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Do You Have the Flu or COVID-19? How to Tell the Difference

Published on Oct 11, 2021 | 2:58 PM

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When it comes to respiratory illnesses, COVID-19 and the flu (influenza) share a lot in common. Both are highly contagious, spread in similar ways, and often produce overlapping symptoms.

Many people can find it nearly impossible to tell them apart just by how they feel, especially in the early stages of illness. This overlap is particularly problematic during flu season, when cases of both flu and COVID-19 spike, increasing the chances of infection with one or even both viruses.

Both COVID-19 and the flu can begin with mild symptoms that may gradually or suddenly worsen. They share common symptoms like fever, cough, and fatigue, making it easy to confuse the two.

Knowing the common differences between COVID-19 and the flu can help guide your decisions about treatment, isolation, and when to seek medical care. However, it’s important to remember testing is the most reliable way to confirm your diagnosis. Factors like vaccination status, virus variants, and overall health can also influence how you experience symptoms for both illnesses.

Shared Symptoms Between COVID-19 and the Flu

The overlapping symptoms of COVID-19 and the flu make it easy to see why they are often mistaken for each other. Here are the most common shared symptoms:1

  • Fever: Both illnesses can cause fever, which may be high in some cases, particularly with the flu.
  • Cough: A persistent cough is typical for both, though it may vary in severity. COVID-19 typically causes a dry cough, while the flu can lead to a wet or productive cough.
  • Fatigue: Feeling extremely tired and drained is common for both illnesses and can persist even after the initial infection.
  • Body Aches and Headaches: Aching muscles, joints, and headaches can occur with both COVID-19 and the flu.
  • Sore Throat: Many people with either illness report a sore or scratchy throat, particularly in the early stages.
  • Congestion or Runny Nose: Although more common in flu cases, congestion can appear with COVID-19 as well.
  • Shortness of Breath: While both can cause respiratory symptoms, shortness of breath  is generally more pronounced with COVID-19.

Common Differences Between COVID-19 and the Flu

A table comparing COVID-19 vs Flu Symptoms

While COVID-19 and the flu share many symptoms, some differences can help you distinguish between them. Understanding these typical variations can be crucial in managing symptoms and deciding whether to seek medical care or get tested. These are the main symptomatic differences commonly experienced:

  • Onset of Symptoms: COVID-19 symptoms typically develop gradually over 2 to 14 days, often starting mild and worsening. The flu often strikes more suddenly, with intense symptoms appearing within 1 to 4 days.1
  • Unique Symptoms: COVID-19 often causes loss of taste or smell, shortness of breath, diarrhea, and lingering fatigue, which are more rarely experienced with the flu.2, 3

How to Tell If You Have COVID-19 or the Flu

If you’re feeling unwell, asking yourself the following questions can help you determine whether you might have COVID-19 or the flu before you get tested.

Did your symptoms come on suddenly or gradually?

Flu symptoms usually hit hard and fast, often making you feel very ill within a few hours. In contrast, COVID-19 symptoms tend to develop gradually, starting mild and worsening over several days.

Do you have a loss of taste or smell?

A sudden loss of taste or smell is a strong indicator of COVID-19. This symptom is rare in flu cases, so if you’re experiencing it, it’s more likely COVID-19 than the flu.

Have you been exposed to someone with COVID-19 or the flu?

Knowing whether someone close to you has recently been diagnosed with either illness can offer a clue. If you’ve been exposed to someone with COVID-19, you’re more likely to have it, whereas exposure to someone with the flu points toward that diagnosis.

How long have your symptoms lasted?

The flu typically resolves within one to two weeks, even for severe cases. If your symptoms persist longer, especially fatigue or respiratory issues, it’s more likely to be COVID-19.

