Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the symptoms of Goodpasture Syndrome ?
    ### Response:
    The symptoms of Goodpasture syndrome may initially include fatigue, nausea, vomiting, and weakness. The lungs are usually affected before or at the same time as the kidneys, and symptoms can include shortness of breath and coughing, sometimes with blood. The progression from initial symptoms to the lungs being affected may be very rapid.
    