Symptoms of COVID-19 and when to seek medical advice
How will I know if my symptoms are mild, moderate or severe?
Mild symptoms
The following symptoms are considered mild:
- mild upper respiratory tract symptoms, such as a congested or runny nose, sneezing, or a scratchy or sore throat
- cough with no difficulty breathing
- new aches and pains, or lethargy or weakness without shortness of breath
- mild headache
- mild fever that responds to treatment
- loss of smell or taste
- loss of appetite
- nausea
- occasional vomiting or diarrhoea
- no symptoms at all
- not drinking as much fluid (such as water) as usual in the last 24 hours
Moderate symptoms
The following symptoms are considered moderate:
- shortness of breath while walking around, such as noticeably having to breathe more heavily while walking around the house
- persistent fever above 38oC that’s not responding to treatment
- persistent worsening cough that regularly produces mucus
- struggling to get out of bed and feeling dizzy or weak
- reduced fluid intake (drinking) over the last 24 hours (but more than half the normal intake)
- reduced urine output (‘weeing’) over the last 24 hours (producing less urine, but more than half the normal amount)
- vomiting or diarrhoea (more than 4 times in the last 24 hours, of either)
Severe symptoms
The following symptoms are considered severe:
- breathlessness at rest and/or you’re unable to speak in sentences
- being unconscious, fainting or drowsy
- skin turning blue or pale
- cold and clammy, or pale and mottled, skin
- pain or pressure in the chest lasting more than 10 minutes
- confusion
- passing no urine (‘wee’) or a lot less urine than usual
- coughing up blood
Severe symptoms in children
- high-pitched wheezing sound while breathing (stridor)
- gurgling or grunting while breathing
- working very hard to breathe, or using chest or abdominal (tummy) muscles to breathe
- being too breathless to speak or feed, or long pauses between breaths
- nostril flaring
- turning blue around the mouth or lips
- head bobbing
- skin feels unusually cold and sweaty
- their skin colour looks ‘patchy’ or very pale
- unconscious, drowsy, or floppy or limp
- they’ve not had many fluids (such as water) in the last 24 hours (less than half their normal intake)
- they’ve not produced much urine (‘wee’) in the last 24 hours (less than half their normal amount)
If your symptoms worsen, you or your caregivers should call your GP for advice. If you can’t reach your GP straight away, call triple zero (000) for an ambulance and tell the ambulance staff that you have COVID-19.
If you go to a hospital emergency department (ED), contact it beforehand to tell the staff that you have COVID-19. When you arrive, wear a surgical mask at all times and tell staff straight away that you have COVID-19.
What should I do if I develop COVID-19 symptoms?
If you have any symptoms of COVID-19 — even if they are mild — you should get tested and stay at home until you receive a negative test result, regardless of your vaccination status.
If you have had contact with someone who has COVID-19 and develop symptoms, you should get tested.
Some people who have a confirmed case of COVID-19 may be able to get COVID-19 medication.
You can also attend a COVID-19 clinic in your area to get tested
When should I seek medical advice?
Most people can manage COVID-19 at home. Those who have mild COVID-19 symptoms may be advised that it is safe for them to manage their symptoms at home instead of going to hospital.
Ask yourself the following questions 3 times a day (morning, afternoon and night) — am I able to:
- get my own food?
- drink (for example, water) without any help?
- go to the toilet normally?
- take my regular medication?
If you answer ‘no’ to any of these questions, call your GP.
You should also contact your GP if you feel dizzy or lightheaded or your symptoms start to worsen.
You should contact your GP or health service if you’re pregnant, have any chronic conditions or have any concerns about your health. Your doctor may be able to assess you over the phone or by video.
If you need to attend a medical centre in person, you must:
- Contact the medical centre beforehand to tell staff that you have COVID-19. You may ask for a telehealth consultation if they have this service.
- Take a private vehicle or walk if practical. You shouldn’t take public transport, taxis or ride-share cars.
- Wear a face mask while travelling and when in the practice. Others in the vehicle should also wear a face mask.
- Tell staff straight away that you have COVID-19, and follow their instructions.
How soon after exposure to COVID-19 do symptoms appear?
The COVID-19 incubation period, which is the time between when a person is exposed to the virus and when their symptoms first appear, ranges from 1 to 14 days. Most people develop symptoms 5 to 6 days after being in contact with a person with COVID-19.
When is a person with COVID-19 infectious, and can they transmit the virus to others before symptoms appear?
If you have COVID-19, you are currently considered infectious generally from 48 hours before your symptoms develop (or before your positive test if you don’t have any symptoms).
If you still have symptoms, you may still be contagious. However, people with COVID-19 can still transmit the virus whether they have symptoms or not.
People who still have acute respiratory symptoms after 7 days are still considered infectious. Acute symptoms include fever, cough, shortness of breath or sore throat.
How is COVID-19 different from the flu (influenza)?
COVID-19 is caused by a coronavirus known as SARS-CoV-2. The seasonal flu is caused by different types of influenza virus.
Both diseases are infections and can cause respiratory symptoms, such as a sore throat, runny nose and cough, as well as fever.
However, there are some differences:
- Influenza often includes muscle pains and headache, while these symptoms are less common in COVID-19.
- So far, severe COVID-19 has mainly affected older age groups and people with chronic illnesses. But severe cases of the flu can sometimes make otherwise healthy people, children and pregnant women very sick too.