text: Recognizing the Clinical Sequelae of COVID 19 in Adults COVID 19 Long Haulers As the numbers of acute severe acute respiratory syndrome coronavirus 2 infections continue to rise we are learning that symptoms do not resolve quickly in all patients Although why some patients experience persistent symptoms is not clear these individuals suffer Long hauler is the term that is associated with these persistent symptoms and this review of the literature provides information to nurse practitioners working in primary care about symptoms risk factors and resources for disease management 