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  • Prevention

What are the symptoms of COVID-19?

COVID-19 symptoms have evolved. Here’s what you need to know about today’s most common signs and how they compare to other respiratory illnesses.

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The experience for someone who gets COVID-19 can vary widely, from no symptoms at all or mild to moderate symptoms, to severe illness requiring hospitalization. Today’s COVID-19 symptoms may look different than they did in the early days of the pandemic, so staying updated on current information is key. Understanding what to look for can help you take the right steps to care for yourself and others.
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Mild to moderate symptoms of COVID-19

Most people who test positive for COVID-19 will experience mild to moderate symptoms.
Common COVID-19 symptoms include:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Sore throat
  • Congestion or runny nose
  • Headache
  • Muscle or body aches
  • New loss of taste or smell
  • Nausea or vomiting
  • Diarrhea

These symptoms can appear in any combination and may change over the course of the infection. While many people recover at home, symptoms can worsen, especially in those with certain underlying health conditions who are at high risk of getting very sick from the virus.

Some may experience no symptoms, although this is relatively uncommon. Even without symptoms, individuals can still spread the virus.

If you’re experiencing symptoms or test positive, contact a healthcare provider right away to discuss potential treatment options. To find out if you are at high risk for severe COVID-19, take the COVID-19 Risk Assessment.

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Severe symptoms of COVID-19

In some cases, COVID-19 can lead to serious complications. Severe symptoms may include:

  • Trouble breathing
  • Persistent chest pain or pressure
  • Unusual confusion or disorientation, especially if not normal for that person
  • Inability to wake or stay awake
  • Bluish, gray, or pale lips, face, or nail beds (depending on skin tone)

If you or someone you know is experiencing these symptoms, seek emergency medical care immediately. Severe COVID-19 may require hospitalization and should not be taken lightly.

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Similarities and differences between COVID-19, the flu, and other respiratory illnesses

COVID-19, the flu, and the common cold are all contagious respiratory illnesses, but they are caused by different viruses. You may not be able to tell the difference between them based on symptoms alone. Since many of the symptoms are shared, testing and consultation with a healthcare provider is needed to make a diagnosis.

Similar symptoms between COVID-19, the flu, and the common cold may include, but are not limited to:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Sore throat
  • Runny or stuffy nose
  • Headache
  • Muscle or body aches
  • Vomiting
  • Diarrhea

Key differences between COVID-19, the flu, and the common cold include:

  • New loss of taste or smell: More common with COVID-19; uncommon with the flu and rare with the common cold
  • Incubation period: Incubation is the time between when someone is exposed to a virus and when symptoms first appear. COVID-19 symptoms can appear 2–14 days after exposure. With the flu, symptoms tend to appear 1-4 days after exposure. Common cold symptoms usually begin within 1–3 days after exposure.
  • Contagious period: COVID-19 may remain contagious longer than flu or cold. Adults with the flu are generally contagious during the first 3-5 days of illness. Adults with COVID-19 may be contagious for up to 10 days after symptoms begin. People with the common cold are most contagious in the first few days of symptoms.
  • Potential long-term impact: Severe COVID-19 can lead to long-term complications with existing medical conditions, sometimes referred to as long COVID. It also has the potential to exacerbate an underlying medical condition you are currently living with, or even raise chances of developing new health issues. The flu can also lead to serious complications, especially in older adults, young children, and people with chronic conditions, but long‑term effects are less common. The common cold is usually mild and self‑limited, and rarely causes severe illness in otherwise healthy people.

If you have any of the above symptoms, take a test and speak to a healthcare provider as soon as possible. They may be able to help diagnose your illness and direct you to treatment.

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Know the symptoms of COVID-19 so you can act quickly

Some people with COVID-19 may have no symptoms while others may experience symptoms ranging from mild to severe. These symptoms can resemble other respiratory illnesses, so a confirmed diagnosis is important when determining treatment options.

To find out if you are at risk for severe COVID-19, take the COVID-19 Risk Assessment. If you think you might have COVID-19, take a COVID-19 test and talk to a healthcare provider as soon as possible.

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Frequently
asked questions

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How long after exposure do COVID-19 symptoms typically appear?

COVID-19 symptoms usually appear 2 to 14 days after exposure, with most people showing signs around day 5.

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Who is at high risk for severe COVID-19?

Those 50 years of age or older, people with certain underlying medical conditions (like lung disease or diabetes), and those with weakened immune systems are at higher risk. For a more complete list, refer to Factors that put you at high risk for severe COVID-19.

To find out if you are at risk of severe COVID-19, take a COVID-19 Risk Assessment.

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What should I do if I don’t have a healthcare provider?

If you don’t have a regular healthcare provider, you can contact your local pharmacy, community health center, or health department. PfizerForAll can also help connect you with telehealth providers who can guide you through your care options.

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Can mild or moderate COVID-19 become severe?

Yes. COVID-19 can get worse quickly, especially in high-risk individuals. So, when you test positive or start experiencing symptoms, it is best to speak with a healthcare provider as soon as possible.

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Can you have COVID-19 without a fever?

Yes. Not everyone with COVID-19 experiences a fever. Other symptoms like fatigue, sore throat, or cough may still be present.

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Test your knowledge
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Can you tell the difference between COVID-19, the flu, and a cold based on symptoms alone?
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Yes
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Not quite
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Correct answer: Many symptoms overlap across illnesses, so it’s important to test for COVID-19 when experiencing symptoms to verify potential care and treatment options that might be available to you, especially if you are at high risk for severe illness.
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No
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That's correct!
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Many symptoms overlap across illnesses, so diagnosis by a healthcare provider can confirm the type of illness and help guide next steps.
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References

Centers for Disease Control and Prevention. People with Certain Medical Conditions and COVID-19 Risk Factors. June 11, 2025. Accessed August 1, 2025. https://www.cdc.gov/covid/risk-factors/index.html.

Centers for Disease Control and Prevention. Similarities and Differences Between Flu and COVID-19. September 17, 2024. Accessed October 21, 2025. https://www.cdc.gov/flu/about/flu-vs-covid19.html.

Centers for Disease Control and Prevention. Symptoms of COVID-19. March 10, 2025. Accessed August 1, 2025. https://www.cdc.gov/covid/signs-symptoms/index.html.

Centers for Disease Control and Prevention. Types of COVID-19 Treatment. May 8, 2025. Accessed August 1, 2025. https://www.cdc.gov/covid/treatment/index.html.

Centers for Disease Control and Prevention. Underlying Conditions and the Higher Risk for Severe COVID-19. February 6, 2025. Accessed August 1, 2025. https://www.cdc.gov/covid/hcp/clinical-care/underlying-conditions.html.

Grant MC, Geoghegan L, Arbyn M, et al. The Prevalence of Symptoms in 24,410 Adults Infected by the Novel Coronavirus (SARS-CoV-2; COVID-19): A Systematic Review and Meta-analysis of 148 Studies From 9 Countries. PLoS ONE. 2020;15(6):e023765. doi.org/10.1371/journal.pone.0234765.

Gregory, CO and Hall AJ. CDC Yellow Book: Health Information for International Travel. The Centers for Disease Control and Prevention. April 23, 2025. Access August 1, 2025. https://www.cdc.gov/yellow-book/hcp/travel-associated-infections-diseases/covid-19.html.

MedlinePlus Encyclopedia. COVID-19 Symptoms. January 1, 2025. Accessed October 24, 2025. https://medlineplus.gov/ency/article/007770.htm.