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COVID symptoms

COVID-19 symptoms in children, based on pediatricians’ advice – KOCO Oklahoma City

Are parents really supposed to be reassured by all this talk about “mild” cases of COVID-19 in children? What about the kids who have died or come down with a strange and severe associated illness? “We’ve had 90 deaths in children in the United States already, in just a few months,” Dr. Sean O’Leary, vice-chair of the American Academy of Pediatrics Committee on Infectious Diseases, told CNN.”It’s not fair to say that this virus is completely benign in children,” he said.As a number of schools and universities across the country have begun classes or are moving forward with plans to begin full or partial in-person instruction in the coming weeks, fears among families are on the rise. The question looms: Will our children be safe? There has been a 90% increase in the number of COVID-19 cases among children across the U.S. in just the last four weeks, according to data released this week by the AAP.In Florida, where most public schools haven’t opened yet, seven children have died, three in just the last month. Hospitalizations due to COVID-19 among children in Florida rose by 105% during the same four week time frame, from 213 to 436.Because most children have been sheltering at home until recently, it’s not surprising that the numbers of cases in children were low at the start of the pandemic. What are the symptoms?Symptoms of COVID-19 are the same in children as they are in adults.”If you look at the long list of potential symptoms — congestion, cough, fever, loss of sense of smell — they can all happen in both adults and children,” O’Leary said.Other key signs include any difficulty in breathing; a rash, especially one that is quickly spreading; a lack of energy; and problems keeping a child awake, said pediatrician Dr. Daniel Cohen, who practices close to the epicenter of the New Rochelle, New York, outbreak, where nearly 2,900 people were infected from early March through late May.”It’s very important to let the doctor know immediately if you can’t really get them up, if they’re falling asleep all the time and just exhausted, if they’re not drinking, not eating — the activities of daily living,” Cohen said.Don’t hesitate to call the doctorNo worry is too small to reach out to your pediatrician, experts say. Parents are the best detectives because they know how their child typically behaves.”It may be something that you cannot communicate but something’s bothering you,” Cohen said. “I always tell parents, ‘Look, if you’re nervous, I should be, too. That’s just the way things are right now.’ The only call that’s a wrong call is the unmade one.”O’Leary agreed. If parents “see their child is looking particularly ill or sicker than they would expect with a typical cold or illness, they should call their pediatrician to discuss. Severe anything is always a concern.”The pandemic is affecting the way medicine is practiced. Take fever, for example, a common sign of illness in children that might have been put on the “watch and see” list in pre-COVID times.”Today if we have a child with fever, I’m talking to those parents on a daily basis because of the ambiguity and the fear we all have,” Cohen said. “We don’t want to miss that one kid.”It’s not just the diagnosis of COVID-19, he said. “It’s watching the progression of the illness. Is this child getting sicker faster than you would like to see? And that’s when you want to get them care,” Cohen added.That guidance applies to the emotional and psychological health of children as well, O’Leary said.”Kids being more isolated, kids showing more anxiety, more depression,” O’Leary said. “Those are things — even though they’re not directly related to COVID — that need attention.”Can you tell if your child is sick?It’s an especially scary reality for parents that many young children are asymptomatic, which means there are no signs or symptoms that their kids are carrying the virus. Still, others have an extremely mild case with few issues.That should be a relief for parents when it comes to their child’s safety, because if a child with COVID-19 is weathering the virus well, pediatricians are just supporting and guiding the parents during the illness, Cohen said.The concern then turns to protecting others, such as siblings, parents, grandparents and the community.”Children can be a spark and we don’t want the fire to spread,” Cohen added. “The best way to get rid of a fire is to remove the fuel, so we keep everybody separated.”The only way a parent might suspect an asymptomatic illness is by tracking their child’s exposure to others with COVID-19 and to be aware of what is happening in the school the child attends.”Knowing their habits, knowing who they were around, knowing their exposures are key,” Cohen said. “You know, a child not wearing a mask in Georgia is different right now than a child not wearing a mask in New York, because cases are rising in Georgia.”Whether asymptomatic children should be tested for a coronavirus infection depends on “how often the kids are being exposed to other people” and the testing capacity in their communities, O’Leary said.”The most important thing for getting kids back into school is really to get the virus under control in the surrounding community,” he said.Mitigation measures that work for decreasing transmission of the virus — wearing masks, cleaning our hands and physical distancing — are most important, O’Leary added.Rare but severe illness linked to COVID-19Another worry for parents is multisystem inflammatory syndrome