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HomeHealthWhat to do if you have confirmed or suspected coronavirus disease (COVID-19)?...

What to do if you have confirmed or suspected coronavirus disease (COVID-19)? – Coronavirus – Virginia Department of Health

On this page: 
COVID-19 Symptoms
When you are considered contagious
Steps to take if you are sick with COVID-19 or think you might have COVID-19
Tell anyone you had close contact with 
Treating symptoms
Who is considered high risk for getting very sick from COVID-19
Manage your stress and anxiety
Post-COVID Conditions (“Long COVID”)
Multisystem inflammatory syndrome (MIS)
More information
Symptoms typically appear 2-14 days after exposure to the virus. Symptoms with the Omicron variant are similar to those of other variants. 
People with COVID-19 might not have any symptoms. If a person has symptoms, they can range from mild to severe.
 
Not everyone with COVID-19 will have all these symptoms.
Emergency warning signs include trouble breathing, pain or pressure in the chest that won’t go away, new confusion, difficulty waking a person or the individual cannot stay awake, severe belly pain, pale, gray or blue-colored skin, lips or nail beds, depending on skin tone, or other concerning signs.
Some symptoms of the flu (influenza), COVID-19, or a cold are similar, making it hard to tell the difference between them based on symptoms alone. Testing can help determine if you are sick with COVID-19. 
It is also possible to be sick with both COVID-19 and the flu, or other respiratory diseases, at the same time. Symptoms alone cannot tell you if you have COVID-19 or another respiratory illness. That’s why testing is so important if you have symptoms.
Please see our comparison chart (Spanish – 5/2/22)to view the differences in symptoms.
The majority of COVID-19 transmission occurs early in the course of illness, generally in the 1-2 days prior to onset of symptoms and the 2-5 days after. However, spread is still possible for up to 10 days after infection.
If you have symptoms or test positive for COVID-19, you should follow the steps and recommendations on this page, regardless of your vaccination status.
Get tested for COVID-19, even if you are up to date on your COVID-19 vaccinations. Contact a healthcare provider to find out how to get tested and to learn which type of test may be best for you. You can also visit VDH’s COVID-19 Testing in Virginia website to find testing locations in your area. You can read VDH’s COVID-19 Testing webpage for more information. You can also consider taking an at-home test.
In March 2022, the federal government began the Test to Treat Program.  This program provides people with COVID-19 symptoms or those who think they have the illness a way to get rapid testing. If a person tests positive and a medication is appropriate for the treatment of COVID-19, the individual can obtain a prescription and have it filled at the same location. Facilities that currently participate in the Test to Treat Program include clinics inside pharmacies and federally qualified health centers (FQHCs). A Test to Treat Locator shows participating sites across the country.
Separate from the Test to Treat Program, the federal government also offers free COVID-19 antigen tests by mail. For more helpful COVID-19 information, see the federal government’s website at www.covid.gov.  Free tests can be ordered online.  You can also call 800-232-0233 (TTY 888-720-7489) for more information. Please note that mailed tests may take time to reach you, so if you have symptoms, be sure to get tested right away.
If your at-home test is positive, contact your healthcare provider right away. You should stay home and away from others (isolate) for at least 5 days and follow the recommendations in the table below. Be sure to notify your contacts because they may need to stay home, get tested, and monitor their health to make sure they do not get sick and infect others. Refer your close contacts to VDH’s If you were exposed web page.
Mild symptoms can typically be managed at home with over-the-counter (OTC) medications. Contact your healthcare provider after testing positive if your symptoms are worsening OR if you are at higher risk of progressing to severe illness (even with mild illness initially). If you are uncertain about your risk or have questions about your care, please speak to your healthcare provider. Early treatment options are available for certain individuals
To report positive results from an at-home test, check if the test has instructions on how to report your results to the manufacturer.
If you have symptoms that are consistent with COVID-19 and can’t find a test, you should  follow the steps for isolation. This is even if you do not know if you had contact with someone with COVID-19. Follow the steps for isolation below until you can schedule a test. To find a testing location near you, visit VDH’s COVID-19 Testing page and/or the Test to Treat Locator tool. 
Contact your healthcare provider right away and follow the steps in the table below if you test positive. This table is intended for members of the general public and may be applied to K-12 schools, child care facilities, colleges and universities, and workplaces. It does NOT apply to healthcare facilities (patients or healthcare personnel) or high-risk congregate settings such as nursing homes, long-term care facilities, jails or prisons, etc.). This shortened isolation guidance is meant to be applied when masks are used from Days 6–10 of isolation. For those who are unable to consistently wear a mask when around others (including all children aged 2 and under) the safest option is to isolate for a full 10 days.You may not be contacted by VDH, even if your results are reported to VDH.
 
