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What causes flu vs covid?

Updated Oct 20, 20262 min readAnswer
On this pageShort answer How to tell flu from COVID Common questions Related questions Sources
Short answer

**Flu is caused by influenza viruses (mainly influenza A and B), while COVID-19 is caused by a coronavirus called SARS-CoV-2.**

They are unrelated viruses, but both spread through respiratory droplets and small particles released when an infected person breathes, talks, coughs, or sneezes. Symptoms overlap so much that you cannot reliably tell them apart without a test, though COVID-19 more often causes a loss of taste or smell and flu tends to come on abruptly with fever and body aches. COVID-19 also tends to have a longer window between exposure and symptoms, so your timeline after a known contact offers a clue rather than an answer. Testing is the only way to know which one you have, and it matters because the antiviral treatments are different. Annual flu vaccination and staying current on COVID-19 vaccination lower your chances of getting seriously ill from either.

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How to tell flu from COVID

1Test to know:Symptoms overlap too much to guess, so use a test when the answer would change your treatment or your plans around others.
2Start antivirals early:Both flu and COVID-19 antivirals work best within the first day or two of symptoms, so reach out quickly instead of waiting it out.
3Ask about your risk:If you are over 65, pregnant, or have a condition like asthma, diabetes, or a weakened immune system, tell a clinician early since treatment thresholds are lower for you.
4Vaccinate for both:Get a flu shot each fall and stay current on COVID-19 vaccination; you can usually get them at the same visit.
5Stay home while contagious:Keep away from others until your symptoms are improving and you have been fever-free for 24 hours without fever-reducing medicine.
6Know the urgent signs:Seek care right away for trouble breathing, chest pressure, bluish lips, confusion, or dehydration.

Common questions

What causes flu vs covid?

Flu comes from influenza viruses, usually influenza A or B, which change enough each year that the vaccine is updated annually. COVID-19 comes from SARS-CoV-2, a coronavirus first identified in 2019 that continues to produce new variants. The two are not related, but they infect the same airways and spread the same way, so fever, cough, sore throat, fatigue, and body aches can look identical. A test tells you which virus you have. That distinction changes treatment: oseltamivir and other antivirals target influenza, while different antivirals treat COVID-19, and both work best when started early. Call a clinician if you have trouble breathing, chest pain, confusion, or symptoms that improve then return.

About this page. Written and maintained by the Pymander Health team. Last updated September 6, 2026.

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