Flu seasons vary in severity from one to the next. The last two flu season were mild or non-existent because of masking and social distancing, but there's no guarantee that will be the case for the 2022-23 season.

COVID-19, the flu and a common cold are contagious respiratory illnesses that have similar symptoms, so it can be difficult to tell the difference. They are caused by different viruses, and in general, testing is needed to help confirm a diagnosis.

Dr. Karan Shukla

“Both COVID-19 and the flu can spread before you know you have an illness, or symptoms,” said Dr. Karan Shukla, of Novant Health Randolph Family Medicine in Charlotte. “COVID-19, though, is much more contagious among certain populations and age groups versus the flu. COVID-19 has been shown to spread quickly and is more known to have super-spreader events compared to the flu.”

The best defense against the flu is a vaccination, but it isn’t the only defense. All three illnesses spread mainly through respiratory droplets. Previously, masks weren’t recommended as prevention for the flu or a cold, but the same safety measures that help limit spread of COVID-19 also work with flu and cold:

  • Wear a mask.
  • Wash your hands thoroughly and frequently.
  • Avoid commonly touched surfaces that could be contaminated.
  • Stay home if you do not feel well.


While the three illnesses share several symptoms, Shukla said there are a few key things that help set them apart. COVID-19 symptoms can range from mild to severe, and may appear 2-14 days after exposure to the virus.

Symptoms include:

  • Fever or chills.
  • Cough.
  • Shortness of breath or difficulty breathing.
  • Fatigue.
  • Muscle or body aches.
  • Headache.
  • New loss of taste or smell.
  • Sore throat.
  • Congestion or runny nose.
  • Nausea or vomiting.
  • Diarrhea.

How to get your flu vaccine

Current Novant Health patients: schedule your shot with your primary care provider here.

Don’t have a primary care provider? Visit one of our walk-in clinics.

Influenza (flu)

Influenza can cause mild to severe illness, and at times can lead to death. Flu is different from a cold. Flu usually comes on suddenly. People who have flu often feel some or all of these symptoms:

  • Fever or feeling feverish/chills.
  • Cough.
  • Sore throat.
  • Runny or stuffy nose.
  • Muscle or body aches.
  • Headaches.
  • Fatigue.
  • Vomiting and diarrhea, though this is more common in children than adults.
“Getting the yearly flu vaccine is the best way to protect against flu,” Shukla said. “It can reduce the risk of flu illness, the rates of hospitalizations and flu-related deaths. You should generally get the flu vaccine before the flu virus starts circulating in your community. The CDC recommends that in early fall everyone starts to get vaccinated.”

Flu vaccinations are a strong preventative tool for people with chronic health conditions, Shukla said. It can help women who are expecting and their newborn babies from getting flu. Flu vaccines have been shown to prevent and reduce the severity the illness for people who get vaccinated, but still get sick. Getting vaccinated protects you, your family, neighbors and the people around you.

Common cold

Symptoms of a cold usually peak within 2-3 days and can include:

  • Sneezing.
  • Stuffy nose.
  • Runny nose.
  • Sore throat.
  • Coughing.
  • Mucus dripping down your throat, also known as post-nasal drip.
  • Watery eyes.

Colds are usually milder than flu, according to the CDC. People with colds are more likely to have a runny or stuffy nose. Colds generally do not result in serious health problems, such as pneumonia, bacterial infections, or hospitalizations.