COVID-19 Exposure, But No Symptoms

• Exposure (close contact) to a person with diagnosed or suspected COVID-19.
• Confirmed patients have a positive COVID-19 test.
• Suspected patients are those whom a doctor suspects of having COVID-19, based on symptoms.
• You or your child have no symptoms of COVID-19.
• Care Guide Update: February 20, 2024, Version 22.

COVID-19 Disease: Frequently Asked Questions

1. Trusted Sources for Accurate Information: CDC and AAP
   • To meet the high demand for COVID-19 information, when possible, find your answers online. Here are the most reliable websites:
     • CDC website: www.cdc.gov
     • American Academy of Pediatrics parent website: www.healthychildren.org
   • Always follow the most current CDC recommendations if they are different than those in this care guide.
2. COVID-19 Symptoms:
   • The most common symptoms are sore throat, headache, cough and fever. Some patients progress to shortness of breath (trouble breathing).
   • Other common symptoms are chills, shivering (shaking), runny nose, muscle pain, fatigue (tiredness) and loss of smell or taste.
   • The CDC also includes the following less-common symptoms: nausea, vomiting and diarrhea
   • Some people may have very mild symptoms. Some can have no symptoms, but still spread the disease.
3. COVID-19 Facts:
   • Incubation period: average 5 days (range 2 to 14 days) after coming in contact with the secretions of a person who has COVID-19. Incubation periods can vary depending on the variant.
   • No Symptoms, but Infected: some infected patients have no symptoms.
   • Mild Infections: most people with symptoms have a mild illness, much like normal flu or a bad cold. The symptoms usually last 2 weeks.
   • Severe Infections: In general, severe infection refers to patients who develop trouble breathing from viral pneumonia. Unvaccinated adults have the highest rate of this complication. Many of these need to be admitted to the hospital. People with complications generally recover in 3 to 6 weeks. Severe infections are very rare in people who are vaccinated. Older adults are at the greatest risk.
   • Deaths: children generally have a mild illness and recover quickly. Pediatric deaths are rare. Older adults, especially those with chronic lung disease, heart disease, diabetes, obesity or weak immune systems, have the highest death rates.
   • Vaccine: safe and effective vaccines are available. At this time, COVID-19 vaccines have been tested and are FDA approved for 6 months and older. Stay up to date by getting all recommended shots when eligible. Check the CDC website to see if you and your child are current on your vaccines.
   • Breakthrough cases are COVID-19 infections that happen despite vaccine protection. They are more common with new variants. Most do not cause any serious symptoms. The vaccine prevents almost all hospital admissions and deaths.
   • Treatment: anti-viral treatments for COVID-19 are available. They are mainly used for high-risk patients and those who are hospitalized.
   • Prevention: the COVID-19 vaccine(s) are the best way to prevent serious infections.
4. COVID-19 - How it is Spread:
   • COVID-19 is spread from person to person.
   • The virus spreads when respiratory droplets are produced when a person coughs, sneezes, shouts or sings. The infected droplets can then be inhaled by a nearby person or land on the surface of their eyes.
   • Most infected people also have respiratory secretions on their hands. These secretions get transferred to healthy people on doorknobs, faucet handles, etc. The virus then gets transferred to healthy people when they touch their face or rub their eyes.
   • These are how most respiratory viruses spread.

Self-Monitor

• Close contact with COVID-19 patient within last 10 days, BUT No symptoms

Self Care at Home

• Close contact with COVID-19 patient more than 10 days ago AND NO cough, fever or trouble breathing.
• COVID-19 exposure, BUT no symptoms: home care instructions
• COVID-19 testing, questions about
• COVID-19 prevention, questions about

Care Advice

COVID-19 Exposure, But No Symptoms

Exposure and No Symptoms - Overview:

• Although you may have been exposed to COVID-19, you do not currently have any symptoms. COVID-19 symptoms start within 10 days after the last exposure.
• If it's been less than 10 days, you are still at risk for coming down with COVID-19.
• You need to watch for symptoms until 10 days have passed.

You Do Not Need to See Your Doctor

• Your child does not have any symptoms. Exposed people don't need to see a doctor.
• If your child becomes sick and develops more than mild symptoms, you may need to get a COVID-19 test or see your doctor.
• You can find the answers to most of your questions here or online.

