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This happened to me for the first time about 3 months ago. Maybe 8k miles on a 22. It was so loud, I'm sure I suffered some hearing loss before I figured out I couldn't turn it off and got out of the truck. It took 20min for it to stop. Turned the truck on and off several times. Ultimately waited and then used remote start. Hasn't happened since.

If that happened in the car with my young kids, I don't think they would have ever gotten back in the truck.