Massive study tracks 15,000 people to unravel long COVID mysteries
NCT ID NCT05172024
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This large observational study followed over 15,000 adults in the U.S. to learn more about long COVID (Post-Acute Sequelae of SARS-CoV-2 infection). Researchers tracked symptoms, health history, and biological samples over time in both infected and uninfected people. The goal is to identify risk factors and patterns of long COVID, not to test a treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could identify who is at risk for long COVID and what symptoms to expect, guiding future treatments.
- What could go wrong
- This is an observational study, not a treatment trial. It cannot prove what causes long COVID or offer a cure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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15,172 people
The number who actually took part.
- Started
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Oct 2021
- Finished
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Oct 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Infected: Individuals at least 18 years of age meet WHO criteria for suspected, probable or confirmed SARS-CoV-2 infection on or after March 1, 2020. Uninfected: Individuals at least 18 years of age who have never met any of the WHO criteria for suspected, probable or confirmed SARS-CoV-2 infection.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: INFECTED COHORT -- ADULTS WITH SUSPECTED SARS-COV-2 INFECTION -- An adult qualifies as having suspected SARS-CoV-2 infection if meeting criteria a, b or c below: 1. Patients who meet the following clinical criteria plus one of the epidemiological criteria: Clinical Criteria: Acute onset of fever and cough OR acute onset of any three of more of the following signs or symptoms: fever, cough, general weakness /fatigue, headache, myalgia, sore throat, coryza, dyspnea, anorexia/nausea/vomiting, diarrhea, altered mental status. Epidemiological Criteria: 1. Residing or working in an area with a high risk of transmission of virus: closed residential settings, humanitarian settings such as camp and camp-like settings for displaced persons; anytime within the 14 days before symptom onset; or 2. Residing or travel to an area with community transmission anytime within the 14 days before symptom onset; or 3. Working in any health care setting, including within health facilities or within the community; anytime within the 14 days before symptom onset. 2. A patient with severe acute respiratory illness: (acute respiratory infection with history of fever or measured fever of ≥38C°; and cough; with onset within the last 10 days; and requires hospitalization). 3. An asymptomatic person not meeting epidemiologic criteria with a positive SARS-CoV-2 Antigen-RDT. ADULTS WITH PROBABLE SARS-COV-2 INFECTION -- An adult qualifies as having probable SARS-CoV-2 infection if meeting any one of a-d below: 1. A patient who meets clinical criteria for suspected SARS-CoV-2 AND is a contact of a probable or confirmed case or linked to a COVID-19 cluster; 2. A suspect case with chest imaging showing findings suggestive of COVID-19 disease; 3. A person with recent onset of anosmia (loss of smell) or ageusia (loss of taste) in the absence of any other identified cause; 4. Death, not otherwise explained, in an adult with respiratory distress preceding death AND was a contact of a probable or confirmed case or linked to a COVID-19 cluster ADULTS WITH CONFIRMED SARS-COV-2 INFECTION -- An adult qualifies as having confirmed SARS-CoV-2 infection if meeting any one of a-d below: 1. Any person with a positive Nucleic Acid Amplification Test (NAAT); 2. Any person with a positive SARS-CoV-2 Antigen-RDT OR positive SARS-CoV-2 antibody test\* AND meeting either the probable case definition or suspect criteria A OR B; 3. An asymptomatic person with a positive SARS-CoV-2 Antigen-RDT who is a contact of a probable or confirmed case 4. Any person with a positive SARS-CoV-2 nucleocapsid protein antibody test OR a positive SARS-CoV-2 spike protein antibody test IF not vaccinated * (\*)This protocol modifies the WHO criterion b to add detectable SARS-CoV-2 antibody as a qualifying test. UNINFECTED COHORT -- ADULTS WITH NO SARS-COV-2 INFECTION -- * Does not meet WHO criteria for a suspected, probable, or confirmed case of SARS-CoV-2 infection, AND * Has a documented negative SARS-CoV-2 PCR test from a respiratory specimen in the past, if being enrolled as a post-acute control (see XII.H), AND * Has a documented negative SARS-CoV-2 PCR test from a respiratory specimen at the time of enrollment/screening, AND * Has a negative SARS-CoV-2 nucleocapsid protein antibody and spike protein antibody test (spike only if not vaccinated) at the time of enrollment, AND * Live in the same communities or recruited from the same sources as those in the SARS-CoV-2 infected cohort, AND * Note: uninfected individuals may participate independent of their vaccination status Exclusion Criteria: * Individuals who have not yet reached the age of majority * Unable to provide consent * Individuals in hospice care * Any serious medical condition which would prevent long-term participation * Individuals participating in the study NIH RECOVER-Pediatric: Understanding the long-term impact of COVID on children and families * Incarcerated individuals
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Banner University Medical Center (BUMC) - Phoenix
Phoenix, Arizona, 85006, United States
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Bateman Horne Center
Salt Lake City, Utah, 84102, United States
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Beth Israel Deaconess Medical Center (BIDMC)
Boston, Massachusetts, 02215, United States
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Boston University
Boston, Massachusetts, 02215, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Cambridge Health Alliance (CHA)
Cambridge, Massachusetts, 02139, United States
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Case Western Reserve University
Cleveland, Ohio, 44106, United States
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Cedars-Sinai Medical Center
Los Angeles, California, 90048, United States
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ChristianaCare Health System
Newark, Delaware, 19718, United States
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Columbia University
New York, New York, 10032, United States
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Columbia University (Pregnancy)
New York, New York, 10032, United States
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Denver Health and Hospital Authority
Denver, Colorado, 80204, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Emory University
Atlanta, Georgia, 30322, United States
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George Washington University
Washington D.C., District of Columbia, 20052, United States
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Good Samaritan Hospital
Cincinnati, Ohio, 45220, United States
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Harvard Medical School
Boston, Massachusetts, 02115, United States
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Harvard School Of Public Health
Boston, Massachusetts, 02115, United States
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Hispanic Alliance for Clinical and Translational Research
San Juan, 00927, Puerto Rico
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Howard University
Washington D.C., District of Columbia, 20059, United States
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Institute for Systems Biology (ISB)
