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Flu vs. COVID-19 vs. RSV: How to Tell the Difference

By:
  • Renown Wellness Team
October 15, 2026
Woman coughing into hand

A cough, fever or stuffy nose can leave you wondering: Is it the flu, COVID-19 or RSV? These respiratory illnesses share many symptoms, making it difficult to know what's causing you to feel sick. Understanding their differences can help you know when to get tested and seek medical care.

Common Symptoms of Flu, COVID-19 and RSV

All three illnesses affect the respiratory system, but they are caused by different viruses.

  • Flu: Symptoms often appear suddenly and include fever, chills, body aches, fatigue and cough. Not everyone with the flu develops a fever.
  • COVID-19: Symptoms vary and may include fever, cough, sore throat, congestion, fatigue and sometimes a new loss of taste or smell.
  • RSV: Often causes cold-like symptoms, including a runny nose, congestion, coughing and sneezing. Wheezing may also occur, particularly in young children.

Although these symptoms can provide clues, they overlap significantly. You cannot reliably identify which virus you have based on symptoms alone.

When Should You Get Tested?

If you're experiencing respiratory symptoms, testing may help identify the cause of your illness. Some tests can detect multiple respiratory viruses using a single sample.

Testing can be especially helpful for people at higher risk of complications, including young children, older adults, pregnant people and those with certain chronic health conditions.

Early diagnosis can also guide treatment decisions. Prescription antiviral medications are available for flu and COVID-19 and work best when started soon after symptoms begin.

How Can You Protect Yourself and Others?

Simple preventive steps can help reduce the spread of respiratory illnesses:

  • Stay up to date on recommended immunizations for flu, COVID-19 and RSV. Eligibility varies by age, health history and other risk factors.
  • Wash your hands frequently and cover coughs and sneezes.
  • Stay home when you're sick and follow current public health guidance before returning to normal activities.
  • Improve indoor ventilation and take additional precautions around people at higher risk of severe illness.

Click here to learn more about flu prevention and flu shots.

When Should You Seek Medical Care?

Most people recover from mild respiratory illnesses with rest, fluids and appropriate symptom relief. However, contact your health care provider promptly if symptoms worsen or you're at higher risk of severe illness. Seek emergency medical care for severe difficulty breathing, persistent chest pain or pressure, new confusion or difficulty staying awake.

Whether you're experiencing flu-like symptoms or a lingering cough, Renown Urgent Care can help evaluate your symptoms and determine appropriate next steps.

Not sure where to go? Schedule an appointment today.

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