My buddy and I were spawning in fresh in the night, not drinking dirty water or over heating. After 5min of eating clean food and liquids, we start to vomit, no sickness symbol, blurry vision, and wipe forehead from sweating. Cholera symptoms but only drinks from a water truck with clean hands and containers.

Spawned in, ran to the closest big town, fount a water truck, ate some unopened food, after 5min of consuming water and food, we vomit, blurred vision and sweat. Draining our hydration. Died multiple times and was still doing this for each new life.