Formula and Method for COVID-19 Mortality Risk
This calculator estimates a population-level COVID-19 infection fatality rate (IFR) — the estimated probability of death if infected — starting from age, the single strongest known predictor of COVID-19 mortality, and then adjusts that baseline using published relative-risk data for sex, vaccination status, and the presence of chronic health conditions. It is built from peer-reviewed epidemiological research, not from any single patient's medical record, so treat it as an educational estimate rather than a personal prognosis.
How the calculation works
The baseline comes from the age-specific IFR curve published by Levin et al. (European Journal of Epidemiology, 2020): log10(IFR%) = -3.27 + 0.0524 × age. Because this is an exponential (log-linear) relationship, the estimated risk of death roughly doubles every 7-8 years of age. The calculator then multiplies that baseline by three adjustment factors drawn from large cohort studies: about 1.6x for male sex versus female (Williamson et al., Nature, 2020), roughly 0.20x for a completed vaccine primary series or 0.08x for primary series plus booster relative to being unvaccinated (CDC surveillance data), and about 1.3x for each major chronic condition present (diabetes, heart disease, chronic lung disease, obesity, chronic kidney disease, cancer, or immunosuppression), reflecting typical hazard ratios of roughly 1.2-1.4 per condition reported in the OpenSAFELY study of over 17 million patients. The final adjusted estimate is capped at 95% and paired with a relative-risk multiplier showing how far it sits from an unvaccinated same-age peer with no conditions.
Important limitations
- Population averages, not personal prognosis: the formula was fit to aggregate seroprevalence and death data, mostly from 2020-2021; it cannot capture your specific medical history, treatment access, or the behavior of the currently circulating variant.
- Simplified adjustment factors: real hazard ratios vary by condition severity, control status, and combinations of conditions — this tool uses a single representative multiplier per condition for illustration, not a precise clinical risk score.
- Not a diagnosis: results are for general education and public-health literacy. They should never be used to make treatment decisions, and they do not replace guidance from a physician or public health authority.
Why age and vaccination dominate the result
Across nearly every published COVID-19 mortality study, age explains the largest share of variation in outcomes — older adults face substantially higher baseline risk even before any other factor is considered. Vaccination, particularly with a booster dose, has consistently been the single largest modifiable factor shown to reduce that risk, which is why it carries one of the largest multipliers in this calculator.