Click the button below to help you calculate how long you may have to isolate.
Days 0-5: Stay home for at least 5 full days. Day 0 is the day symptoms start. Day 1 is the first full day after symptoms develop. Wear a well-fitting mask when you are around others at home. If you have not been able to test, continue to follow the steps for isolation.
Day 6: If you are fever-free for 24 hours without fever-reducing medication and other symptoms have improved, you can leave your home.*
If you still have a fever or your symptoms have not gotten better, continue to stay home. Loss of taste and smell might persist for weeks or months and should not delay the end of isolation.
Days 0-10: Wear a well-fitting mask when you are around others at home and in public. Do not visit people who are immunocompromised, at high-risk for severe disease, or live in high-risk settings.
Days 0-5: Stay home for at least 5 full days. Day 0 is the day you were tested for COVID-19. Day 1 is the first full day after the day you tested positive. Wear a well-fitting mask when you are around others at home.
Day 6: You can leave your home if you continue to have no symptoms.*
Days 6-10: Continue to wear a mask when you are around others at home and in public. Do not visit people who are immunocompromised, at high-risk for severe disease, or live in high-risk settings.
Your 5-day isolation (stay at home) period starts over. Day 0 is your first day of symptoms. Follow the recommendations for people who had symptoms above.
*People who are severely ill from COVID-19 (including those who are hospitalized) and those with weakened immune systems might need to isolate for longer. They may also require a viral test to help determine when they can be around others. These individuals are recommended to isolate for at least 10 days and up to 20 days. They should talk to their healthcare provider about when they can end isolation.
Seek medical care if your illness worsens. If you have any type of medical emergency, call 9-1-1 or call ahead to your local emergency facility.
You may also qualify for care resource coordination (CRC). CRC is a program for people who were exposed to or tested positive for COVID-19 and need support to isolate or quarantine safely. See if you qualify for Care Resource Coordination.
Clean and disinfect all frequently touched or high touch surfaces daily.
When ending isolation, if you have access to testing and want to get tested, the best approach is to get an antigen test towards the end of the 5-day isolation period.
In certain congregate settings that have an increased risk of transmission of COVID-19 and where it is not feasible to cohort people (e.g., correctional and detention facilities, homeless shelters, cruise ships) all residents should isolate for a full 10 days after symptoms develop (or they have a positive test if symptoms never develop). Refer to setting-specific guidance for more information.
Share your information with others to actively slow the spread of COVID-19.
Use Virginia’s free COVIDWISE Exposure Notification app to report your positive COVID-19 test. This will send an anonymous notification to people you were in close contact with who also use the app.
If you tested positive from an at-home test, follow the isolation guidelines above and notify your contacts.  It is likely that you will not receive a call from VDH.
Follow care instructions from your healthcare provider.
Get rest and drink plenty of water or clear liquids. Avoid alcohol or drinks with caffeine, such as sodas, tea, and coffee.
Follow all usage and warning information on the label.
*Always follow the advice from your healthcare provider and the instructions from the manufacturer about the medicine you take.
COVID-19 treatments may reduce severe illness in high-risk patients to keep them out of the hospital and/or prevent them from dying because of COVID-19. For people with COVID-19 who are at high-risk, it is especially important that they seek medical attention promptly.  
Currently, there are two classes of COVID-19 therapeutics: monoclonal antibody (mAb) therapy and antiviral medications. Visit the COVID-19 Treatment Locator page to find a monoclonal antibody administration site near you OR a pharmacy near you that carries antiviral medication. 
Not all sites will have appointment availability or treatments available. A prescription is required for monoclonal antibodies and antiviral medication. Generally, it is a good idea to contact the monoclonal antibody administration site or pharmacy to make sure they have the product available. Many monoclonal antibody administration sites listed in the locator require a physician referral and an appointment.
The Test to Treat Program:  In March 2022, the U.S. Department of Health & Human Services (HHS) launched “Test to Treat” locations to distribute oral antiviral medication to eligible patients who test positive for the virus that causes COVID-19. The goal of the program is to evaluate patients with COVID-19 symptoms rapidly and provide treatment if it’s appropriate.  Patients will be able to get a COVID-19 test, be evaluated by a medical provider if the test is positive, and receive treatment if it is appropriate for them. All of this will be done in the same location. The program has been launched nationwide and will be available in more locations. 
More information about the Test to Treat program is available online. There is also a locator tool to look up nearby Test to Treat sites.
The FDA has devoted an entire webpage on Why You Should Not Use Ivermectin as treatment for COVID-19. The National Institutes of Health has also determined that there is not enough evidence to recommend it for treating COVID-19. 
A randomized clinical trial (RCT) of 490 patients found the use of ivermectin during early illness did not prevent the progression to severe disease. 
Ivermectin is used in the U.S. for the treatment and prevention of infection caused by parasites. Taking large doses of ivermectin or using animal ivermectin products is dangerous. Animal ivermectin products are very different from those approved for humans.
While anyone exposed to the virus can get COVID-19, the risk for serious illness (having to be hospitalized, needing a ventilator, etc.) or death associated with COVID-19 increases with age. The older you are, the more likely you are to get very sick if you get COVID-19.
People of any age with certain medical conditions are also at a higher risk for more severe illness. If you have any of these underlying conditions or other serious medical conditions (e.g. weakened immune system), call your doctor right away if you develop symptoms of COVID-19. Early treatment options are available for high-risk individuals.
Long-standing health and social inequities have put many people from racial and ethnic minority groups at increased risk of getting very sick and dying from COVID-19.
Being ill is stressful. Remember that everyone reacts differently to stressful situations.  Being ill with COVID-19 might be especially hard because there is a lot of news coverage. Take breaks from watching, reading, or listening to news stories, including social media.
Stay in touch with others with calls (audio or video), instant messaging, or email while you are sick. You may want to ask for help and support from friends, family, or neighbors.
People with pre-existing mental health conditions should continue their treatment and be aware of new or worsening symptoms.
If you, or someone you care about, are feeling overwhelmed with emotions like sadness, depression, or anxiety or feel like you want to harm yourself or others,
Learn more about steps you can take to cope with stress and ask for help and support if you are struggling. Read CDC’s Coping With Stress page for more information.
If you or your child develop any signs or symptoms of MIS-A or MIS-C, be sure to contact your or your child’s healthcare provider right away.
Page Last Updated: April 15, 2022

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