in children. It’s a rare and unusual presentation in children that can appear a few days to weeks after a child has been exposed to COVID-19.”It resembles something known as Kawasaki’s, which is also an inflammatory syndrome in the body. And it can be quite devastating for children,” said CNN Chief Medical Correspondent Dr. Sanjay Gupta.”Thankfully, it is rare, but it does happen,” Gupta added. “It does seem to happen in the United States, in the UK, more than other countries around the world, and we’re still not sure why that is. But this is something that doctors, pediatricians, parents, everybody is sort of keeping an eye out on.”As of Aug. 6, the Centers for Disease Control and Prevention had confirmed 570 cases of MIS-C across 40 states and the District of Columbia, including 10 deaths. The average age of those cases is 8 years old, and 70% of the cases have occurred in Latino or non-Hispanic Black children.Dr. Kevin Friedman, a pediatric cardiologist at Boston Children’s Hospital, said that although there could be aspects of the immune system that predispose certain groups to MIS-C, the effect on communities of color could also be related to higher rates of multifamily living conditions, parents holding jobs as essential workers outside the home and higher rates of preexisting health conditions.The clues of this rare syndromeThe first clue to MIS-C is a persistent fever without a clear cause, according to the AAP. If that pops up in a child who has been recently exposed to anyone who may have had COVID-19, it should “raise suspicions.”Other signs to look for include abdominal pain, diarrhea, swollen glands, red or swollen hands and feet, red cracked lips and pinkish or red eyes, called conjunctivitis. Rapid breathing or other respiratory signs may also be present, but are not as common.Beside the common fever symptoms, the gastrointestinal symptoms are most prevalent in children with MIS-C, with 80% to 90% of patients experiencing them, said Friedman, who is also an assistant professor of pediatrics at Harvard Medical School.Children with MIS-C get sick rapidly, the AAP says, and may soon show signs of shock. When examined, they show symptoms of multi-organ dysfunction and high inflammatory blood levels of inflammation.Most children with MIS-C will need to go to the hospital, the CDC says, and some will need care in the pediatric intensive care unit.However, experts like Friedman believe there’s a milder form of MIS-C that doesn’t quite surface in public health reporting. “We’re probably only experiencing the tip of the iceberg with this disease,” he said. “Some mild cases are also occurring.”MIS-C can be prevented the same way we prevent coronavirus spread in general, he added. That means making sure you and your family are washing your hands regularly, complying with universal mask adherence and practicing social distancing.It’s one more thing to watch out for as kids go back to school, but the condition is still very rare.”Any place where there is COVID exposure, there will be MIS-C too. It is inevitable that we’ll see this with the reopening of schools,” Friedman said, adding that in his experience the vast majority of children with MIS-C improve and “they improve quite quickly.”Not sure your child is sick or just stressed?Some parents may be concerned with more typical parenting issues — like if their child is truly sick or possibly just avoiding getting up early. Because we’re in a pandemic, experts say it’s best to assume the child is not faking symptoms.”Many kids are having depression or mood reactions to the pandemic, so that can also affect energy level and motivation,” said developmental behavioral pediatrician Dr. Jenny Radesky, an assistant professor of pediatrics at the University of Michigan.”Similarly, if your child tends to have headaches or stomachaches in response to stress, or has a sensitive stomach, then use that information to help you not overreact to new complaints,” she adds.After all, we are all storing a lot of stress in our bodies these days. When asking about symptoms, she adds, don’t ask direct questions such as ‘”Does your throat hurt? Does your tummy feel weird?””Children will say automatic yes and no responses,” Radesky said. “Instead ask ‘What feels bad? Point to it. What does it feel like?'”Finally, remember this: “It’s hard to fake a fever. Fevers are not psychosomatic,” she said. “When in doubt, call your child’s doctor. They know how to differentiate organic symptoms from psychosomatic reactions.”You still could be sending a sick kid to schoolStill, no matter how careful a parent is, “because so many kids with COVID-19 are asymptomatic, it’s certainly still possible that you are sending a child with asymptomatic COVID-19 to school,” Radesky said.”We need more surveillance testing of asymptomatic students and teachers, otherwise we may feel false reassurance that we are sending a non-contagious child to school,” Radesky said.In a commentary published Tuesday in the journal JAMA Pediatrics, a Stanford University School of Medicine’s pediatrics team recommended that schools follow a three-pronged testing approach, carried out in collaboration with local hospitals:All students with symptoms must be tested;Schools should conduct random student and staff testing to identify asymptomatic patients (important for children especially);Students from high-risk households should be offered testing more frequently”As many school districts face budgetary constraints, schools must evaluate their options and identify measures that are particularly important and feasible for their communities,” the authors wrote.