What to Do If You Suspect You Have COVID-19 or the Flu

If you’re feeling unwell and suspect you might have COVID-19 or the flu, taking swift and thoughtful action is crucial to protect yourself and others. Follow these steps to manage your symptoms and prevent further spread:

1. Take a Test

It’s impossible to distinguish between COVID-19 and the flu based on symptoms alone. Testing is the most reliable way to determine whether you have COVID-19 or the flu. Many pharmacies, healthcare providers, and testing centers offer rapid tests for both illnesses. If you test positive for either, it will confirm the next steps in managing your condition. If your test is negative but symptoms persist or worsen, consider retesting or consulting a healthcare provider.

2. Isolate

While waiting for test results—or if you test positive—it’s important to isolate yourself to reduce the risk of spreading the illness. Stay home, avoid close contact with others in your household, and wear a mask if you need to interact with anyone. Remain at home until your fever subsides without the use of fever-reducing medications like acetaminophen or ibuprofen. Isolation is crucial to protecting vulnerable individuals and limiting the spread of both COVID-19 and influenza virus.

3.  Notify Close Contacts

If you’ve tested positive for COVID-19 or the flu, inform anyone you’ve been in close contact with. This allows them to monitor their own symptoms, get tested, and take precautions to prevent further spread.

4. Manage Symptoms and Consider Medical Care

For mild symptoms like a low fever and aches, medications such as acetaminophen or ibuprofen can provide relief. Rest, hydration, and sleep are essential to support recovery at home.

Medical providers can help you treat more bothersome symptoms like a sore throat, cough and congestion, ensuring a smoother recovery.

For severe symptoms, such as difficulty breathing or an unrelenting high fever, seek emergency medical care immediately. Prompt attention is critical for your safety.

5. Follow Up if Symptoms Persist

If your symptoms last longer than expected or worsen despite treatment, follow up with your healthcare provider. Persistent fatigue or respiratory issues, especially after COVID-19, may require further evaluation and care.

what-to-do-if-you-suspect-you-have-covid-19-or-the-flu

FAQ

Are there any other illnesses that have symptoms similar to COVID-19 and the flu?

Yes, the common cold and RSV (respiratory syncytial virus) can also share symptoms like cough, congestion, and fatigue. However, colds are usually milder, and RSV more often causes wheezing or severe breathing issues, especially in young children and older adults.

Can you have flu and COVID-19 at the same time?

Yes, you can get both COVID-19 and the flu simultaneously. Co-infections are possible, especially during flu season. If you think you might have both, consult a healthcare provider for proper diagnosis and treatment.

How can I protect myself from COVID-19 and the flu?

Staying up to date on COVID-19 vaccines and boosters, as well as annual flu vaccines are the best protection. Wash your hands often, avoid close contact with sick individuals, and consider wearing a mask in crowded areas, especially if you have a compromised immune system or are considered to be at a high risk for these illnesses.

Get COVID-19 or Flu Treatment Without Leaving Home

When you’re unwell, staying home is often the safest and most comfortable option. Call-On-Doc makes it easy to access fast, reliable care, offering both online COVID-19 treatment and online flu treatment.

Whether you need antiviral drugs like Paxlovid (nirmatrelvir) or Lagevrio (molnupiravir) for COVID-19, or Tamiflu (oseltamivir) for the flu, we provide prescriptions in just 15 minutes—no appointments required.

Skip the hassle of in-person visits and recover quickly with Call-On-Doc’s convenient, at-home care. Start your online consultation today!

Sources:

  1. https://www.cdc.gov/flu/about/flu-vs-covid19.html
  2. https://www.cdc.gov/covid/signs-symptoms/index.html
  3. https://www.cdc.gov/flu/signs-symptoms/index.html

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Wayne Hahne,

English graduate and Call-On-Doc’s medical resource guide, Wayne C. Hahne is an experienced and passionate medical education content expert. Through diligent research, provider interviews and utilizing the industry's leading resources for wellness information, it is Mr. Hahne’s personal mission to educate the general public on medical conditions with in-depth and easy-to-understand written guides.

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