I woke up this morning with a swollen lymph node

Patient : I woke up this morning with a swollen lymph node on my right side going towards the front under my neck very tender to the touch. For the last 5 months at least once a month I will get a sore throat or sick if kids so but only my lymph nodes swell. This time it is different and no other symptoms and very tender to even lift my head up towards the ceiling. What could this possibly be? I do have hypothyroidism and take 125 mgs of synthetic a day
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