Most Common Symptoms of Long COVID

Symptoms can be life altering

The symptoms, however, are only “half the picture,” Vanichkachorn says. “The other half is how those symptoms really have changed a person’s ability to live their normal lives.” 

A handful of viruses can cause prolonged illness (experts call this post-acute sequelae), and recovery can be especially difficult for people who required hospitalization or intensive care. 

But what’s different about long COVID is that it seems to be more widespread, and the symptoms that people experience, even when they no longer test positive for coronavirus, seem to be more robust, Vanichkachorn says. “We’ve had patients complain of fatigue after a viral infection before … but patients after coronavirus infection, they really have some profound fatigue.”

For some, this means routine tasks such as getting dressed or taking a shower require assistance. Others have trouble completing everyday errands like grocery shopping or doing the laundry due to their symptoms — “and of course, going to work,” Vanichkachorn adds. 

Among adults 50 and older living with long COVID, 21 percent say it has had a major impact on their physical health; 18 percent say it has affected their mental health. Twenty percent of older adults surveyed by AARP say long COVID has impacted their social life. 

Priya Duggal, a professor in the Department of Epidemiology at Johns Hopkins Bloomberg School of Public Health, estimates that 3 to 5 percent of people who have had COVID-19 “feel they cannot function normally in everyday life” due to lasting symptoms. 

Some people may be at higher risk 

A few folks may be more at risk for long COVID than others, though Duggal emphasizes that “no one gets a free pass.” People who had underlying health conditions before their coronavirus infection may be more likely to develop long COVID, the CDC says. Research also finds that more women report long COVID symptoms than men, and it tends to be more prevalent in middle-aged adults. 

According to the CDC, unvaccinated individuals are more likely to get long COVID than people who received the vaccine. And research, while still ongoing, has also shown that people who treat COVID-19 with an antiviral like Paxlovid are less likely to experience lingering symptoms. 

“When you’re vaccinated or when you treat yourself early on, the burden of virus is much less, and, therefore, I think you are less likely to go on to develop these longer-term symptoms,” says Paul Offit, M.D., an infectious disease physician at Children’s Hospital of Philadelphia and author of the book Tell Me When It’s Over: An Insider’s Guide to Deciphering COVID Myths and Navigating our Post-Pandemic World. “So I think anything that decreases viral replication — whether it’s vaccination or whether it is early treatment — is a value.”

Talk to your doctor early if you experience symptoms

Lots of questions surrounding long COVID are still unanswered, but one thing is certain: Experts say if you had COVID-19 and notice any new or prolonged symptoms three or four weeks out from your infection, talk to your primary care physician. Don’t wait months before calling for an appointment, Vanichkachorn says. If you don’t have a primary care provider, seek care from an internist, Duggal adds.

There isn’t a one-size-fits all treatment for long COVID, Offit says, and that’s because there likely isn’t just one cause. Right now, a lot of it comes down to managing individual symptoms and providing supportive care, and Vanichkachorn says the earlier you start that treatment, the better.

AARP research, however, found that less than half of the adults surveyed saw their health care provider to address their ongoing COVID-related symptoms.

It’s also important for people with chronic health conditions like high blood pressure or diabetes to reach out to their doctor if they notice a change in their numbers after recovering from COVID-19, says Sabyasachi Sen, M.D., professor of medicine at the George Washington University School of Medicine and Health Sciences. It could signal a long-term effect from the infection.

The CDC has tips for patients on how to plan for an appointment to discuss long COVID. The agency recommends preparing a list of your current and past medical conditions in advance, and writing down your experience with COVID-19 and any new or lingering conditions. Be sure to include: 

• When they started.
• How they affect your life.
• How often they occur.
• What makes them worse.

Finally, bring a list of your current medications, including over-the-counter drugs and supplements, to your appointment, and ask questions when you have them. 

Editor’s Note: This story, first published on May 19, 2022, has been updated with new information.