Her immune system is likely messed up from the transplant, even with a perect match a receiver needs to take meds because the body will continue to flag the donated organsas foreign.
Now is MC was a bit smart he would understand that the chronic attack she had matched the suffucation death, but not the previous ones, even more if this girl wants to live, she wouldn't kill herself, hence MC should flag her out on the spot.
And note, he didn't die because in the previous chapter hsi childhood friend was around when he declared friendship with the novelist.
I'm guessing the friend gets big depression when she realizes MC doesn't see her as a possible partner and kill herself any way she can, jumping from a roof, strangulation, putting herself in a incinirator, using some random pills to suffcuate herself.
That is, if the shrine goddess didn't bind him with all 6 instead of just 1.