December 7, 2022

Is it the flu, COVID-19, RSV, or just a cold?

With talk of a ‘tridemic’ of respiratory illnesses, it’s natural to worry if you wake up feeling sick. Learn about the symptoms to watch for.

Cold season is upon us, and with it, the all-too-familiar sneezes and sore throats.

But with flu season hitting hard and early, plus talk of a possible winter surge in COVID-19 cases, you might worry that the cold you feel coming on is something more.

Parents of infants and young children may also be concerned about RSV, or respiratory syncytial virus. Almost all children have had an RSV infection by the time they are 2, but this year, the virus has begun spreading early and is causing more severe illness than usual. Older adults and people with heart and lung disease or weak immune systems are also at risk for severe RSV.

The chart below lays out the most common symptoms of a cold, the flu, and COVID-19. Visit to learn about the symptoms of RSV.

Cold, flu, or COVID-19: Know the symptoms

*Chart does not include all possible symptoms. COVID-19 symptoms may change with new variants and depending on vaccination status.
Signs and symptoms* Cold Flu COVID-19
Symptom onset Gradual Sudden Gradual
Muscle and body aches Slight Common Sometimes
Cough Sometimes Common Common
Diarrhea Rare Sometimes Sometimes
Fatigue, weakness
Sometimes Common Common
Fever over 100 degrees
Rare Common Common
Loss of taste or smell Rare Rare Sometimes
Shortness of breath or difficulty breathing Rare Rare Common
Runny or stuffy nose Common Common Common
Sneezing Common Sometimes Sometimes
Sore throat Common Common Common
Headache Rare Common Common

What to do if you feel sick

If you start to feel symptoms of a respiratory infection, taking a COVID-19 home antigen test is the quickest and easiest way to rule out a coronavirus infection and make sure you’re not putting others at risk. If your test result is positive, stay home and isolate, and contact your doctor if you need guidance or support. If your result is negative, retest 24 to 48 hours after your first test.

Most patients don’t need to be tested for flu or RSV unless there is a potential need for them to be hospitalized. But stay home if you feel sick to avoid spreading your illness to others.

For most healthy people, diseases such as the flu, COVID-19, and RSV will go away on their own. But if you need care or advice, we offer members several options, including completing an e-visit on, emailing your doctor, calling the advice number on your member ID card, or scheduling a video, phone, or in-person appointment.

If your child is having severe breathing problems or you see that their skin or fingernails have a bluish color due to a lack of oxygen, do not hesitate to go to an emergency department or call 911.

Learn more

Get advice on self-care, find out where to get vaccinated for COVID-19 and flu, and read about the symptoms of flu, COVID-19, and RSV.