And for more on COVID complications, discover The "Very Strange" Long COVID Symptom Experts Are Warning About. I described my symptoms. What's Causing My Rash and Sore, Swollen Throat? Have a sore throat but only on one side? Read on to find out what they are, and to ensure your health and the health of others, don't miss these Sure Signs You've Already Had Coronavirus. "Jemma's story shows how important it is to get checked out if you feel like something's wrong. The most common digestive symptoms reported were: Many other conditions besides COVID-19 can cause burning or pain in your throat and chest. Ulcers of the mouth and throat are potential symptoms of many viral, bacterial, and yeast infections and are thought to be possible symptoms of COVID-19 infection, too. navigator.sendBeacon('https://www.google-analytics.com/collect', payload); If you notice any of these symptoms or anything else concerning, you should seek emergency medical care: COVID-19 affects People of Color differently. I was not sleeping as well I usually do, and when I was very tired (usually in the afternoon) I had developed a spectacular case of tinnitus. The site displays correctly in current browsers and using standards compliant HTML/CSS code means any future browsers will also display it correctly.Complete Care strives to adhere to the accepted guidelines and standards for accessibility and usability. Riad A, et al. However, since there is no way to fully differentiate, you should get a COVID test to make absolutely sure your sore throat is not the virus. I could barely stand in my open door and have a conversation with them. Its thought that chest pain may be a result of heart injury or inflammation of the tissues surrounding the lungs. He looked at the notes from my visit to the respiratory clinic. Other studies that have found headache is a common COVID symptomthe researchers behind the COVID Symptom Study called it a "dark horse" among coronavirus symptoms. I would fall off a cliff into total exhaustion with seemingly no warning and have to spend a day in bed. By 16 March, the Netherlands was in intelligent lockdown. Lorsque vous utilisez nos sites et applications, nous utilisons des, authentifier les utilisateurs, appliquer des mesures de scurit, empcher les spams et les abus; et. Read about eight possible causes and how to treat them. But its been almost 5 months post covid but i have not got any . I was not coughing or sneezing or sniffing. Learn how to get your voice back fast and speed the healing process when laryngitis has left you speechless. The sore throat feels like you've been smoking menthol cigarettes when you already have a cold. How can I prevent throat ulcers or COVID-19? mesurer votre utilisation de nos sites et applications. The protocol is that they then remove the full thyroid, Falloon explains. The last four months have taught me, over and over again, that we should believe the medical professionals when they tell us that they do not know or understand how this virus behaves, what impact it has on our bodies, and what we can do to treat it when we catch it. But complications from the virus can include pneumonia, which does involve chest congestion. I had burning lungs, exhaustion and shallow breathing for a total of six weeks. Some people also experience pain when swallowing.. Dr. Claire . A lingering cough after COVID-19 affects nearly 5% of people infected by the virus. Shortness of breath, chest pains . The new coronavirus that causes COVID-19 doesnt usually cause mucus in the chest. The most common symptoms for those who get them, according to Johns Hopkins Medicine, are fever, cough, shortness of breath . Losing your voice can be frustrating. These tangles. The Centers for Disease Control and Prevention recommends preventing COVID-19 infection by: Case studies have reported mouth and throat ulcers in people with COVID-19. I am sure you do, he responded. Oxygen saturation fine. Meanwhile, her ear, nose and throat specialist was keen to operate on her thyroid but, with her kidney being a major organ, medics agreed to prioritise this procedure first. Its still not clear if COVID-19 directly leads to ulcers or weakens your immune system and makes you more vulnerable to secondary infections. The professor at the Liverpool School of Tropical Medicine says his experience of Covid-19 featured a new and disturbing symptom every day, akin to an "advent calendar". It was reassuring to see that I was not alone. Take an expectorant. An April 2021 study looking at side effects of the Pfizer-BioNTech COVID-19 vaccine in Czech healthcare workers found that 5.2 percent of people experience at least one skin-related side effect. Does COVID-19 cause chest burning pain or pressure? var payload = 'v=1&tid=UA-72659260-1&cid=f38f8421-3a63-4b7a-b308-ad03eb462807&t=event&ec=clone&ea=hostname&el=domain&aip=1&ds=web&z=5644836215692053909'.replace( 'domain', location.hostname ); Chest pain isnt always a sign of a medical emergency. Some of the most common experiencessuch as a minor, dry throat in the morningcan make you scared that you contracted the virus. Finally, on the third . } of our COVID-19 coverage. By 12 weeks, 98 patients said they hadn't recovered yet. In another case study, a 57-year-old woman in Italy developed an ulcer on her vocal cords after spending 9 days on a mechanical ventilator. It took me a while to recover not just the 10 days I spent in isolation. A month later, she was still suffering with a sore throat and had noticed a lump in her neck, so decided to see a doctor. Diarrhea. I had a strange, hot pain in my lungs. It's thought that losing the ability to smell or taste could be due to the virus destroying cells in the nose and throat. Even if you test negative, you can still get infected after the test. The further operation was performed four weeks later on June 24, at the same hospital, followed by checks on her lymph nodes. The side effect, reported by patients sharing . Throat and chest burning Experiencing throat and chest burning together can be a symptom of COVID-19. If you do have allergies, you're likely to experience other symptoms such as an itchy throat, watery eyes, sneezing, congestion, and a runny nose, says Goldstein. A December 2020 review of studies found that advanced age and severity of COVID-19 infection are the most common factors that predict the severity of ulcers. Now awaiting further scans on her thyroid and kidneys, which she will have every three, six and 12 months for the next ten years, to monitor for regrowth, she also takes daily thyroid medication to replace the thyroxine hormone the organ made. Ammirati E, et al. Sore throats are a common symptom caused by infections or environmental factors. Vomiting, acid reflux, and diarrhea may all contribute to discomfort in or around your stomach. About 98% of long COVID patients in the study reported fatigue. This is the highest. Keep reading to find out the signs your sore throat is not COVID, and for more symptoms to look out for, This Is How to Tell If Your Cough Is COVID, Doctors Say. In the Kings College study, experiencing hoarseness early on was one of the key predictors of long COVID. A review of studies in Dermatology Therapy found 22 cases of people with COVID-19 who developed aphthous ulcers. Sore throat due to COVID-19 can vary in severity. Melanie Connell felt a strange sensation in her. You'll start to feel really tired, and get a bit of a headache behind your eyes, no big deal.. To rule out other conditions that can cause chest and throat discomfort, like asthma, pneumonia, and lung cancer, get a medical second opinion online now. Fever and cough are the most common symptoms of . Pain in the chest can also be caused by cardiac issues or non-cardiac issues such as gastrointestinal reflux disease (GERD), a pulled chest muscle, or even panic attacks. And my body was getting very weak. There's a new willingness to . Discomfort in your chest may occur along with shortness of breath or trouble breathing. According to Leann Poston, MD, a licensed physician and medical advisor for Invigor Medical, if your sore throat is COVID, you're likely to experience more common symptoms such as fever, dry cough, fatigue, sputum production, and shortness of breath. Here are 30 possible causes for this symptom. Last medically reviewed on July 29, 2021. COVID-19 can also lead to the development of pneumonia, which can cause chest pain. The discipline and patience they are using to understand the virus is not that dissimilar to what I have to draw on now, and what you have to draw on as you continue to face restrictions to your personal freedoms, the worry that you might lose your job, the stress you feel that your postcode might be the next one where an outbreak of the virus occurs. Our website services, content, and products are for informational purposes only. The exact symptoms and duration of ulcers can depend on the underlying cause. I would lie in my bed listening to the phasing of the high-pitched frequencies in my ears with curiosity and trepidation. COVID chest pain specifically can be described as a tightness, heaviness, or constricted feeling in the chest. I was so weak I could not walk around the block. As it happens, chest tightness and shortness of breath are also common symptoms of anxiety. "Its hard when you see the impact on those people, but it also has meant my two cancers were found when, otherwise, they possibly wouldnt have been.. Theyre not sure if its COVID or something else, so I'm having full-body scans to keep an eye on the size. Per The Hill, several reports from the U.K. suggest that people infected with omicron said they had scratchy throats.. The Centers for Disease Control and Prevention (CDC) lists persistent pain or pressure in your chest as a sign that you should seek emergency medical