Are parents really supposed to be reassured by all this talk about “mild” cases of COVID-19 in children? What about the kids who have died or come down with a strange and severe associated illness?

“We’ve had 90 deaths in children in the United States already, in just a few months,” Dr. Sean O’Leary, vice-chair of the American Academy of Pediatrics Committee on Infectious Diseases, told CNN.

“It’s not fair to say that this virus is completely benign in children,” he said.

As a number of schools and universities across the country have begun classes or are moving forward with plans to begin full or partial in-person instruction in the coming weeks, fears among families are on the rise. The question looms: Will our children be safe?

There has been a 90% increase in the number of COVID-19 cases among children across the U.S. in just the last four weeks, according to data released this week by the AAP.

In Florida, where most public schools haven’t opened yet, seven children have died, three in just the last month. Hospitalizations due to COVID-19 among children in Florida rose by 105% during the same four week time frame, from 213 to 436.

Because most children have been sheltering at home until recently, it’s not surprising that the numbers of cases in children were low at the start of the pandemic.

What are the symptoms?

Symptoms of COVID-19 are the same in children as they are in adults.

“If you look at the long list of potential symptoms — congestion, cough, fever, loss of sense of smell — they can all happen in both adults and children,” O’Leary said.

Other key signs include any difficulty in breathing; a rash, especially one that is quickly spreading; a lack of energy; and problems keeping a child awake, said pediatrician Dr. Daniel Cohen, who practices close to the epicenter of the New Rochelle, New York, outbreak, where nearly 2,900 people were infected from early March through late May.

“It’s very important to let the doctor know immediately if you can’t really get them up, if they’re falling asleep all the time and just exhausted, if they’re not drinking, not eating — the activities of daily living,” Cohen said.

Don’t hesitate to call the doctor

No worry is too small to reach out to your pediatrician, experts say. Parents are the best detectives because they know how their child typically behaves.

“It may be something that you cannot communicate but something’s bothering you,” Cohen said. “I always tell parents, ‘Look, if you’re nervous, I should be, too. That’s just the way things are right now.’ The only call that’s a wrong call is the unmade one.”

O’Leary agreed. If parents “see their child is looking particularly ill or sicker than they would expect with a typical cold or illness, they should call their pediatrician to discuss. Severe anything is always a concern.”

The pandemic is affecting the way medicine is practiced. Take fever, for example, a common sign of illness in children that might have been put on the “watch and see” list in pre-COVID times.

“Today if we have a child with fever, I’m talking to those parents on a daily basis because of the ambiguity and the fear we all have,” Cohen said. “We don’t want to miss that one kid.”

It’s not just the diagnosis of COVID-19, he said. “It’s watching the progression of the illness. Is this child getting sicker faster than you would like to see? And that’s when you want to get them care,” Cohen added.

That guidance applies to the emotional and psychological health of children as well, O’Leary said.

“Kids being more isolated, kids showing more anxiety, more depression,” O’Leary said. “Those are things — even though they’re not directly related to COVID — that need attention.”

Can you tell if your child is sick?

It’s an especially scary reality for parents that many young children are asymptomatic, which means there are no signs or symptoms that their kids are carrying the virus. Still, others have an extremely mild case with few issues.

That should be a relief for parents when it comes to their child’s safety, because if a child with COVID-19 is weathering the virus well, pediatricians are just supporting and guiding the parents during the illness, Cohen said.

The concern then turns to protecting others, such as siblings, parents, grandparents and the community.

“Children can be a spark and we don’t want the fire to spread,” Cohen added. “The best way to get rid of a fire is to remove the fuel, so we keep everybody separated.”

The only way a parent might suspect an asymptomatic illness is by tracking their child’s exposure to others with COVID-19 and to be aware of what is happening in the school the child attends.

“Knowing their habits, knowing who they were around, knowing their exposures are key,” Cohen said. “You know, a child not wearing a mask in Georgia is different right now than a child not wearing a mask in New York, because cases are rising in Georgia.”

