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URLhttps://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/
Last Crawled2026-03-15 16:37:03 (21 days ago)
First Indexed2025-04-02 02:21:16 (1 year ago)
HTTP Status Code200
Meta TitleHow COVID Reinfection Can Affect Older Adults
Meta DescriptionMultiple COVID reinfections can cause more severe symptoms. Learn more about COVID reinfection and its effect on older adults.
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Getty Images If ever there was a silver lining to getting COVID-19 in the early days of the pandemic, it might have been this belief: Once you caught it, you most likely wouldn’t get it again. Check that box. Your turn was over. Or so went the conventional wisdom.   “As we learned more about COVID, we discovered it could mutate even faster than influenza, and one could be reinfected,” says William Schaffner, M.D., professor of infectious diseases at Vanderbilt University Medical Center in Nashville, Tennessee. And not just once or twice but multiple times. While most people can count on their immune system to do its job and protect them against reinfection, that protection lasts for only about three to four months after your most recent vaccine or infection. Then the immune response begins to wane. “The vaccine provides protection against severe disease,” Schaffner explains, “but it’s not as good at preventing transmission from one to another.” The good news: For many people, subsequent infections will be as mild as or maybe milder than their first bout with COVID-19, suggests a review of research published in 2023 in the International Journal of Environmental Research and Public Health . “Repeat infections are likely for all, much as they are for other viruses that cause respiratory infections,” says Paul Sax, M.D., clinical director of the division of infectious diseases at Brigham and Women’s Hospital in Boston and professor of medicine at Harvard Medical School. And generally, these repeat infections are milder than the first, he explains, due to the immunity the body has accumulated from vaccines and any prior infections. There are exceptions, Sax adds. “But this is the primary reason why even though COVID hasn’t gone anywhere, we have never come close to the hospitalization numbers we had in the first two years of the pandemic,” he says. That doesn’t mean, however, that reinfections are risk-free.   Common but not harmless Four-plus years since the pandemic began  and it’s still too soon to have any definitive answers about the dangers of getting COVID-19 multiple times, says Marc Sala, M.D., codirector of the Northwestern Medicine Comprehensive COVID-19 Center in Illinois. “The virus is novel enough that we need long-term data and a large population to know what the collateral effects are for having had COVID multiple times,” he says. “We just haven’t had the follow-up time for it.” Although doctors and scientists are still trying to get a handle on the health consequences of getting reinfected, this much seems certain: There is no such thing as risk-free COVID-19. That’s especially true for people who are more likely to experience severe symptoms. A recent study published in the journal Communications Medicine suggests that older people, as well as people with weakened immune systems and those who experienced severe COVID-19 the first time around, are at a greater risk for a severe case if they’re reinfected. Less certain? Whether multiple bouts of COVID-19 raise your chances of experiencing what’s known as long COVID — the persistence of symptoms such as fatigue, fever, cough and difficulty concentrating that last for at least three months postinfection.   A study published in 2022 in Nature Medicine found that people who got COVID-19 at least twice were more than three times as likely to develop short-term and long-term health effects , including lung and heart issues, and over 1.5 times as likely to have a neurological disorder, including brain fog and strokes, compared to those who were infected once. “While we know that vaccines are protective from most complications from COVID, especially the very severe ones, it’s not quite perfect when it comes to long COVID,” Sala says. “We have some data that suggest that the higher number of infections puts you at greater risk of having long COVID at some point. But even that isn’t always consistent.”   How to avoid reinfection You might think COVID-19 takes a break in the summer — like many other common respiratory viruses — but that’s not true. Unlike the flu, which comes on strong in the winter and disappears during the summer, COVID never leaves, Schaffner says. Although the usual tendency is to spend more time outdoors during summer months, which reduces the risk of infection, record-breaking temperatures mean people are finding relief indoors. “That provides opportunities for these COVID variants to spread because they’re very contagious,” Schaffner says. “The variants tend to produce milder disease, but high-risk groups are more likely to develop serious disease even if they get infected with these omicron variants.” What to do? The usual: Stay up to date with vaccines, use common sense precautions like masking up when you’re in crowded spaces, test as soon as possible if you experience symptoms, and use antiviral medications like Paxlovid if you do test positive, since controlling the virus as quickly as possible can help reduce any long-term or lingering effects. These measures are especially important for people 50-plus and those with medical conditions like heart disease, obesity, diabetes or chronic lung disease , the Centers for Disease Control and Prevention says. “What we have to remember is that COVID has not gone away; it’s still with us,” Schaffner says. “Older people who get infected are more apt to get severe COVID, and there is a tendency for long COVID to develop more frequently after severe disease — all the more reason for us to be prudent when we know COVID is out there circulating.”   Kimberly Goad is a New York-based journalist who has covered health for some of the nation’s top consumer publications. Her work has appeared in  Women’s Health ,  Prevention , Health and Reader's Digest .
