptoms what so ever, never complained of his throat hurting, no fever, no coughing, nothing. Then in a weeks time he had two migraines, which run in the family so I didn't think much of it, but the second migraine he got, he couldn't walk, he could barely talk because he was in so much pain and then his fever spiked to almost 104. I rushed him to the ER (as it was about 9 at night when this all started), where they said he had an upper respiratory infection (the doctor did nothing for my son, wasn't worried about my concerns with the headaches and our family history and didn't run any tests), and sent us home. The next day I took him to his regular doctor, and it turns out he had strep, and we didn't know it and it went so long without being treated that he developed scarlet fever. After a strong course of antibiotics, he is now fine. But anytime he says his throat hurts or he gets a migraine, I'm at the doctors getting tested for strep. My thinking is, I would rather pay the copay and know it's not strep, than risk scarlet fever. (just as a side note, I have filed many complaints against the ER and the doctor who severely misdiagnosed my son, I'm now on a first name basis with the chief of staff lol) Good luck, hope you're daughter feels better.