Whether asymptomatic children should be tested for a coronavirus infection depends on “how often the kids are being exposed to other people” and the testing capacity in their communities, O’Leary said.

“The most important thing for getting kids back into school is really to get the virus under control in the surrounding community,” he said.

Mitigation measures that work for decreasing transmission of the virus — wearing masks, cleaning our hands and physical distancing — are most important, O’Leary added.

Rare but severe illness linked to COVID-19

Another worry for parents is multisystem inflammatory syndrome in children. It’s a rare and unusual presentation in children that can appear a few days to weeks after a child has been exposed to COVID-19.

“It resembles something known as Kawasaki’s, which is also an inflammatory syndrome in the body. And it can be quite devastating for children,” said CNN Chief Medical Correspondent Dr. Sanjay Gupta.

“Thankfully, it is rare, but it does happen,” Gupta added. “It does seem to happen in the United States, in the UK, more than other countries around the world, and we’re still not sure why that is. But this is something that doctors, pediatricians, parents, everybody is sort of keeping an eye out on.”

As of Aug. 6, the Centers for Disease Control and Prevention had confirmed 570 cases of MIS-C across 40 states and the District of Columbia, including 10 deaths. The average age of those cases is 8 years old, and 70% of the cases have occurred in Latino or non-Hispanic Black children.

Dr. Kevin Friedman, a pediatric cardiologist at Boston Children’s Hospital, said that although there could be aspects of the immune system that predispose certain groups to MIS-C, the effect on communities of color could also be related to higher rates of multifamily living conditions, parents holding jobs as essential workers outside the home and higher rates of preexisting health conditions.

The clues of this rare syndrome

The first clue to MIS-C is a persistent fever without a clear cause, according to the AAP. If that pops up in a child who has been recently exposed to anyone who may have had COVID-19, it should “raise suspicions.”

Other signs to look for include abdominal pain, diarrhea, swollen glands, red or swollen hands and feet, red cracked lips and pinkish or red eyes, called conjunctivitis. Rapid breathing or other respiratory signs may also be present, but are not as common.

Beside the common fever symptoms, the gastrointestinal symptoms are most prevalent in children with MIS-C, with 80% to 90% of patients experiencing them, said Friedman, who is also an assistant professor of pediatrics at Harvard Medical School.

Children with MIS-C get sick rapidly, the AAP says, and may soon show signs of shock. When examined, they show symptoms of multi-organ dysfunction and high inflammatory blood levels of inflammation.

Most children with MIS-C will need to go to the hospital, the CDC says, and some will need care in the pediatric intensive care unit.

However, experts like Friedman believe there’s a milder form of MIS-C that doesn’t quite surface in public health reporting. “We’re probably only experiencing the tip of the iceberg with this disease,” he said. “Some mild cases are also occurring.”

MIS-C can be prevented the same way we prevent coronavirus spread in general, he added. That means making sure you and your family are washing your hands regularly, complying with universal mask adherence and practicing social distancing.

It’s one more thing to watch out for as kids go back to school, but the condition is still very rare.

“Any place where there is COVID exposure, there will be MIS-C too. It is inevitable that we’ll see this with the reopening of schools,” Friedman said, adding that in his experience the vast majority of children with MIS-C improve and “they improve quite quickly.”

Not sure your child is sick or just stressed?

Some parents may be concerned with more typical parenting issues — like if their child is truly sick or possibly just avoiding getting up early. Because we’re in a pandemic, experts say it’s best to assume the child is not faking symptoms.

“Many kids are having depression or mood reactions to the pandemic, so that can also affect energy level and motivation,” said developmental behavioral pediatrician Dr. Jenny Radesky, an assistant professor of pediatrics at the University of Michigan.

“Similarly, if your child tends to have headaches or stomachaches in response to stress, or has a sensitive stomach, then use that information to help you not overreact to new complaints,” she adds.

After all, we are all storing a lot of stress in our bodies these days. When asking about symptoms, she adds, don’t ask direct questions such as ‘”Does your throat hurt? Does your tummy feel weird?”

“Children will say automatic yes and no responses,” Radesky said. “Instead ask ‘What feels bad? Point to it. What does it feel like?'”

Finally, remember this: “It’s hard to fake a fever. Fevers are not psychosomatic,” she said. “When in doubt, call your child’s doctor. They know how to differentiate organic symptoms from psychosomatic reactions.”