Seattle, Washington, 98109, United States
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Intermountain Medical Center (Intermountain Healthcare)
Salt Lake City, Utah, 84107, United States
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Kaiser Permanente Georgia
Atlanta, Georgia, 30305, United States
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LDS Hospital - Intermountain Healthcare
Salt Lake City, Utah, 84143, United States
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Louisiana State University (LSU)
New Orleans, Louisiana, 70112, United States
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Louisiana State University - Pennington Biomedical Research Center
Baton Rouge, Louisiana, 70808, United States
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MaineHealth
Portland, Maine, 04101, United States
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Mass General Brigham - Harvard University
Boston, Massachusetts, 02114, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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McKay-Dee Hospital
Ogden, Utah, 84403, United States
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Medical College Of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Hermann Health System
Houston, Texas, 77024, United States
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Metrohealth System
Cleveland, Ohio, 44109, United States
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Miami Valley Hospital
Dayton, Ohio, 45409, United States
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Morehouse School of Medicine (MSM)
Atlanta, Georgia, 30310, United States
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NewYork-Presbyterian Hospital
Queens, New York, 11355, United States
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Northshore University HealthSystem
Glenview, Illinois, 60026, United States
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Northwestern University
Evanston, Illinois, 60208, United States
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Ochsner Health System
New Orleans, Louisiana, 70115, United States
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Prisma Health Upstate
Greenville, South Carolina, 29605, United States
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Providence Regional Medical Center Everett
Everett, Washington, 98201, United States
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Providence Sacred Heart Medical Center
Spokane, Washington, 99204, United States
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Saint Peter's University Hospital
New Brunswick, New Jersey, 08901, United States
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Sanford Health
Sioux Falls, South Dakota, 57106, United States
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St. David's Health Care
Austin, Texas, 78758, United States
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Stanford University
Stanford, California, 94305, United States
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Swedish Medical Center
Seattle, Washington, 98109, United States
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The MetroHealth System (Pregnancy Cohort)
Cleveland, Ohio, 44109, United States
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The Ohio State University - Wexner Medical Center
Columbus, Ohio, 43210, United States
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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Tulane University
New Orleans, Louisiana, 70118, United States
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UTMB Health League City Campus Hospital & Clinics
League City, Texas, 77573, United States
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University Hospitals MacDonald's Women's Hospital
Cleveland, Ohio, 44106, United States
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University Medical Center New Orleans
New Orleans, Louisiana, 70112, United States
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University Of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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University of Alabama at Birmingham (Pregnancy Cohort)
Birmingham, Alabama, 35294, United States
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University of Arizona
Tucson, Arizona, 85724, United States
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University of California San Francisco (Pregnancy Cohort)
San Francisco, California, 94115, United States
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University of California, San Francisco (UCSF)
San Francisco, California, 94143, United States
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University of Colorado Denver
Denver, Colorado, 80204, United States
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University of Hawai'i - Mānoa's John A. Burns School of Medicine
Honolulu, Hawaii, 96822, United States
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University of Illinois at Chicago
Chicago, Illinois, 60608, United States
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University of Kansas Medical Center (KUMC)
Kansas City, Kansas, 66160, United States
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University of Kentucky
Lexington, Kentucky, 40506, United States
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University of Mississippi Medical Center (UMMC)
Jackson, Mississippi, 39216, United States
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University of New Mexico Health Sciences Center
Albuquerque, New Mexico, 87102, United States
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University of North Carolina (UNC) at Chapel Hill
Chapel Hill, North Carolina, 27516, United States
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University of North Dakota
Grand Forks, North Dakota, 58202, United States
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University of Oklahoma Health Sciences Center (OUHSC)
Oklahoma City, Oklahoma, 73104, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Pittsburgh Medical Center (UPMC)
Pittsburgh, Pennsylvania, 15213, United States
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University of South Alabama
Mobile, Alabama, 36688, United States
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University of Texas Health Science Center at Houston
Houston, Texas, 77024, United States
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University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229, United States
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University of Texas Medical Branch (UTMB) Galveston
Galveston, Texas, 77555, United States
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University of Utah
Salt Lake City, Utah, 84112, United States
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University of Utah Health
Salt Lake City, Utah, 84132, United States
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University of Washington
Seattle, Washington, 98104, United States
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Utah Valley Regional Medical Center
Provo, Utah, 84604, United States
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WakeMed Health & Hospitals
Raleigh, North Carolina, 27610, United States
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West Virginia University
Morgantown, West Virginia, 26506, United States
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Women & Infants Hospital
Providence, Rhode Island, 02905, United States
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Yale School of Medicine (YSM)
New Haven, Connecticut, 06510, United States
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