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[Continue](https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/) [Cancel](https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/) [Health](https://www.aarp.org/health/) # What Happens to Older Adults Who Get COVID-19 Multiple Times? ## Amid a summer surge, doctors remind older adults that repeat infections can cause more severe symptoms *** By Kimberly Goad, AARP 18 Comments [En español](https://www.aarp.org/espanol/salud/enfermedades-y-tratamientos/info-2024/contraer-covid-varias-veces-personas-mayores.html) Published July 31, 2024 ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![covid molecules in an hourglass](https://aarp.widen.net/content/ncxdhjab2f/jpeg/102377_OlderAdultsWhoKeepGettingCOVID.jpg?crop=true&anchor=0,0&q=80&color=ffffffff&u=mh5igy&w=1140&h=655) Getty Images - [Facebook](http://www.facebook.com/sharer/sharer.php?u=https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/) - [Twitter](http://twitter.com/intent/tweet?url=https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/&related=CreateTheGood&text=What%2520Happens%2520to%2520Older%2520Adults%2520Who%2520Get%2520COVID-19%2520Multiple%2520Times?%2520) - [LinkedIn](https://www.linkedin.com/shareArticle?mini=true&url=https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/&title=What%2520Happens%2520to%2520Older%2520Adults%2520Who%2520Get%2520COVID-19%2520Multiple%2520Times?%2520) If ever there was a silver lining to getting [COVID-19](https://www.aarp.org/health/conditions-treatments/coronavirus-facts/ "covid FAQ") in the early days of the pandemic, it might have been this belief: Once you caught it, you most likely wouldn’t get it again. Check that box. Your turn was over. Or so went the conventional wisdom. Members only [aarp/about-aarp]() [Sign up for AARP's Weekly 'Webletter' The best of AARP in your inbox every week! Receive the latest money tips, scam alerts, health trends, games and more.](https://secure.aarp.org/applications/user/auth?promo=AWEBNWSLT&referrer=https://secure.aarp.org/applications/user/subscribeFromEmail?promo=AWEBNWSLT&id=11724) Members only “As we learned more about COVID, we discovered it could [mutate even faster](https://www.aarp.org/health/conditions-treatments/new-covid-variant-flirt/ "new covid variants") than influenza, and one could be reinfected,” says William Schaffner, M.D., professor of infectious diseases at Vanderbilt University Medical Center in Nashville, Tennessee. And not just once or twice but multiple times. #### **Find COVID-19 vaccines in your state** AARP's [53 state and territory COVID-19 vaccine guides](https://www.aarp.org/health/conditions-treatments/covid-vaccine-state-guides/ "state vaccine guides") can help you find vaccines near you and provide the latest answers to common questions about costs, eligibility and availability. While most people can count on their immune system to do its job and protect them against reinfection, that protection lasts for only about three to four months after your [most recent vaccine](https://www.aarp.org/health/conditions-treatments/cdc-spring-covid-vaccine/ "updated covid vaccines") or infection. Then the immune response begins to wane. “The vaccine provides protection against severe disease,” Schaffner explains, “but it’s not as good at preventing transmission from one to another.” The good news: For many people, subsequent infections [will be as mild as or maybe milder](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961977/ "repeat infection severity study") than their first bout with COVID-19, suggests a review of research published in 2023 in the *International Journal of Environmental Research and Public Health*. “Repeat infections are likely for all, much as they are for other viruses that cause respiratory infections,” says Paul Sax, M.D., clinical director of the division of infectious diseases at Brigham and Women’s Hospital in Boston and professor of medicine at Harvard Medical School. And generally, these repeat infections are milder than the first, he explains, due to the immunity the body has accumulated from vaccines and any prior infections. There are exceptions, Sax adds. “But this is the primary reason why even though COVID hasn’t gone anywhere, we have never come close to the hospitalization numbers we had in the first two years of the pandemic,” he says. That doesn’t mean, however, that reinfections are risk-free. ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![newsletter-naw-tablet](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/articleimage.coreimg.75.1140.jpeg/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_tablet.jpg) AARP NEWSLETTERS ![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![Mujer leyendo tableta](https://cdn.aarp.net/content/dam/experience-fragments/uxdia-folder-structure/en/next-action-widgets/newsletter_naw/Newsletter_NAW/health/_jcr_content/root/responsivegrid/container_copy/container/container/articleimage.coreimg.75.1140.png/content/dam/aarp/QA_bucket/widgetimages/newsletter_NAW_desktop.png) Get the Your Health newsletter from AARP **Sign up for the latest health news, fitness and nutrition updates and more\!** [See All Newsletters](https://www.aarp.org/newsletters/) [Privacy Hub](https://www.aarp.org/privacy/ "privacy hub link") ARTICLE CONTINUES AFTER ADVERTISEMENT ### **Common but not harmless** [Four-plus years since the pandemic began](https://www.aarp.org/health/conditions-treatments/covid-still-affects-older-adults/ "COVID still affects older adults") and it’s still too soon to have any definitive answers about the dangers of getting COVID-19 multiple times, says Marc Sala, M.D., codirector of the Northwestern Medicine Comprehensive COVID-19 Center in Illinois. “The virus is novel enough that we need long-term data and a large population to know what the collateral effects are for having had COVID multiple times,” he says. “We just haven’t had the follow-up time for it.” Members only [Entertainment]() [AARP TV for Grownups TV show reviews, news and celebrity interviews](https://www.aarp.org/membership/benefits/entertainment/tv-for-grownups/) Members only Although doctors and scientists are still trying to get a handle on the health consequences of getting reinfected, this much seems certain: There is no such thing as risk-free COVID-19. That’s especially true for people who are more likely to experience severe symptoms. A recent study published in the journal *Communications Medicine* suggests that older people, as well as people with weakened immune systems and those who experienced severe COVID-19 the first time around, are at a [greater risk for a severe case](https://www.nature.com/articles/s43856-024-00539-2 "weakened immune response and repeat infection") if they’re reinfected. Less certain? Whether multiple bouts of COVID-19 raise your chances of experiencing what’s known as long COVID — the persistence of symptoms such as fatigue, fever, cough and difficulty concentrating that last for at least three months postinfection. A study published in 2022 in *Nature Medicine* found that people who got COVID-19 at least twice were more than three times as likely to [develop short-term and long-term health effects](https://www.nature.com/articles/s41591-022-02051-3 "repeat infection and health effects"), including lung and heart issues, and over 1.5 times as likely to have a neurological disorder, including brain fog and strokes, compared to those who were infected once. “While we know that vaccines are protective from most complications from COVID, especially the very severe ones, it’s not quite perfect when it comes to long COVID,” Sala says. “We have some data that suggest that the higher number of infections puts you at greater risk of having long COVID at some point. But even that isn’t always consistent.” ARTICLE CONTINUES AFTER ADVERTISEMENT ### **How to avoid reinfection** You might think COVID-19 takes a break in the summer — like many other common respiratory viruses — but that’s not true. Unlike the flu, which comes on strong in the winter and disappears during the summer, COVID never leaves, Schaffner says. Although the usual tendency is to spend more time outdoors during summer months, which reduces the risk of infection, [record-breaking temperatures](https://www.aarp.org/health/conditions-treatments/extreme-heat/ "extreme heat") mean people are finding relief indoors. “That provides opportunities for these COVID variants to spread because they’re very contagious,” Schaffner says. “The variants tend to produce milder disease, but high-risk groups are more likely to develop serious disease even if they get infected with these omicron variants.” What to do? The usual: Stay up to date with vaccines, use common sense precautions like masking up when you’re in crowded spaces, test as soon as possible if you experience symptoms, and [use antiviral medications](https://www.aarp.org/health/drugs-supplements/are-paxlovid-covid-treatments-still-free/ "are covid treatments still free") like Paxlovid if you do test positive, since controlling the virus as quickly as possible can help reduce any long-term or lingering effects. These measures are especially important for people 50-plus and those with medical conditions like heart disease, obesity, diabetes or [chronic lung disease](https://www.aarp.org/health/conditions-treatments/copd-and-other-lung-disease-warning-signs/ "lung disease"), the Centers for Disease Control and Prevention says. “What we have to remember is that COVID has not gone away; it’s still with us,” Schaffner says. “Older people who get infected are more apt to get severe COVID, and there is a tendency for long COVID to develop more frequently after severe disease — all the more reason for us to be prudent when we know COVID is out there circulating.” [%{postComment}%](https://www.aarp.org/health/conditions-treatments/how-covid-reinfection-affects-older-adults/#comments_widget_id) *Kimberly Goad is a New York-based journalist who has covered health for some of the nation’s top consumer publications. Her work has appeared in* Women’s Health*,* Prevention*,* Health *and* Reader's Digest*.