text: Update to post acute sequelae of SARS CoV 2 infection Caring for the long haulers An estimated 10 of COVID 19 survivors continue to experience symptoms several weeks to months after the appearance of initial symptoms a condition termed post acute sequelae of SARS CoV 2 infection PASC These patients also called long haulers most commonly report protracted symptoms of fatigue cough dyspnea chest tightness difficulty concentrating arthralgia olfactory dysfunction and headache While age comorbid medical conditions and COVID 19 severity are suspected risk factors for PASC young and previously healthy individuals with mild COVID 19 are also at risk Recognition of symptoms evaluation supportive treatment and attention to medical comorbidities are the cornerstones of medical management 