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Swine Flu (Influenza A H1N1)

Medically Reviewed.Last updated on 10/20/2026.

Swine flu (influenza A H1N1) is a viral infection that affects your respiratory system. It gained worldwide attention during the 2009 pandemic. Now, it’s one of the viruses that cause seasonal flu. Symptoms are similar to other types of flu. Most people recover with rest and supportive care, but some are at higher risk for serious illness.

What Is Swine Flu (Influenza A H1N1)?

Swine flu is a viral infection caused by the influenza A (H1N1) virus. It causes many of the same symptoms as seasonal flu, including fever, cough, sore throat, body aches and fatigue.

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The term “swine flu” became widely known during the 2009 H1N1 flu pandemic. That strain contained a unique mix of influenza viruses that were previously found in pigs, birds and humans. The virus spread quickly around the world, causing millions of illnesses and hundreds of thousands of deaths.

Today, the H1N1 virus is still one of the strains responsible for seasonal flu. Healthcare providers usually refer to it as influenza A (H1N1), but many people still know it as swine flu. The virus is included in annual seasonal flu vaccines.

Symptoms and Causes

Symptoms of H1N1 influenza

Swine flu symptoms are similar to those of other types of seasonal flu. They usually begin suddenly and can range from mild to severe. H1N1 symptoms may include:

  • Fever
  • Chills
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Headache
  • Muscle aches
  • Fatigue
  • Shortness of breath
  • Nausea, vomiting or diarrhea (more common in children)

Swine flu (H1N1) causes

Swine flu happens when you’re infected with the influenza A (H1N1) virus.

The virus spreads from person to person through respiratory droplets released when someone coughs, sneezes, talks or breathes. You can also become infected by touching a contaminated surface and then touching your eyes, nose or mouth. But this is a less common way the virus spreads.

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Risk factors

Anyone can get swine flu. But you’re more likely to develop serious illness or complications if you have:

  • Asthma or chronic lung disease
  • Heart disease
  • Diabetes
  • A weakened immune system
  • Certain neurologic conditions

You’re also at risk if you’re pregnant, over age 65, or live in a nursing home or long-term care facility. Children younger than 5 are also at a higher risk.

How to lower your risk

The best way to reduce your risk is to get a flu vaccine every year. Seasonal flu vaccines are designed to protect against the influenza viruses expected to circulate during that flu season, including influenza A (H1N1).

Other ways you can reduce your risk include:

  • Washing your hands often
  • Avoiding close contact with people who are sick
  • Covering your coughs and sneezes
  • Staying home when you’re sick
  • Avoiding touching your eyes, nose and mouth with unwashed hands

Complications of swine flu

Most people recover without complications. But severe cases can lead to:

In rare cases, flu-related complications can be life-threatening.

Diagnosis and Tests

How doctors diagnose this condition

A healthcare provider may diagnose swine flu based on your symptoms and the time of year. If testing is needed, your provider may collect a sample from your nose or throat using a swab.

Tests may include:

  • Rapid influenza diagnostic tests
  • Molecular tests, like PCR testing
  • Other respiratory virus tests

Testing may be more likely if you have a high risk for complications, are hospitalized or have severe symptoms.

Management and Treatment

How is swine flu treated?

Most people with swine flu can recover at home with rest, fluids and symptom relief.

Your healthcare provider may prescribe an antiviral medication if treatment begins within the first few days that you have symptoms. Antivirals can shorten the illness and reduce your risk of serious complications.

Antiviral medications include:

Your provider will determine whether antiviral treatment is appropriate for you.

Recovery time

Most people begin feeling better within a few days and recover within one to two weeks. Some symptoms, especially fatigue and cough, may last longer.

When should I see my healthcare provider?

Contact your provider if:

  • Your symptoms are severe.
  • You have a high-risk health condition.
  • Your symptoms improve and then suddenly worsen.
  • You’re worried about dehydration.

Seek emergency medical care if you have:

  • Trouble breathing
  • Chest pain
  • Severe weakness
  • Confusion
  • Bluish lips or face

Outlook / Prognosis

What can I expect if I have this condition?

Most people recover fully from swine flu without long-term effects.

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But certain groups have a higher risk of serious illness and complications. Early treatment may help reduce the risk of severe disease in these people.

Is there anything I can do to feel better?

While recovering from swine flu, it may help to:

  • Get plenty of rest.
  • Drink fluids to prevent dehydration.
  • Use over-the-counter medications for fever and aches.
  • Use a humidifier to ease congestion and coughing.
  • Avoid strenuous activity until you feel better.

A note from Cleveland Clinic

The term “swine flu” may bring back memories of the 2009 pandemic. But today, H1N1 is simply one of the viruses that causes seasonal flu. Most people recover without complications, especially with rest and supportive care. Staying up to date on your annual flu vaccine remains one of the best ways to protect yourself. If you develop severe symptoms or have a higher risk of complications, contact a healthcare provider.

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Medically Reviewed.Last updated on 10/20/2026.

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References

Cleveland Clinic’s health articles are based on evidence-backed information and review by medical professionals to ensure accuracy, reliability and up-to-date clinical standards.

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