My mother's father died of it when she was one. My grandmother said, "He had a sore throat and three days later he was dead."
Recently found out through the Internet that my father's father's brother also died of it. I got a query from someone about his grandfather, who died around 1920 or 1921. When I asked my father, he remembered: "He died of the flu."
One of the explanations as to why the Spanish flu hit the young and healthy is the phenomenon called a "cytokine storm" where a robust immune system is actually overstimulated and damages organs. Older folks with weaker immune systems are not as affected. You can read about it here: http://www.fluwikie.com/pmwiki.php?n=Science.PrimerCytokineStorm
The reason it affects healthier people and is so deadly appears to be because of cytokine cascade effect: http://www.cytokinestorm.com/