You still could be sending a sick kid to school

Still, no matter how careful a parent is, “because so many kids with COVID-19 are asymptomatic, it’s certainly still possible that you are sending a child with asymptomatic COVID-19 to school,” Radesky said.

“We need more surveillance testing of asymptomatic students and teachers, otherwise we may feel false reassurance that we are sending a non-contagious child to school,” Radesky said.

In a commentary published Tuesday in the journal JAMA Pediatrics, a Stanford University School of Medicine’s pediatrics team recommended that schools follow a three-pronged testing approach, carried out in collaboration with local hospitals:

  • All students with symptoms must be tested;
  • Schools should conduct random student and staff testing to identify asymptomatic patients (important for children especially);
  • Students from high-risk households should be offered testing more frequently

“As many school districts face budgetary constraints, schools must evaluate their options and identify measures that are particularly important and feasible for their communities,” the authors wrote.

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Coronavirus symptoms

Coronavirus symptoms: CDC says they last longer than expected for some – PennLive

CDC data shows coronavirus infections far higher in NYC than reported cases indicate

Vials with samples taken for the new coronavirus are counted before they are prepared for RNA testing at the molecular pathology lab at Tulane University School of Medicine in New Orleans, Thursday, April 2, 2020. The test is identical to the PCR test being used by the Centers for Disease Control to ease the testing crisis and stop the spread of COVID-19, which has hit the New Orleans area especially hard. (AP Photo/Gerald Herbert) APAP

The US Centers for Disease Control said coronavirus symptoms can linger for weeks, even in healthy people who don’t have a severe case of the virus.

The CDC recently surveyed 292 people who tested positive, with 35-percent stating they were not back to their usual good health even two or three weeks after testing positive, according to a CNN report.

Older adults were most affected with prolonged symptoms, but young adults with underlying conditions also reported issues with recovery for a longer period.

Using data from Johns Hopkins University’s Coronavirus Resource Center, more than 4.145 million cases of coronavirus and 146,050 deaths have been reported in the U.S.

Health officials have continuously called for more testing to help slow the spread of the virus. Even individuals without symptoms can spread the virus, according to the report.

PennLive’s complete coronavirus coverage

The U.S. Food and Drug Administration on Friday authorized the first coronavirus test specifically designed to catch cases among asymptomatic individuals.

The FDA said LabCorp’s diagnostic test, known as COVID-19 RT-PCR, has been proven to detect the virus in asymptomatic people.

The emergency use authorization from the FDA also allows LabCorp to conduct pool testing, with up to five samples at once.

“By authorizing another test for use with pooled samples, we also further help increase the possibility that patients may be able to receive results sooner, while also conserving vital testing supplies, which are under increased demand during the pandemic,” FDA Commissioner Dr. Stephen M. Hahn said in a Friday release.

“Continuing to facilitate increased access to accurate and reliable tests for all Americans is critically important and the FDA continues to work around the clock with test developers to support this goal.”

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COVID symptoms

“COVID toes” and other skin symptoms may be a sign of coronavirus – CBS News

There is still much to learn about the novel coronavirus, including a wide range of symptoms that appears to be expanding. Common symptoms of the respiratory illness include fever, cough, shortness of breath and chills, but some doctors have reported less obvious symptoms in some patients — including what some are calling “COVID toes” and other skin ailments.

Esther Freeman, director of Global Health & Dermatology at Massachusetts General Hospital and an assistant professor a Harvard Medical School, said “COVID toe” cases look similar to pernio or chilblains, a condition of inflamed blood vessels caused by cold temperatures.

“We’re seeing this inflammatory response that we would normally see when someone was exposed to the cold temperature… like someone who has been playing outside with wet socks,” Freeman told CBS News. “However, in this setting, we’re seeing it in warm climates and we’re seeing it in patients who have been indoors and sheltering in place.”

Freeman said it’s not unusual for a virus to cause a rash, so most dermatologists aren’t surprised that COVID-19 could cause skin symptoms. “What is surprising to me are these ‘COVID toes,’ these pernio-like lesions…because we haven’t seen as many reports of these in other viruses.”

Freeman is a practicing dermatologist at Massachusetts General Hospital who has been seeing patients via tele-health video appointments. “I have seen more toes in the past two weeks in my clinic than I have in my entire previous career combined,” said Freeman, who is a member of American Academy of Dermatology (AAD) COVID-19 task force. 