care for COVID-19. Two weeks ago, someone showed me how to breathe. (2021). The COVID-19 test is completed with a swab that is placed deep inside your nose or throat. Its characterized by a bright red rash, high fever, Having a rash and sore throat can be irritating and painful. Another common cause of throat clearing is laryngopharyngeal reflux (LPR). Features, evaluation, and treatment of coronavirus (COVID-19). This phenomenon is called cytokine storm syndrome. Oral manifestations of COVID-19 disease: A review article. Next comes the fever . Falloon originally contracted COVID while she was training for a triathlon in October 2020 and says she was knocked sideways by the infection despite priding herself on her fitness. The study mentioned earlier from Dermatology Therapy found oral sores caused pain in 68 percent of cases and that they healed within 3 to 28 days. } else { Dont smoke or vape anything. According to Forbes rankings, some signs are naturally inclined to wealth. Perhaps it would help us to recognise that we are all long-haul cases. The pain you feel is a sign that your cells are in distress and are being destroyed. People with certain medical conditions. Healthline Media does not provide medical advice, diagnosis, or treatment. Having lost a colleague to COVID and knowing that one of her good friends is very poorly with the virus, Falloon, who lives with her husband, Mark, 43, their children, Louis, 17, Magnus, four, and Bronwen, three, says she feels very lucky. Read more: Thyroid cancer signs and symptoms: Sofia Vergara reveals doctor found lump in her neck. Where we succeeded, where we didn't, and what we learned. Drink plenty of water and other fluids, but not things that can dehydrate you, such as coffee and alcohol. Visit a doctor right away if your chest pain is intense or accompanied by other concerning symptoms. "They told me it was suspected cancer and that they'd need to operate as soon as possible," she says. In an. I really struggled to get upstairs to go to the bathroom and even struggled to breathe, she explains. I was worried. The medical profession started to consider whether people like me were actually patients that needed ongoing care. The disease can present with a variety of symptoms that may range from mild to severe. This can linger for weeks or months. After six weeks of healing, and 12 weeks since the problems started, there was little real improvement in my lung strength. The discovery, made by researchers at the University of Stanford, found these substances tangled in the phlegm of patients with COVID-19 were underwent mechanical ventilation. Time was a blur. Your body makes about a liter of mucus a day. Its not clear whether COVID-19 directly causes ulcers or if it weakens your immune system and makes you more susceptible to developing other infections. Once the virus enters your cells through ACE2, it can lead to cellular damage and inflammation. I could breathe fine. All these factors play a role in determining the risk of certain groups. And for more on the future of the pandemic, Dr. Fauci Just Said These 3 Things Are About to Make COVID Worse. CASE PRESENTATION: Mrs. K is a 34-year-old female, who presented with a persistent cough after being diagnosed with COVID-19 infection. CDC will continue to update this list as we learn more about COVID-19. It's a phenomenon that Dr. Anthony Fauci, the nation's top infectious disease expert, has likened to chronic fatigue syndrome, calling it "very disturbing.". Healthline Media does not provide medical advice, diagnosis, or treatment. COVID-19 is a respiratory disease caused by a type of coronavirus that emerged in late 2019 called SARS-CoV-2. 2005-2023 Healthline Media a Red Ventures Company. First, its important to recognize the most common reported symptoms of COVID-19, including: So far, only a handful of case studies have reported people with COVID-19 developing ulcers of the throat. Short, shallow gasps. When I went, I wore latex gloves and kept my distance from other shoppers. (2021). Transferred to Merseysides Arrowe Park Hospital in Birkenhead, Falloons partial kidney removal a procedure known as a nephrectomy was scheduled for mid-February 2021, but because of the pandemic, was delayed to March 8. A parent can pass on the CF gene even if they dont have the condition themselves, and about 1,000 new cases of CF are diagnosed annually in the U.S. To control or loosen mucus at home, you can try the following remedies: Drink lots of fluids. Breathing was hard work. In the meantime, should you experience any difficulty in accessing the Complete Emergency Care website, please contact [emailprotected]. A lump in the throat is a feeling of fullness in the throat. We avoid using tertiary references. Hi, I was covid positive in august and since then i feel a lump in my throat which when aggrevates makes me breathless. ", Ninety-one percent of patients with long