It’s that time of the year, which means we are in “cold and flu” season. Most infectious disease experts say it should be called, “viral infection” season because in addition to cold and flu, upper respiratory illnesses like rhinovirus and parainfluenza are ripe this time of year. In addition to the myriad of viruses prevalent in the winter months, we can now add COVID-19 to the list.

Most of these illnesses have similar characteristics and sometimes it’s difficult to distinguish which illness you may have acquired. The rule of thumb according to Saint Mary’s Hospital Infectious Disease expert, Michael Simms, M.D., is “a sore throat, runny nose and laryngitis are typically a rhinovirus or viral upper respiratory illness. If you’re short of breath, regardless, you should see the doctor because it could be COVID or the Flu, both of which can be treated.” Dr. Simms says that the common cold generally does not cause shortness of breath. If you are feeling somewhere in the middle of cold symptoms and flu like symptoms, and you are getting worse, it might be time to see a doctor. If you are somewhere in the middle and getting better, it’s likely a rhinovirus and you will get better without medical treatment.

Dr. Simms says, “in all cases stay away from people. Don’t go to work, wear a mask, and ahead of time make sure you get your flu and COVID-19 vaccines, which will very much decrease your risk of developing any symptoms.”

Ultimately, he says testing is truly the only way to confidently determine whether you have the flu or COVID-19. PCR testing today is advanced enough to identify exactly which virus you have, which will help your doctor effectively treat the illness.

Some symptoms of a cold, the flu and COVID overlap, while others are well defined. We’ve broken it down to make it easier for you to figure out.

You should seek emergency medical attention if you are showing any of these signs:

    • Trouble breathing
    • Persistent pain or pressure in the chest
    • New confusion
    • Inability to wake or stay awake
    • Pale, grey, or blue-colored skin, lips, or nail beds, depending on skin tone

Symptoms unique to COVID-19 include:

    • Shortness of breath or difficulty breathing
    • New loss of taste or smell
    • Nausea or vomiting
    • Diarrhea
Symptom Cold Flu Covid-19
Fever A fever is rare. High fever is usually present. Fever is commonly present.
Coughing Mild, secondary to postnasal drip. A non-mucus producing,


or “dry” cough commonly present.
A cough is common.
Aches Slight body aches and pains. Severe aches and pains are typical. Muscle and body aches may be present.
Stuffy Nose Stuffy nose is commonly present and typically resolves within a week.

Stuffy nose is not commonly present.

May have congestion or runny nose.
Chills Chills are uncommon.

Most people experience severe chills.

Chills may be mild to severe.
Fatigue Tiredness is mild.

Tiredness is moderate to severe.

Fatigue may be moderate to severe.
Sneezing Sneezing is commonly present.

Sneezing is not common.

Not common.
Onset Cold symptoms tend to develop over a few days.

The flu has a rapid onset.

.

Symptoms may appear 2 – 14 days after exposure.
Headache Headaches are uncommon with a cold.

Headaches are very common with the flu.

.

May have mild to severe headaches.
Sore Throat Sore throat is commonly present.

Sore throat is NOT common.

.

Sore throat may be present, mild to severe.
Chest Discomfort Mild chest discomfort secondary to coughing.

Chest discomfort is often severe with the flu.

.

Mild.
Shortness of Breath Not a symptom.

Commonly.

.

Commonly.