We are told not to worry about breakthrough cases because they are ‘mild’ – but long Covid is anything but mild

On 1 May, the US Centers for Disease Control and Prevention stopped tracking breakthrough infections that did not lead to hospitalization or death. Its rationale was to “​​maximize the quality of the data collected on cases of greatest clinical and public health importance”, making the continued assumption that non-hospitalized Covid cases are not important but “mild”: without complications, manageable at home, where patients fully recover in two weeks.

I have dealt with persistent symptoms for 17 months – an illness now called “long Covid” – and not collecting data based on this assumption is an enormous mistake, one that has persisted throughout the pandemic and has severe consequences moving forward.

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