Respiratory Illnesses: Symptoms, Treatment, and Vaccines

Common respiratory illness symptoms include:

• Cough
• Fever
• Muscle aches
• Runny nose
• Shortness of breath
• Sore throat
• Headache
• Muscle pain or body aches

If you have the symptoms listed above, you can take a COVID-19 test at home. If you test negative, you may have another respiratory illness. Generally, it is not necessary to test for the flu or RSV, especially if symptoms are mild and you are not at higher risk of getting very sick from these illnesses. If you are at higher risk, you may need to seek testing.

Mild symptoms: Stay home

Mild symptoms include a temperature below 100 degrees (below 102.4 degrees for children older than three months), aches and pains, or a mild cough. Rest, drink plenty of fluids, and monitor your symptoms. Hopefully, you will start to feel better in a few days.

Moderate symptoms: Call your Primary Care Office

If you have moderate symptoms like a fever higher than 100.4 degrees, significant coughing, or shortness of breath, contact your primary care provider’s office.

For children ages 3 months and older who are not immunocompromised, a high fever is greater than 102.4 degrees. If your child has a fever, significant coughing, or shortness of breath, you also should call their primary care provider’s office. You should also call if they are sleepier, if they have not gone to the bathroom in more than 10 hours (if 3 years or older) or more than 8 hours (if younger than 3 years old). Your child’s doctor can recommend next steps.

If you do not have a primary care provider or you have symptoms that need immediate attention, try our urgent care options:

• Schedule an appointment with Mass General Brigham Virtual Urgent Care.     
  Mass General Brigham offers convenient, high-quality virtual urgent care services to those located in Massachusetts or New Hampshire. If you have concerns about COVID-19 or other respiratory illnesses, you can virtually and securely connect to a provider. Please note: Virtual Urgent Care is only for patients ages 3 and older.
• Visit one of our in-person Urgent Care centers.

Severe Symptoms: Seek Emergency Care

Go to the Emergency Department if you have severe symptoms, such as:

• Severe trouble breathing
• Persistent pain or pressure in the chest
• New confusion or dizziness
• Inability to wake or stay awake
• Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone

If you cannot get to the emergency department, call 9-1-1.

• COVID-19: If you test positive for COVID-19, treatment options are available. Learn more about these options on the CDC website.
• Flu: Treatment options for flu are available, especially for those who are at higher risk for severe flu. See the CDC website for more information.
• RSV: There are no RSV-specific treatments available.
• Common cold: There are no specific treatments available for common colds.

You should follow the recommendations below.

• Cover your coughs and sneezes with a tissue or your shirt sleeve, not your hands.
• Wash your hands often with soap and water for at least 20 seconds.
• Clean frequently touched surfaces. such as doorknobs and mobile devices.
• If a child is in the highest of risk groups for flu, RSV or COVID, consider limiting time spent in crowded or shared spaces, such as day care, grocery shopping or indoor shopping areas.
• Encourage breastfeeding or breastmilk, as it will provide infants with maternal antibodies.

These prevention tips will help prevent any respiratory illness and are good practice for the entire family.

Flu vaccine

• Everyone 6 months and older should get a flu shot each fall.

COVID-19 vaccine

• Everyone ages 5 years and older should get 1 dose of an updated COVID-19 vaccine.
• Children ages 6 months to 4 years may need multiple doses of COVID-19 vaccines to be up to date.
• People who are greater than 65 years or moderately or severely immunocompromised should get an additional dose of the updated COVID-19 vaccine 6 months after they receive the first dose.

RSV vaccine

• Adults ages 60 and older can get an RSV vaccine.
  • Adults aged 60-74 with certain conditions may especially benefit from getting an RSV vaccine.
  • Adults 75 years old or more should get the RSV vaccine.
    
• Pregnant people can also get the RSV vaccine Abrysvo. If they had the RSV vaccine with a prior pregnancy, they should not get another RSV vaccine during future pregnancies. Their newborn should get nirsevimab if born during RSV season.
• Thus far, RSV is a one-time vaccine. Once you have had it, you do not need it again.

To find a COVID or flu vaccine location near you, visit vaccines.gov. Many retail pharmacies are also offering the RSV vaccine, especially for adults ages 60 and older.

Many primary care and specialty offices across Mass General Brigham will also offer COVID, flu, and RSV vaccines at regularly scheduled office visits.