(1) Vasovagal syncope has three distinct phases: a prodrome , loss of consciousness, and a postsyncopal phase.(2) There is often a systemic prodrome of fever, malaise and myalgias one to two days before the appearance of lesions.(3) For the majority of transplant recipients, a prodrome of fever, malaise, and myalgias frequently precedes the onset of pneumonitis, which is heralded by nonproductive cough and dyspnea.(4) Patients usually recall a nonspecific prodrome of malaise, fever, and chest pain, especially in viral or idiopathic pericarditis.(5) Classic outbreaks consist of a skin prodrome and possible constitutional symptoms such as headache, fever, and inguinal lymphadenopathy.