Although rare, inland floodwater mosquito bites can lead to systemic reactions in more sensitive individuals that can include fever, hives, swollen lymph nodes, and in very rare cases, anaphylaxis. It's important to note that the severity of the symptoms can vary depending on the individual's sensitivity and the number of bites received. If you are concerned about a specific bite or if symptoms persist or worsen, it is recommended to consult a healthcare professional for proper evaluation and treatment.