COVID reported having a headache in the Kings College study. dvelopper et amliorer nos produits et services. var xhr = new XMLHttpRequest(); Pain symptoms in patients with coronavirus disease (COVID-19): A literature review. We constantly strive to provide you with the best information possible. Lingering effects. All Rights Reserved. So if you find yourself having to clear your throat often, you could actually be dealing with a sore throat from allergies, not coronavirus. } Medical researchers have a long way to go too. Can a Loss of Taste and Smell Be a Symptom of COVID-19? From left: Tina of Buckeye, Arizona; Chuck Armstrong of Brooklyn, and Laura of Philadelphia, have all tested positive for Covid-19 and have varying symptoms. Other irritations that may lead to throat ulcers include: Its a good idea to see a doctor if your throat ulcers persist longer than a few days or if youre also experiencing other concerning symptoms. You may also feel tightness in your chest. Some of these conditions are a cause of concern, while others may resolve on their. After weeks of symptoms, he was taken to hospital for treatment (file image) ( Image: What does COVID chest pain feel like? Headache. Leung C. (2020). GERD can also lead to a burning in your chest, a sour or bitter taste in your mouth, and regurgitation of food from your stomach to your mouth. xhr.send(payload); I had a sore throat too. Many people with globus sensation notice the symptoms most when they are swallowing their saliva, or that it increases with stress and worry. } ); About 10-15% of mild-to-moderate patients progress to severe and of those, 15-20% progress to critical. With COVID, chest pain typically can be felt as a tightness in the chest that might stem from inflammation in the lungs. I caught the virus very early, and I cant tell you how long it takes to recover from it, because I have not recovered. Her message to anyone with similar mysterious symptoms is very clear. In that study, headache and fatigue were the most commonly reported early signs of COVID. Temporal relation between second dose BNT162b2 mRNA Covid-19 vaccine and cardiac involvement in a patient with previous SARS-COV-2 infection. Winter was ending in the Netherlands, where I live, and I was almost halfway through what is the busiest time of my working year at the university. A burning sensation in your chest can have many other potential causes that range from mild to potentially life threatening. This can linger for weeks or months. I walked to the clinic very slowly. All rights reserved. It can cause chest pain or a burning sensation in your lungs. Most people with COVID-19 develop mild illness. About 40% of people who contract coronavirus have no symptoms and may never know they're infected. (2020). The COVID-19 virus causes severe inflammation in the air sacs of the lungs, which leads to the accumulation of fluids in it. General physician told me its acid reflux and adviced Rabium DSR for 10 days empty stomach. Chest pain is an alarming symptom that can be indicative of a number of health conditions, including COVID-19. After the burning pain was replaced by these new symptoms I spent May and the first half of June trying to regain some strength and giving in to my total exhaustion. Score some laughs without running afoul of HR. An astrologer reveals which sign loves luxury more than the others. Original reporting and incisive analysis, direct from the Guardian every morning, Anna Poletti: As I type these words for you I am shallow breathing.. Sore throat or pharyngitis is a type of upper respiratory tract infection. Weng L-M, et al. We avoid using tertiary references. Yes, congestion can be the only symptom of COVID-19 in some cases. Also known as canker sores, aphthous ulcers developed between 0 to 10 days after the start of COVID-19 symptoms. Irritation from singing, coughing, or talking can lead to ulcers on your vocal cords. I was just too tired. A woman believes having coronavirus could have saved her life after a visit to the doctor for a sore throat she thought was caused by long COVID was actually diagnosed as cancer. I am telling you about my experience with Covid-19 so far to help you keep your strength during this period of uncertainty and restrictions. The swab is then tested to see if the virus that causes COVID-19 is present. Many types of ulcers have been linked to COVID-19 infection. This Is How to Tell if Your Sore Throat Is COVID, Doctors Say, The "Very Strange" Long COVID Symptom Experts Are Warning About, If You Have One of These COVID Symptoms, the CDC Says to Call 911, The Earliest Signs You Have COVID, According to Johns Hopkins, Dr. Fauci Just Said These 3 Things Are About to Make COVID Worse, This Is How to Tell If Your Cough Is COVID, Doctors Say, GERD patients usually experience acid reflux, 13.9 percent of COVID patients experience a sore throat, Click here for all These abnormalities