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When it comes to the flu, timing is everything. You can be contagious before symptoms even appear and unknowingly spread the virus to others. Determining when you’re no longer infectious is also important so you can safely return to your normal routine.
A flu shot can help lower your odds of coming down with the flu in the first place, and public health experts recommend that almost everyone roll up their sleeves for one, ideally in September or October. That said, no vaccine is 100 percent effective, so in the event you do get sick, here’s what you need to know about how long you’ll be contagious.
When can you detect the flu?
It can be difficult to figure out if you have the flu in the first place. This is because flu symptoms can mimic other respiratory illnesses like COVID-19 and RSV (respiratory syncytial virus).
Flu timeline
- Within one day after exposure to the virus: Flu can be detected.
- One to two days (or up to four days) after exposure: Flu symptoms start.
- One day before showing symptoms: You can become contagious.
- One to four days after symptoms show: You’re most contagious.
- Up to five to seven days after you get sick: Flu can be detected.
- Twenty-four hours without a fever: You’re probably not contagious anymore.
What’s more, flu symptoms can vary with age. For example, older adults may experience malaise (a general feeling of discomfort) instead of a high fever. In fact, average normal body temperatures in older adults are slightly lower than their younger peers, according to the National Institute on Aging, so when older individuals do get sick, their fevers tend to be lower.
Stomach pain, diarrhea and nausea from an influenza infection can be more common in older adults, while nasal congestion, sore throat and runny nose tend to be less so. Still, if you experience any of these symptoms — along with classic flu signs like fever, chills or body aches — head to your doctor’s office or urgent care for a flu test. (You can also find over-the-counter tests at pharmacies and retailers that simultaneously test for flu and COVID-19.)
The Centers for Disease Control and Prevention (CDC) recommends testing for flu as soon as you start to feel ill, ideally within three or four days of symptom onset.
Flu symptoms typically show up within two days of infection, but can develop anywhere from one to four days after infection. If you are infected with influenza, it can be detected one day before symptoms emerge, and up to five to seven days after you start to feel sick.
While it’s possible to spread the flu to others before you start to experience symptoms, you’re more contagious once symptoms appear, says Adolfo Garcia-Sastre, a microbiology professor and director of the Global Health and Emerging Pathogens Institute of Icahn School of Medicine at Mount Sinai in New York.
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