ROSY SKIN AND BUBOES
The first sign was a rosy rash in the victim's skin. Painful swellings called buboes appeared in the victim's neck, armpits and groins. These were usually the size of an egg. The lymph system is present everywhere in the body. Common areas where the lymph nodes can be felt (palpable nodes) include:
· the groin area (inguinal region)
· Armpit (axils)
· The neck (there is a chain of lymph nodes on either side of the front of the neck and both sides of the neck)

FEVER AND VOMITING
The victim vomited and developed a fever. Body temperature raised up to 40ºC and the victim became very ill, dizzy and disoriented. The victim experienced muscular pain, malaise and headache. Malaise is a generalized feeling of discomfort, illness, or lack of well being that can be associated with a disease state. It can be accompanied by a sensation of tiredness or inadequate energy to do usual activities.

HEMORRHAGE UNDER THE SKIN
Bleeding under the skin caused black spots all over the body. Blood
vessels broke and dried blood under the skin turned black.
Sometimes spasms or seizures occurred. A seizure or convulsion can be a sudden, violent, uncontrollable contraction of a group of muscles. A seizure can also consist of only a brief "loss of contact" or a few moments of what appears to be daydreaming.

BUBOES BURST
The victim was in terrible pain. Sometimes the buboes burst and a stinking black liquid came out from the open buboes. When this happened the victim usually lived. Victims could also cough up blood from the lungs and have severe chills. A person with severe chills feels excessively cold and may be shivering, even when wrapped in blankets. Chills are often related to fever, with a sensation of difficult or uncomfortable breathing or a feeling of not getting enough air.