Got it for the second time at the beginning of last week. My wife had symptoms for a couple of days before she tested positive, and during that period I also started getting a sore throat, which overnight turned into congestion, coughing, and pronounced fatigue. We've gotten to where we try to test as soon as either of us develops any symptoms, because the nature of my wife's work exposes her on a fairly regular basis to people that have it. Like the first time I had it, I immediately got a prescription for Paxlovid, and the symptoms abated significantly after I got through the first few doses.