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Haemoptysis is a Tier 4 symptom in the Nipah Virus scenario. Respiratory Shift must be evolved to acquire it.

Haemoptysis is a symptom in the Simian Flu DLC

Haemoptysis is a Tier 4 symptom in the Black Death Scenario. With this symptom, patients cough up blood from inflamed bronchi and increase infectivity. It can be fatal. Septicemic plague must be evolved to acquire it.

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