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How to Tell the Difference Between a Cold, Flu, and COVID 

Cold, flu, and COVID-19 are all respiratory illnesses that can feel similar at first. Knowing the differences can help you decide when to rest at home, when to get tested, and when to seek medical care. While symptoms often overlap, there are key patterns that can help tell them apart.

Cold vs. Flu vs. COVID: Key Differences

Common Cold

Colds usually develop gradually and tend to be mild.

Typical symptoms include:

  • Runny or stuffy nose
  • Sneezing
  • Sore throat
  • Mild cough
  • Mild fatigue
  • Low-grade or no fever

Colds are uncomfortable but rarely serious and usually improve within 7–10 days.

Influenza (Flu)

Flu symptoms typically come on suddenly and are often more intense.

Common flu symptoms include:

  • Fever (often high)
  • Chills
  • Body aches
  • Headache
  • Fatigue or weakness
  • Dry cough
  • Sore throat

The flu can lead to complications, especially in older adults, young children, pregnant individuals, and people with chronic conditions.

COVID-19

COVID symptoms can range from mild to severe and may appear 2–14 days after exposure.

Common COVID-19 symptoms include:

  • Fever or chills
  • Cough
  • Shortness of breath
  • Fatigue
  • Body aches
  • Headache
  • Sore throat
  • Congestion or runny nose
  • Nausea, vomiting, or diarrhea

Distinctive signs may include:

  • Loss of taste or smell
  • Symptoms lasting longer than a typical cold
  • Greater variability in severity

Because COVID can spread easily—even before symptoms appear—testing is important if COVID is suspected.

Quick Symptom Comparison

Symptom:ColdFluCOVID
FeverRare or mildCommon, often highCommon
Body AchesMildCommon, often severeCommon
FatigueMildSevereMild to severe
CoughMildCommonCommon
Loss of taste/smellNoNoSometimes
OnsetGradualSuddenGradual or sudden

When to Get Tested

You should consider testing if:

  • You have fever, cough, or body aches
  • You were exposed to someone with COVID
  • Symptoms worsen or don’t improve after several days
  • You are in a high-risk group

Testing is the only way to confirm COVID-19.

When to Seek Medical Care

Contact a healthcare provider or seek urgent care if you experience:

  • Difficulty breathing
  • Chest pain
  • Persistent high fever
  • Confusion
  • Severe weakness or dehydration
  • Symptoms lasting longer than 7–10 days

Telemedicine visits can help determine whether testing, treatment, or in-person care is needed.

Prevention Tips

  • Wash hands frequently
  • Avoid close contact with sick individuals
  • Stay home when ill
  • Keep vaccinations up to date
  • Wear a mask if recommended during outbreaks

Sources

  1. Centers for Disease Control and Prevention (CDC)Cold vs. Flu vs. COVID-19
    https://www.cdc.gov/flu/symptoms/flu-vs-covid19.htm
  2. Mayo ClinicCOVID-19 Symptoms
    https://www.mayoclinic.org/diseases-conditions/coronavirus/symptoms-causes
  3. Cleveland ClinicCold vs. Flu vs. COVID-19
    https://health.clevelandclinic.org/cold-flu-covid-differences/
  4. National Institutes of Health (NIH)COVID-19 Overview
    https://www.nih.gov/
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