Allergies, Cold, Flu or COVID? How to Tell the Difference This Fall
Picture this: you've just come home after a chilly fall day, and suddenly your nose is running like a tap and you can't stop sneezing. You look up your symptoms online and, instead of a clear answer, you find a whole list of possible culprits. Now you're playing detective just to work out what's going on.
Fall brings more than colourful leaves. Ragweed and mould spores are still in the air just as cold, flu and COVID season gets going. Here in Ontario, fall flu and COVID shots started for high-risk groups at the end of September and open to everyone from October 26. With so many symptoms overlapping, knowing the difference means you can take the right next step sooner.
The Quick Answer
If your eyes, nose or throat are itchy and you don't have a fever, allergies are the most likely cause. A fever, body aches or sudden exhaustion point more towards an infection like the flu or COVID. Still not sure? A rapid test can help you narrow it down in minutes.
Allergies, Cold, Flu or COVID? Symptoms at a Glance
The table below shows how often each symptom turns up, so you can see where yours fit.
| Symptom | Allergies | Cold | Flu | COVID |
|---|---|---|---|---|
| Fever | No | Rare | Common, often sudden | Sometimes |
| Body aches | No | Rare, mild | Common, often severe | Sometimes |
| Extreme tiredness | No | Rare | Common | Common |
| Itchy eyes, nose or throat | Common | Rare | Rare | Rare |
| Sneezing | Common | Common | Sometimes | Sometimes |
| Runny or stuffy nose | Common | Common | Sometimes | Common |
| Sore throat | Sometimes | Common | Common | Common |
| Cough | Sometimes | Common, mild | Common | Common |
| Loss of taste or smell | Sometimes, from congestion | Rare | Rare | Sometimes |
| When it starts | On contact with a trigger | 1–3 days after exposure | Suddenly, 1–4 days after exposure | 1–14 days after exposure, usually 3–7 |
Signs It's Probably Allergies
The biggest giveaway is itching. Itchy eyes, nose, mouth or ears are common with allergies, but not with a cold, the flu or COVID. Allergies also don't cause a fever or body aches, so if you're itchy but otherwise feel fine, that's a strong clue.
Allergy symptoms tend to follow a pattern, too. They come back around the same time each year, get worse when you're outdoors or after raking leaves or mowing the lawn, and can hang around for weeks. In the fall, ragweed and mould spores are the usual suspects. The good news is that ragweed is expected to be lighter this year, at around 70% of last year's levels. The not-so-good news is that a rainy season has pushed outdoor mould spores to moderate-to-very-high levels across much of Canada.
If you're heading outside for yard work, a well-fitted KN95 or N95 mask can help reduce how much pollen and mould you breathe in. We go into more detail in our post on how N95 and KN95 masks can help with allergy symptoms.
Is It a Cold, the Flu or COVID?
Telling a cold, the flu and COVID apart is much trickier, because so many of their symptoms overlap.
A cold is usually the mildest of the three. Symptoms build gradually, and you'll typically have sneezing, a sore throat and a runny nose. A mild cough can develop too, usually without a fever.
The flu, on the other hand, tends to hit suddenly, often with a fever, cough, and muscle aches and pains. Tiredness, chills and a sore throat are common as well. Most people recover within 7 to 10 days, but you can pass the flu on from a day before your symptoms start until about five days after.
COVID can take a little longer to show up, with symptoms usually appearing three to seven days after exposure. Common symptoms include a sore throat, a runny or blocked nose, a cough, tiredness and fever, and some people lose their sense of taste or smell.
Put them side by side and you can see why checking symptoms alone often feels like guesswork. When it comes to the flu and COVID, the only way to know for sure is to get tested.
How a Rapid Test Can Help
A rapid test is the simplest way to narrow things down at home. Our WELLlife 3-in-1 COVID / Flu A&B Test Kit checks for COVID, Flu A and Flu B with a single nasal swab, with results in just 10 minutes. Because it shows which virus it has picked up, a positive result gives you a much clearer picture of what you're dealing with. From there, follow your local public health guidance and speak to your health-care provider about next steps, especially if you're at higher risk of complications.
What if your test comes back negative, but you're sure you're unwell? Don't panic. Early on, there may not be enough virus in your body for a rapid test to detect. That's why the WELLlife test is authorized for people with symptoms within five days of them starting, when tested at least twice over three days, with at least 48 hours between tests. Always follow the instructions in your kit.
If you're still testing negative, a cold or allergies may be to blame, since a rapid test only detects the viruses listed on the box. Not sure how to read your result? Our guide to the C and T lines on a rapid test walks you through it.
Help Keep Those Around You Healthy
Knowing what you've got is only half the story. It's just as important to give yourself time to recover, and to avoid passing it on to family, friends and strangers alike if it's a cold, flu, or Covid.
It might sound like common sense, but staying home while you're sick is one of the best things you can do, if you're able to. As infectious disease specialist Dr. Isaac Bogoch reminded parents this fall, "if someone is sick, stay home." If you do need to go out, a well-fitted KN95 mask can help reduce the spread to others, which matters even more around older relatives or anyone who's immunocompromised. And keep washing your hands often, since hands are one of the easiest ways for germs to get passed around the house.
When to See a Doctor
Most colds, flu and mild COVID cases can be managed at home, but some symptoms need help right away. Call 911 if you or someone you're caring for has:
- Trouble breathing
- Ongoing chest pain or pressure
- New confusion
- Difficulty waking up or staying awake
- Pale, grey or blue skin, lips or nail beds
For children, contact a health-care provider right away if they're having difficulty breathing, aren't responding or interacting as usual, are drinking or eating less, or are unusually irritable. And if your allergy symptoms aren't easing with over-the-counter treatments, a pharmacist or allergist can help.
Frequently Asked Questions
Can allergies cause a fever?
No. Allergies don't cause a fever, so if you have one, an infection is more likely.
Can allergies cause a sore throat?
Sometimes. Post-nasal drip from allergies can leave your throat feeling scratchy.
Can I have allergies and COVID or the flu at the same time?
Yes. If you usually get fall allergies but suddenly develop a fever or body aches, it's a good idea to test.
Will a rapid test pick up a cold or allergies?
No. A rapid test only detects the viruses listed on the kit, such as COVID, Flu A and Flu B.
Be Ready Before the Sniffles Start
So just as you'd grab a jacket before heading out on a crisp fall morning, keeping a few WELLlife 3-in-1 test kits and KN95 masks at home means you're ready when you need them. We ship the same business day across Canada, and GTA orders placed before 11 AM ET can arrive the same day. A little preparation can make a big difference to staying happy and healthy this season.
This article is for general information only and isn't medical advice. Speak to a health-care provider about your symptoms.
Sources
- Mayo Clinic: COVID-19, cold, allergies and the flu — what are the differences?
- NIH News in Health: Is it flu, COVID-19, allergies, or a cold?
- Canada.ca: Flu (seasonal influenza) symptoms and treatment
- Canada.ca: COVID-19 symptoms
- Canadian Lung Association: Influenza
- Aerobiology Research Laboratories: Montreal pollen and spores
- CP24: Ontario flu and COVID-19 immunizations
- CP24: Dr. Bogoch on limiting germs in classrooms
- PPE Supply: WELLlife 3-in-1 product page
