Police are investigating claims a boy stabbed at least 20 fellow pupils with some kind of medical needle.
It is believed to have happened during the lunch break at Toot Hill School in Bingham, Nottinghamshire, on Wednesday.
The school has advised parents to take their children to hospital to be tested for infections as a precaution.
It is not clear what instrument was used, but the Health Protection Agency (HPA) stressed any risk to pupils affected would have been very low.
Head teacher John Tomasevic said: "From what we can tell at this moment in time, evidently we are still investigating it, it wasn't malicious, it was more in fun and trying to get a reaction.
'Precautionary tests'
"A student got hold of a lancet and he went around pricking a number of other students in his immediate friendship group and wider than that.
"We found out about the incident towards the end of the school day and as a precaution we advised all parents to take their child to the hospital just for tests and just to make sure everything would be safe and secure for their child."
Mr Tomasevic said the instrument used was a lancet with a 8mm blade.
However, Nottinghamshire Police believe a diabetic pen was used.
The school said they are aware of 20 pupils being stabbed in various places around their bodies.
But they said more pupils could have been affected and asked them to come forward.
Nottinghamshire Police said the parents of about 26 pupils thought to be affected have been informed and some have sought medical advice.
Dr Vanessa MacGregor, Consultant in Communicable Disease Control at HPA East Midlands, said: "No one was seriously injured, but there is a very small risk that a BBV [bloodborne virus] could have been passed on to others who were pricked with the same needle."
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