COVID-19 Testing: Who Needs It

• Home self-test kits are easy to get at many grocery and drug stores.
• Most doctor's offices, retail clinics and urgent care centers also offer testing.
• Diagnostic tests are performed on nasal or mouth secretions. The tests can tell us if you have a COVID-19 infection now. Timing is important on when to do this test:
• With Symptoms. Get a test within 3 days of onset of symptoms.
• If you have testing questions, call your doctor during office hours.

Self-Monitor for COVID-19 Symptoms

• The most common symptoms are sore throat, cough, headache and fever. Some patients progress to shortness of breath (trouble breathing).
• Other common symptoms are chills, shivering (shaking), runny nose, muscle pain, fatigue (tiredness) and loss of smell or taste.
• Less common symptoms include nausea, vomiting and diarrhea.
• If any of these symptoms occur, get a COVID-19 test or follow the CDC advice. They recommend staying home until:
• no fever for 24 hours, without the use of fever-reducing medicines
• symptoms are mild and improving
• Early detection of symptoms and staying home when sick are the best ways to reduce spread of the disease.

Call Your Doctor If:

• You want your doctor to perform a COVID-19 test
• You think your child needs to be seen
• You have other questions or concerns

COVID-19 Prevention

COVID-19 Vaccine - Get Your COVID-19 Shot(s):

• Stay current with your COVID-19 shot(s). Vaccines have saved more lives than any other public health action. They are the most powerful weapon we have against deadly infectious diseases. Follow the science.
• Safe and effective vaccines are now available for people age 6 months and older.
• Get a COVID-19 vaccine(s). It could save your life and protect your family. To see if you are current with your vaccine(s), check the CDC website.
• Vaccine Sites: find a nearby vaccine site at vaccines.gov or call your doctor's office.

COVID-19 - How to Protect Yourself and Family from Catching It - The Basics:

• Get the COVID-19 vaccine(s) when eligible. It is your best protection against this serious infection.
• Avoid close contact with sick people.
• Consider wearing a face mask when community spread is high.
• Wash hands often with soap and water (very important). Always do this before you eat.
• Use an alcohol-based hand sanitizer if water is not available. Remember: soap and water work better.
• Don't touch your eyes, nose or mouth unless your hands are clean. Germs on the hands can get into your body this way.
• Don't share glasses, plates or eating utensils.
• Don't shake hands. Greet others with a smile and a nod.

Social (Safe) Distancing and COVID-19 Prevention:

• Avoid close contact with people known to have COVID-19 infection.
• Social Distancing: try to stay at least 6 feet (2 meters) away from anyone who is sick, especially if they are coughing. Avoid crowds, because you can't tell who might be sick.
• If COVID-19 becomes widespread in your community, try to stay 6 feet (2 meters) away from everyone outside your family unit.

Face Masks and COVID-19 Prevention:

• Overview: face masks help reduce the spread of COVID-19 (and influenza). Reason: people with COVID-19 can have no symptoms, but still spread the virus. You should also wear a mask if you have to be around someone who has tested positive for COVID-19.
• Sick people should always wear a face mask, if you are around other people or need to leave the home. Example: for medical visits. Exception: patients with trouble breathing in a mask (CDC). Consider a loose face covering, such as a bandana.
• Well people should still consider wearing a mask when COVID spread is high:
• You are in indoor public spaces (such as a church or a grocery store).
• You are in a crowded outdoor setting (e.g., concert, music festival, rally).
• You are traveling on a plane, bus, train, or other form of public transit.
• You are in a transportation hub such as an airport or train station.
• Age Limits: face coverings are not recommended for children less than 2 years (CDC).

Keep Your Mind and Body Strong:

• Get your body ready to fight the COVID-19 virus.
• Get enough sleep (very important).
• Keep your heart strong. Walk or exercise every day. Take the stairs. Caution: avoid physical exhaustion.
• Think positive thoughts.
• Stay well-hydrated.
• Eat healthy meals. Avoid overeating to deal with your fears.
• Avoid the over-use of anti-fever medicines. Fever fights infections and ramps up your immune system.