The most common COVID-19 symptoms have shifted throughout the course of the pandemic, according to anew report.

ZOE now includes data from more than 4.8 million people.

The health study is a collaborative data project by researchers at Massachusetts General Hospital, the Harvard T.H.

Shot of a mature doctor having a consultation with his patient - stock photo

Jay Yuno / Getty Images

Chan School of Public Health, Kings College London, and Stanford University School of Medicine.

(Booster doses were not a part of this report.)

People who were vaccinated and experienced abreakthrough COVID infectionreported fewer symptoms and a shorter illness.

As peoples immune systems have changed through vaccination, its not surprising that symptoms will also be somewhat altered.

How Have Symptoms Changed Over Time?

Notably, having a persistent cough is no longer a primary indicator that someone has COVID-19.

It now ranks fifth overall.

Other seemingly tell-tale signs of infection have also become less common across all groups.

For instance, shortness of breath now ranks at spot 29.

Loss of smell is now the sixth most common symptom, and fever is now eighth.

Shortness of breath ranks number 30 while loss of smell is at number 9.

People who have been vaccinated and start sneezing frequently should seek out a COVID-19 test.

Are Vaccines or Variants Responsible?

And it became far less common cough or to lose taste and smell.

These findings generally align with the ZOE report.

If a provider knows the cause of an infection, they can offer the right treatments.

For everyone else, Adalja said there should be a low threshold to test.

Even if youve already recovered from COVID-19, your symptoms could look different a second or third time around.

No one wants to be a dreaded spreader, Schaffner said.

For the most recent updates on COVID-19, visit ourcoronavirus news page.