* Unlock Access to AARP Members Edition [Join AARP to Continue](https://appsec.aarp.org/mem/join?campaignID=UBJFMOA23&intcmp=MEM-ONLY-ACCESS) Already a Member? 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Ja JanJ112454 August 22, 2024 95 Masks. Been using this whole time, family of 4 adults, all Novids! Why is it considered a 4 letter word? reply 3 share report 0 0 older replies show older replies 2. #### Comment by sm8332. sm sm8332 August 19, 2024 Want to avoid Covid? Be sure to have avoided the vaccine. reply 2 share report 0 0 older replies show older replies 3. #### Comment by Hades. Ha Hades August 2, 2024 It appears you can’t say certain things on here. reply 2 replies 2 share report 0 0 older replies show older replies - #### Reply by 2Papa. 2P 2Papa August 3, 2024 Reply to Hades They are using AI editing. reply 1 reply 0 share report - #### Reply by Hades. Ha Hades August 4, 2024 Reply to 2Papa That’s why I like X reply 0 share report 4. #### Comment by PatriciaR308840. Pa PatriciaR308840 August 2, 2024 My sister caught Covid again. She travels a lot and sat next to a preteen that was constantly blowing her nose. I don’t think I ever had it . I’m afraid for my sister. reply 1 reply 1 share report 0 0 older replies show older replies - #### Reply by Hades. Ha Hades August 2, 2024 Reply to PatriciaR308840 What?đŸ‘€đŸ€”edited reply 0 share report 5. #### Comment by dmthies. dm dmthies July 31, 2024 I have had COVID twice, 2022 and 2023, and I have had 7 COVID shots. The symptoms of the 2nd case were not as bad as the first, which was not severe for me. I am a 77-yr old male in good physical condition.edited reply 1 reply 5 share report 0 0 older replies show older replies - #### Reply by Hades. Ha Hades August 2, 2024 Reply to dmthies 7 shots? What? I have had zero. And fine. That’s not the one to worry about. Things like influenza and str thr. oat. 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![](https://cdn.aarp.net/etc/uxdia/images/uxdia-spinner.svg) ![covid molecules in an hourglass](https://aarp.widen.net/content/ncxdhjab2f/jpeg/102377_OlderAdultsWhoKeepGettingCOVID.jpg?crop=true&anchor=0,0&q=80&color=ffffffff&u=mh5igy&w=1140&h=655) Getty Images If ever there was a silver lining to getting [COVID-19](https://www.aarp.org/health/conditions-treatments/coronavirus-facts/ "covid FAQ") in the early days of the pandemic, it might have been this belief: Once you caught it, you most likely wouldn’t get it again. Check that box. Your turn was over. Or so went the conventional wisdom. “As we learned more about COVID, we discovered it could [mutate even faster](https://www.aarp.org/health/conditions-treatments/new-covid-variant-flirt/ "new covid variants") than influenza, and one could be reinfected,” says William Schaffner, M.D., professor of infectious diseases at Vanderbilt University Medical Center in Nashville, Tennessee. And not just once or twice but multiple times. While most people can count on their immune system to do its job and protect them against reinfection, that protection lasts for only about three to four months after your [most recent vaccine](https://www.aarp.org/health/conditions-treatments/cdc-spring-covid-vaccine/ "updated covid vaccines") or infection. Then the immune response begins to wane. “The vaccine provides protection against severe disease,” Schaffner explains, “but it’s not as good at preventing transmission from one to another.” The good news: For many people, subsequent infections [will be as mild as or maybe milder](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961977/ "repeat infection severity study") than their first bout with COVID-19, suggests a review of research published in 2023 in the *International Journal of Environmental Research and Public Health*. “Repeat infections are likely for all, much as they are for other viruses that cause respiratory infections,” says Paul Sax, M.D., clinical director of the division of infectious diseases at Brigham and Women’s Hospital in Boston and professor of medicine at Harvard Medical School. And generally, these repeat infections are milder than the first, he explains, due to the immunity the body has accumulated from vaccines and any prior infections. There