Evidence map›Paper›PMID 40036243›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Ongoing Symptoms After Acute SARS-CoV-2 or Influenza Infection in a Case-Ascertained Household Transmission Study: 7 US Sites, 2021-2023.

Ayla Bullock, Alexandra F Dalton, Melissa S Stockwell, Son H McLaren, Ellen Sano, Huong Q Nguyen, Suchitra Rao, Edwin Asturias, Karen Lutrick, Katherine D Ellingson and 15 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Ayla BullockInstitute for Global Health and Infectious Disease, University of North Carolina at Chapel Hill  School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0009-0001-7135-0417
Alexandra F DaltonNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0003-3407-2961
Melissa S StockwellDepartment of Pediatrics, Columbia University Irving Medical Centre, New York, New York, USA.ORCID 0000-0002-2113-7247
Son H McLarenDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0001-9947-588X
Ellen SanoDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0002-2202-448X
Huong Q NguyenCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.ORCID 0000-0003-2725-6439
Suchitra RaoDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0002-0334-6301
Edwin AsturiasDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0002-1275-0787
Karen LutrickDepartment of Family and Community Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA.ORCID 0000-0003-3480-849X
Katherine D EllingsonMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Yvonne MaldonadoDivision of Pediatric Infectious Diseases, Stanford University School of Medicine, Palo Alto, California, USA.ORCID 0000-0002-5664-5583
Alexandra M MellisNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sarah E Smith-JeffcoatNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-7962-9017
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-2329-7797
H Keipp TalbotDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0003-0141-1760
Melissa A R RolfesNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jessica E BiddleNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-6702-8698
Yuwei ZhuDepartment of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0001-9849-1634
Karla LedezmaMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.
Kathleen PryorMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA.ORCID 0009-0008-0603-1277
Ana Valdez de RomeroDepartment of Pediatrics, Columbia University Irving Medical Centre, New York, New York, USA.
Celibell VargasDepartment of Pediatrics, Columbia University Irving Medical Centre, New York, New York, USA.
Joshua G PetrieCenter for Clinical Epidemiology and Population Health, Marshfield Clinic Research Institute, Marshfield, Wisconsin, USA.ORCID 0000-0002-5696-965X
Michelle Floris-MooreInstitute for Global Health and Infectious Disease, University of North Carolina at Chapel Hill  School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0009-0007-9515-2857
Natalie BowmanInstitute for Global Health and Infectious Disease, University of North Carolina at Chapel Hill  School of Medicine, Chapel Hill, North Carolina, USA.

Funding

Mentoring in transmission of influenza and strategies for preventionK24AI148459 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G · 2020 to 2024
$893k
NIAID NIH HHS K24 AI148459NIH HHS
6 · The paper itself

Abstract

backgroundThe prevalence and risk factors for ongoing symptoms following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [SCV2]) or influenza infection are not well characterized. We conducted a prospective cohort study of households wherein ≥1 individual was infected with SCV2 or influenza to evaluate prevalence of and factors associated with ongoing symptoms at 90 days.

methodsIndex cases and their household contacts provided baseline health and sociodemographic information and collected daily respiratory specimens for 10 days following enrollment. Participants completed a follow-up survey 90 days after enrollment to characterize ongoing symptoms.

resultsWe analyzed 1967 participants enrolled between December 2021 and May 2023. The risk of ongoing symptoms did not differ by infection status in SCV2 (SCV2-positive: 15.6%; SCV2-negative: 13.9%; odds ratio [OR]: 1.14; 95% CI: .7-1.69) or influenza (influenza-positive: 8.8%; influenza-negative: 10.0%; OR: .87; 95% CI: .45-1.72) households. However, among study participants with a documented infection, SCV2-positive participants had nearly twice the odds of ongoing symptoms as influenza-positive participants (OR: 1.92; 95% CI: 1.27-2.97).

conclusionsThese results suggest that SCV2 households have a significantly higher prevalence of ongoing symptoms compared with influenza households (OR: 1.78; 95% CI: 1.28-2.47). Among participants with SCV2 infection, underlying conditions (adjusted OR [aOR]: 2.65; 95% CI: 1.80-3.90) and coronavirus disease 2019 (COVID-19)-like symptoms (aOR: 2.92; 95% CI: 1.15-7.43) during acute infection increased odds of ongoing symptoms at 90 days, whereas hybrid immunity reduced the odds of ongoing symptoms (aOR: 0.44; 95% CI: .22-.90).

Indexed as

COVID-19Influenza, HumanAdolescentAdultAgedChildChild, PreschoolFamily CharacteristicsFemaleHumansInfantMaleMiddle AgedPrevalenceProspective StudiesRisk Factorshybrid immunityinfluenzalong COVIDpost-viral symptomsSARS-CoV-2

Identifiers

PMID40036243
PMCPMC12159730

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.