The typical symptoms of pneumococcal pneumonia are cough, fever, chest pain, and sputum production. These symptoms are usually preceded by a day or two of runny nose and upper respiratory congestion, ending with an abrupt rise in temperature and a single body-shaking chill. The sputum quickly becomes pinkish or rust colored, and severe chest pain develops, aggravated by each breath or cough. As a result of the pain, breathing becomes shallow and rapid. The patient becomes short of breath and develops a dusky color because of poor oxygenation. Without treatment, after 7 to 10 days people who survive show profuse sweating and a rapid fall in temperature to normal.

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