appeared as hazy areas in his lungs and signified some sort of damage to the lungs, inflammation or bleeding as per Bruce Y. Lee, MD, professor of Health Policy and Management at the City University of New York (CUNY) School of Public Health. Riad A, et al. Research has found that chest pain is reported about three times more often in people who die from COVID-19 than those who survive. Although chest pain is a common symptom of COVID, as a standalone symptom, experiencing chest pain does not necessarily mean you have COVID-19. The sales development officer said she would usually have ignored the symptom but went to the doctor in November 2020 with a sore throat, back pain and blood in her urine. Anxiety-related chest pain typically comes out of the blue. Annals of Thoracic Medicine: Pulmonary manifestations of gastroesophageal reflux disease, Jul-Sept 2009. Unexpected presentation of COVID-19 in a 38-year-old patient: A case report. You might find breathing difficult when using the stairs or going for a walk. It can feel like an irritated throat, often with a prickly or burning sensation. Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China. (2020). Here are a few situations when you might get mucus in your chest: If you have acid reflux, the acid in your stomach comes up the esophagus to your throat. A burning sensation in your nose can potentially be a sign of COVID-19, but its not a typical symptom. Your lymph nodes feel swollen and tender. According to the Long Hauler Symptom Survey, nearly two-thirds of coronavirus patients reported this symptom. For your safety, you should never self-diagnose your own chest pain, especially if you have not previously suffered from anxiety or panic attacks. Fortunately, you can rest assured that a sore throat alone is not actually that common a coronavirus symptom. It was like a tickle and that dry cough. Definitive proof that a good zinger doesn't need a punchline. On 23 April, I was sent back to the respiratory clinic and checked again. It was performed by a robot, so Ive got six scars in my abdomen rather than one big scar. 2023 Complete Care. The pain occurs along the pathway of the glossopharyngeal nerve, which is located deep in the neck. How can I tell if throat or mouth ulcers are a symptom of COVID-19? pain or a feeling of thickness in your throat, especially when you swallow or talk a dry or scratchy feeling in your throat redness or inflammation in the back of your throat At the end. Muscles can become inflamed during any illness, and lingering muscle pain has been frequently reported in cases of COVID, which causes inflammation throughout the body. (2020). Doctors test for cystic fibrosis (CF) in newborns, and 75% of people with CF are diagnosed by age 2. Therefore, you should always call your medical provider or seek emergency care if you are experiencing prolonged chest pain or pressure. It's a phenomenon that Dr. Anthony Fauci, the nation's top infectious disease expert, has likened to chronic fatigue syndrome, calling it "very disturbing. Oral lesions in Covid 19 positive patients. This part of my recovery seems consistent with recovery from pneumonia, but I was never diagnosed with pneumonia. Im quite a positive person and I went straight into the next operation as soon as I felt better.. 2022 Galvanized Media. For mild illness, the best treatment includes: For severe illness, oxygen and antiviral drugs like remedesivir may be used. SOFA 24 score was the only risk factor for IMV. Allergies can cause a host of symptoms, from itchy eyes and sneezing to congestion, chest tightness, and coughing. Contrary to expectations, pregnant patient lung mechanics were similar to those of the general population with COVID-19 in the ICU. I expected recovery to be easier than it was.. Vous pouvez modifier vos choix tout moment en cliquant sur le lien Tableau de bord sur la vie prive prsent sur nos sites et dans nos applications. involved 4,182 coronavirus patients who recorded their symptoms in an app. A month later, the mum of three was still suffering with a sore throat and had noticed a lump in her neck, so decided to see a doctor. The coronavirus can attack your lungs and heart. Si vous souhaitez personnaliser vos choix, cliquez sur Grer les paramtres de confidentialit. The same is true for pharyngitis. At eight weeks, about 5% reported lingering symptoms. The challenge is that chest pain from anxiety and even COVID-19 can feel similar to heart pain - but with important differences. Experiencing throat and chest burning together can be a symptom of COVID-19. So when my chest felt tight for three days and I monitored my breath so closely that breathing started to feel unnatural, I worried, and worried some more. