The differences between COVID-19 and flu symptoms

Covid and flu syptoms. (Getty Images)
With COVID-19 and flu symptoms so similar, it can be hard to tell which one you have, without testing. (Getty Images)

Cases of COVID-19 are rising in England, as a new variant is spreading quickly. The NHS is offering autumn COVID boosters for the most vulnerable groups.

Last month, the UK Health Security Agency (UKHSA) said COVID hospitalisations have surged at an "alarming" rate due to the spread of the new variant, called XEC.

The UKHSA said it is normal for viruses to mutate and change, and has encouraged those who are eligible for the booster to get it.

As the temperature dips and we spend more time indoors, both COVID and the flu will spread more easily. Here's how to tell the difference between the two:

Signs for both COVID-19 and the flu are very similar, and can be hard to distinguish between, so here's a look at how each virus might present in you.

The flu is a contagious respiratory disease caused by influenza viruses. Similarly to COVID-19, it is spread by droplets from an infected person coughing, sneezing or talking.

Man with flu symptoms. (Getty Images)
While flu often gets better by itself, some can become seriously ill. (Getty Images)

Flu symptoms, according to the NHS include:

  • a sudden high temperature

  • an aching body

  • feeling tired or exhausted

  • a dry cough

  • a sore throat

  • a headache

  • difficulty sleeping

  • loss of appetite

  • diarrhoea or tummy pain

  • feeling sick and being sick

While flu will often get better on its own, some can get seriously ill, which is why it's important to protect yourself with the NHS vaccine if you're advised to.

Symptoms present similarly in children, though they can get pain in their ear and seem less active too.

COVID-19 is also a contagious respiratory illness, but is caused by the SARS-CoV-2 virus, a form of coronavirus.

As per the NHS, symptoms include:

  • a high temperature or shivering (chills)

  • a new, continuous cough

  • a loss or change to your sense of smell or taste

  • shortness of breath

  • feeling tired or exhausted

  • an aching body

  • a headache

  • a sore throat

  • a blocked or runny nose

  • loss of appetite

  • diarrhoea

  • feeling sick or being sick

These are thought to be similar between adults and children.

Woman with COVID-19 symptoms. (Getty Images)
A headache and runny nose are some of the main symptoms of COVID-19. (Getty Images)

Since the start of the pandemic, the most common COVID symptoms have changed for a few reasons, including the introduction of vaccines and the emergence of new variants.

According to the most recent data from the ZOE Health Study, from the 30 days before December 5th, 2022, the top symptoms reported by contributors with positive COVID tests are:

  1. A sore throat

  2. A runny nose

  3. A blocked nose

  4. Sneezing

  5. A cough without phlegm

  6. A headache

  7. A cough with phlegm

  8. A hoarse voice

  9. Muscle aches and pains

  10. An altered sense of smell

Close up photo of senior patient arm with doctor`s hands making injection. Elderly patient wearing mask to stop coronavirus spread. Covid 19 vaccination. Old people. Elderly virus protection.
Don't delay in getting free COVID-19 or flu jabs this winter if advised or invited. (Getty Images)

If you have flu, rest and sleep, keep warm, take recommended doses of paracetamol or ibuprofen and drink plenty of fluids.

  • you or your child have symptoms of flu and you're worried about your baby's or child's symptoms

  • you're 65 or over, you're pregnant, you have a long-term medical condition

  • you have a weakened immune system

  • your symptoms don't improve after seven days.

  • you're feeling worried or unsure what to do

  • you're worried about a baby or child under five

For either, try to stay at home and avoid contact with other people if you have a high temperature or do not feel well enough to do your normal activities (taking extra care to avoid those at high risk).

  • you get sudden chest pain

  • you have difficulty breathing

  • you start coughing up a lot of blood

  • your child seems very unwell, is getting worse or you think there's something seriously wrong

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