Aside from seeing skin symptoms in her own patients, Freeman has also received examples of these symptoms from health care providers all over the world. The AAD COVID-19 task force set up an international registry for physicians to send in examples of dermatological manifestations of COVID-19, to help further the study of these symptoms. Physicians from 21 different countries have sent in information to the registry so far.

Freeman said “COVID toes” have been seen in both children and adults. They are sometimes present along with more typical coronavirus symptoms, and sometimes they are the only symptom the patient is experiencing. “Actually, about half of the registry is experiencing something other than toes,” Freeman said. 

Some physicians have also reported seeing skin conditions that look like morbilliform (measles-like) rashes, hives or chickenpox. 

In fact, one of the first case series of dermatologic manifestations included 18 Italian patients with several skin abnormalities including redness, hives and rashes, often on their torsos, Freeman and her colleagues write in the Journal of American Academy of Dermatology.

Freeman says her own patients tend to come to her with two main concerns. “The first thing they want to know is ‘My toes are purple, am I going to get really sick?’ I can be reassuring that most of the patients in our registry, most of the data that we’re looking at, are doing really very well,” Freeman said. “The second thing my patients want to know is, ‘Am I potentially infectious? Could I be infecting my family members?'”

Freeman said it is important to be cautious because some “COVID toe” patients might still be infectious and should talk to their doctor about getting a coronavirus test.

“The overall message I want to tell the public is not to panic,” Freeman said. “Most of our patients who have these ‘COVID toes’ are doing extremely well.”

“If you need to go to the ER because you’re otherwise sick or you have other symptoms you need to be evaluated for, that’s fine. But if the only symptom you have is purple toes, you don’t need to go rushing into the ER,” Freeman said, adding that if a patient does experience toe or skin abnormalities, they should talk to their physician. 

screen-shot-2src2src-src4-3src-at-1-31-23-pm.png
A group of researchers from Belgium and Oregon published a study documenting a case of so-called “COVID toes” in a 23-year-old man.

JAAD


A team of dermatologists from Brussels, Belgium and and Portland, Oregon have also studied toe and skin infections in relation to COVID-19. In a case report published in JAAD, they say it’s important for dermatologists to recognize the signs.

The researchers write about a 23-year-old man who had “acute-onset” purplish and painful plaques on his toes and the outer side of his feet for three days. For several days before that, he’d also had a low-grade fever and dry cough.

After a complete skin examination, the patient tested positive for COVID-19. The researchers say he was diagnosed with “COVID-19 infection–induced chilblains,” the medical term for the skin sores. Similar cases have been observed by French and Belgian dermatologists, but had not been previously reported due to lack of testing, the researchers said.

“Young patients presenting with chilblains have lacked criteria sufficient to allow for a COVID-19 PCR test,” according to the study. “Because of the recent outbreak of chilblains, concurrent with the increase of COVID-19 cases, COVID-19 has been widely suspected as the etiology,” or cause, they write.

This study looked COVID-19 chilblains cases in children and young adults, whose feet have been more affected than their hands.

“Chilblains may be the inaugural symptom of COVID-19, and a fever and dry cough may be minimal or even absent,” according to the study.

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possible symptoms

CDC adds six new possible symptoms of coronavirus, including chills, headache – New York Post

April 27, 2020 | 9:51am | Updated April 27, 2020 | 11:13am

The US Centers for Disease Control and Prevention has updated its list of symptoms for the coronavirus, adding six new possible indicators of the deadly bug.

The CDC now recognizes chills, repeated shaking with chills, muscle pain, headache, sore throat and new loss of taste or smell as possible symptoms of COVID-19.

Previously, the public health institute associated the symptoms of fever, cough and shortness of breath or difficulty breathing with the disease.

“People with COVID-19 have had a wide range of symptoms reported — ranging from mild symptoms to severe illness,” the CDC says on its website, noting that the symptoms “may appear 2-14 days after exposure to the virus.”

CDC headquarters
Shutterstock

The CDC says emergency warning signs of COVID-19 include trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse and bluish lips or face.

The agency advises that anyone experiencing those symptoms should seek medical attention immediately.

The coronavirus has infected more than 965,000 people in the US and has killed more than 54,000 in the nation, according to the latest data from the Johns Hopkins Coronavirus Resource Center.

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