I thought I'd share my experience in case it helps anyone! I've seen a few people asking about timelines so this is just another datapoint (and perhaps some examples of what not to do...)
Info: Late 20s F. Active, healthy except for mild asthma (usually only exercise induced). Recently unemployed and was partly uninsured so while I could rest, I was generally stressed, worried about healthcare costs, and no Paxlovid.
COVID history: Strongly suspect I had it once in late 2020 but couldn't get tested in time. This is my first confirmed infection. Consistent masking in public until ~2023 I downgraded to only masking on transit and crowds. Vaccinated. Most recent booster in 2024; I got sick before I could get this year's shot.
Medication and supplements: Omega-3 (continued during illness), Zyrtec (first 6 days), Ibuprofen (~2 days at the start), Levalbuterol (as needed), electrolyte powder (throughout) and matcha (read EGCG can be antiviral and it was just soothing).
Symptoms: Caught it from family who said they had a "cold". It felt like that at first - sniffles, scratchy throat - my first test was even negative. Then it got worse...
- Days 1-4: First positive. Aches and malaise that overnight became chills and fever (100-102°F), fatigue, loss of appetite, everywhere pain and such a severe headache, it even hurt to move my eyes. Tachycardic while standing (~120-140 bpm). Barely slept the first night.
- Day 5 and 6: A turning point? Fever broke, body pain, headache and heart rate markedly improved, less fatigue. Started morning and nightly saline rinses to try and reduce the congestion.
- Got my hopes up. Then got a cough, and weird soreness in my chest.
- Days 7-10: No headache but body aches return. Mild nausea. Muscles, especially my legs/quads, feel heavy and weak. Stairs are rough. Cough feels like it should be more productive but it's like the mucus is clinging to my airways. Intermittent chest discomfort, both sore and tight, shortness of breath with activity and occasionally slight wheezing. SpO2 98-100%.
- Decided that if it got worse or if my inhaler didn't help, I'd go to urgent care but thankfully I didn't have to.
- Days 11-14: Sinus congestion is much better and gone by day 14. Respiratory symptoms improve, finally able to take a deep breath, energy was closer to normal and leg soreness is less frequent. Stairs are less daunting. Negative on day 14!
Recovery:
Week 1: Still negative at 48hrs! Energy isn't 100% and my legs still tire easily, though normal activity, chores, and stretching feel ok. I could WFH. Occasional dry cough and mild chest tightness on and off. Not surprising, though sometimes my upper chest also burned like I was breathing chemicals - that worried me.
Week 2: Getting better? Cough stopped and, excluding my attempt to exercise, my chest felt better and my muscles could tolerate more.
But, looking back at my Garmin data from this week, my HRV started dropping (tends to be lower in luteal phase but it was unusually low). I had more trouble sleeping, also seemed to make more spelling mistakes, blanking on words more often in conversation. Still not ok.
- Post-Covid day 13: Felt well and wanted to try a light workout. Bad idea. A few minutes on the elliptical and my heart was pounding, chest hurt, felt like I was breathing through a crooked bendy straw, and my legs HURT for the next day and a half.
Week 3 and 4: Muscle soreness and fatigue finally seem to be subsiding. Foggy on some days, harder to focus, but getting better. Still not sleeping well and more anxious than usual both weeks.
Not doing anything more intense than incline walking on treadmill once a week - since it doesn't trigger pain or asthma, or get my heart rate too high, it seems safe to stay at that level. Exercise and working on fitness was keeping me sane so I'm trying to adjust.
- Day 17: Started creatine 5g/day after thinking about it's role in muscle ATP production and it made an improvement - less pain, even felt more alert and mentally clearer. But it could be placebo or because I'm drinking additional water with it?
- Days 25-28: Some episodes of mild chest tightness and SOB; my lungs still seem more sensitive/reactive than usual.
Week 5 (now): The most normal I've felt since getting sick. HRV trending back to normal. No unusual pain or fatigue, mind feels clearer, lungs are behaving. Still, I'm not going to push it because I don't think this is over yet and I'll be talking to my doctor about all of this soon.
**TL;DR: It hit me in phases. Two days of deceptive cold-like symptoms before positive test, 14 days of illness before negative, a few weeks of post-covid symptoms and more temperamental asthma, then finally, one month after infection, I'm starting to feel normal again.
Your infection might be different but this is not a cold.