The long-term effects of COVID-19 are often referred to interchangeably as long covid and post covid syndrome. Objectives: The study was undertaken to assess the magnitude of post covid health issues among adults and to find out the association between magnitude of post covid health issues and selected socio demographic and clinical variables. Methods: A quantitative research approach was adopted. Using convenience sampling, 200 patients attending medical OPD in a tertiary care Hospital in Ernakulam district, Kerala were enrolled in the study. Structured questionnaires were used to obtain data on sociodemographic, clinical variables and magnitude of post covid health issues. Results: The result revealed that 117 (58.5%) of adults reported persistent post covid symptoms, with 109 (54.5%) had mild post covid symptoms and 8 (4.0%) had moderate symptoms. The major co morbidity was hypertension (17.0%). (59.5%) was diagnosed with COVID-19 with in the span of three years. The most common reported post covid symptoms were hair loss 63 (53.85%), frequent headache 35 (29.91%), insomnia 32 (27.35%) chronic fatigue 29 (24.79%), memory deficit and myalgia 23 (19.66%). Least reported symptom was loss of smell 6 (5.13%) and stomach pain 7 (5.98%). Conclusion: The study showed that magnitude of post covid health issues had significant association with gender, BMI, economic status and chronic lung disease (p<0.05). The persistence of symptoms in people will definitely pose challenges on our health systems.