are exceptions, Sax adds. “But this is the primary reason why even though COVID hasn’t gone anywhere, we have never come close to the hospitalization numbers we had in the first two years of the pandemic,” he says. That doesn’t mean, however, that reinfections are risk-free. ### **Common but not harmless** [Four-plus years since the pandemic began](https://www.aarp.org/health/conditions-treatments/covid-still-affects-older-adults/ "COVID still affects older adults") and it’s still too soon to have any definitive answers about the dangers of getting COVID-19 multiple times, says Marc Sala, M.D., codirector of the Northwestern Medicine Comprehensive COVID-19 Center in Illinois. “The virus is novel enough that we need long-term data and a large population to know what the collateral effects are for having had COVID multiple times,” he says. “We just haven’t had the follow-up time for it.” Although doctors and scientists are still trying to get a handle on the health consequences of getting reinfected, this much seems certain: There is no such thing as risk-free COVID-19. That’s especially true for people who are more likely to experience severe symptoms. A recent study published in the journal *Communications Medicine* suggests that older people, as well as people with weakened immune systems and those who experienced severe COVID-19 the first time around, are at a [greater risk for a severe case](https://www.nature.com/articles/s43856-024-00539-2 "weakened immune response and repeat infection") if they’re reinfected. Less certain? Whether multiple bouts of COVID-19 raise your chances of experiencing what’s known as long COVID — the persistence of symptoms such as fatigue, fever, cough and difficulty concentrating that last for at least three months postinfection. A study published in 2022 in *Nature Medicine* found that people who got COVID-19 at least twice were more than three times as likely to [develop short-term and long-term health effects](https://www.nature.com/articles/s41591-022-02051-3 "repeat infection and health effects"), including lung and heart issues, and over 1.5 times as likely to have a neurological disorder, including brain fog and strokes, compared to those who were infected once. “While we know that vaccines are protective from most complications from COVID, especially the very severe ones, it’s not quite perfect when it comes to long COVID,” Sala says. “We have some data that suggest that the higher number of infections puts you at greater risk of having long COVID at some point. But even that isn’t always consistent.” ### **How to avoid reinfection** You might think COVID-19 takes a break in the summer — like many other common respiratory viruses — but that’s not true. Unlike the flu, which comes on strong in the winter and disappears during the summer, COVID never leaves, Schaffner says. Although the usual tendency is to spend more time outdoors during summer months, which reduces the risk of infection, [record-breaking temperatures](https://www.aarp.org/health/conditions-treatments/extreme-heat/ "extreme heat") mean people are finding relief indoors. “That provides opportunities for these COVID variants to spread because they’re very contagious,” Schaffner says. “The variants tend to produce milder disease, but high-risk groups are more likely to develop serious disease even if they get infected with these omicron variants.” What to do? The usual: Stay up to date with vaccines, use common sense precautions like masking up when you’re in crowded spaces, test as soon as possible if you experience symptoms, and [use antiviral medications](https://www.aarp.org/health/drugs-supplements/are-paxlovid-covid-treatments-still-free/ "are covid treatments still free") like Paxlovid if you do test positive, since controlling the virus as quickly as possible can help reduce any long-term or lingering effects. These measures are especially important for people 50-plus and those with medical conditions like heart disease, obesity, diabetes or [chronic lung disease](https://www.aarp.org/health/conditions-treatments/copd-and-other-lung-disease-warning-signs/ "lung disease"), the Centers for Disease Control and Prevention says. “What we have to remember is that COVID has not gone away; it’s still with us,” Schaffner says. “Older people who get infected are more apt to get severe COVID, and there is a tendency for long COVID to develop more frequently after severe disease — all the more reason for us to be prudent when we know COVID is out there circulating.” *Kimberly Goad is a New York-based journalist who has covered health for some of the nation’s top consumer publications. Her work has appeared in* Women’s Health*,* Prevention*,* Health *and* Reader's Digest*.*
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