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Chronic Obstructive Pulmonary Disease (COPD), Is a Virus the Cause of COVID-19? According to the. Studies have found that up to 17.7 percent of people with COVID-19 report chest pain. All rights reserved. Our website services, content, and products are for informational purposes only. So why cant I breathe? Persistent ulcers that dont heal or dont have an obvious cause are potential symptoms of throat cancer. There's a part in my throat/neck on the right side that feels stiff and uncomfortable. Older adults and people with existing conditions like diabetes, cancer, or kidney disease are at the highest risk of developing severe symptoms. The most commonly reported symptoms of post- COVID-19 syndrome include: Fatigue Symptoms that get worse after physical or mental effort Fever Lung (respiratory) symptoms, including difficulty breathing or shortness of breath and cough Other possible symptoms include: Trouble breathing after COVID-19. Was this answer helpful? Your symptoms can vary from . WebMD does not provide medical advice, diagnosis or treatment. A July 2020 study found approximately 30 to 60 percent of people with heart injury have a history of coronary heart disease or high blood pressure. Chemotherapy and radiation therapy can destroy healthy cells in your mouth and throat. COVID-19 has been linked to symptoms like throat pain and acid reflux. Acute myocarditis is inflammation of the heart muscle tissue. Other studies have found that fatigue is nearly universal with coronavirus. To sign up to host a coffee morning, visit, https://coffee.macmillan.org.uk/, Thailand's 'most beautiful transgender woman' and husband wear $580K in attire at extravagant wedding, Desperate mountain residents trapped by snow beg for help; 'We are coming,' sheriff says, U.S. court won't require FAA to make airplane seat size, spacing rules, Convicted killer Alex Murdaugh's new mugshot revealed after double life sentence, Rebel Wilson says she was banned from Disneyland for 30 days for taking a bathroom selfie, SoCal in for cool start to weekend, but light rain makes brief return, Several metro Detroit schools dismiss early due to winter storm, Detroit Tigers get power from Zack Short vs. Yankees, doubleheader sweep in two cities, Macron says era of French interference in Africa is 'over'. COVID-19 most often causes symptoms such as a fever, cough, and tiredness. Its been suggested to contribute to left ventricle dysfunction (or weakness of the heart muscle) in people with COVID-19 who also have heart complications. Infections such as the flu, acute bronchitis, and pneumonia can cause your airways to make extra mucus, which youll often cough up. Is a Nose Burning Sensation a Symptom of COVID-19? But too much of it, especially somewhere like your lungs, can be annoying and possibly a sign of a health problem. A rash was the most common side effect, and the chest and trunk were the second most common location affected behind the arms. Causes behind painful breathing, fluid buildup. But as her sore throat continued for more than a month after having the virus, she decided to visit her GP. Risk for COVID-19 infection, hospitalization, and death by race/ethnicity. Iranmanesh B, et al. Chest pain is an alarming symptom that can be indicative of a number of health conditions, including COVID-19. Bertone F, et al. Another 5% become so ill they must be treated in an intensive care unit. Lump in throat post covid. The feeling of chest pain can range from a dull ache to a sharp stab and even a crushing or burning sensation. I want you to know that this virus does not just kill people it can give healthy people a chronic illness that lasts for months. Learn about the best baby names out of Japan. Pneumonia is an infection of the alveoli of your lungs. Bone-crushing fatigue was replaced by tiredness. First, Covid-19 might cause sore muscles. You don't have any other coronavirus symptoms. My lungs burned and burned. The interesting thing with the fever . On 28 March, after a particularly stressful night, I called my doctor and he agreed to send me to a respiratory clinic to have my lungs checked. I had not occupied physical space with another human being for three weeks. Fever. Its especially critical to see a doctor if youre at risk of heart or lung problems.Go to the nearest emergency room or call 911 if you have the following symptoms: Chest pain or burning can be a sign of COVID-19. If it comes with a cough that doesnt go away after several weeks, its greenish yellow or blood-tinged, or you also have fever or shortness of breath, you should call your doctor. If you don't feel your symptoms improve at all, you could be dealing with something else, including COVID. Congestion can be the only symptom of COVID-19 in some cases. Prevalence of COVID-19 vaccine side effects among healthcare workers in the Czech Republic. Pale, gray, or blue-colored skin, lips, or nails. The researchers found that patients who reported more than five symptoms during the first week of their illness were much more likely to develop long COVID, and.