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The initial symptom of Rubeola, or measles, typically manifests as inflamed eyes and cough. This is attributed to the virus affecting the respiratory system and leading to conjunctivitis or inflammation of the eyes, along with a dry cough. These symptoms usually appear about 10 to 12 days after exposure to the virus, signaling the onset of the disease before the characteristic rash develops.

While headache and fever can indeed occur, they usually follow the initial symptoms and are more commonly associated with the overall progression of the disease rather than being the very first signs. Similarly, the rash on the trunk is a hallmark of measles but appears later in the illness, even after the eyes and respiratory symptoms have shown themselves. Swollen glands can occur in various infections but are not specific to measles and are not recognized as an initial symptom of Rubeola. Understanding the sequence of symptoms is important for identifying and managing measles effectively.