I could opine on the last item...it's probably because of high immunogenicity of this.
We, humans, never seen these antigens, so response is so intense that people release lots of cytokines (cytokine "storm'), which then cause what you described.
They first said snakes was the origin, but now someone is saying that it looks more like it came from a bat.
Welp, time to tear down the Bat houses!
