Headache, Fever, and Neck Stiffness

Kayla is a 19-year-old female presenting with severe headache, fever, stiff neck x 24 hours. 19-year-old college freshman presents with 24-hour history of severe headache, high fever, and neck stiffness. She initially thought it was the flu but symptoms have rapidly worsened. She reports photophobia and has vomited twice. Your task is to take a focused history from this patient.