Since SARS-CoV-2 spreads rapidly around the world, data have been needed on the natural fluctuation of viral load and clinical indicators associated with it. We measured and compared viral loads of SARS-CoV-2 from pharyngeal swab, IgM anti-SARS-CoV-2, CRP and SAA from serum of 114 COVID-19 patients on admission. Positive rates of IgM anti-SARS-CoV-2, CRP and SAA were 80.7%, 36% and 75.4% respectively. Among IgMpositive patients, viral loads showed different trends among cases with different severity, While viral loads of IgM-negative patients tended to increase along with the time after onset. As the worsening of severity, the positive rates of CRP and SAA also showed trends of increase. Different CRP/SAA type showed associations with viral loads in patients in different severity and different time after onset. Combination of the IgM and CRP/SAA with time after onset and severity may give suggestions on the viral load and condition judgment of COVID-19 patients. Dear Editor I'm sending a original article entitled "Association of Viral Load With Serum Biomakers Among COVID-19 Cases", which we would like to submit for publication in VIROLOGY. No part of this article has been published or submitted elsewhere, and no conflict of interest exists in the submission of this manuscript. In this article, we investigated the natural fluctuation of viral load among COVID-19 cases before antiviral therapy and the serum biomarkers associated with it. We found the viral loads had different trends and peaked at different time among COVID-19 patients. Combining the detection of IgM anti-SARS-CoV-2, C-reactive protein and Serum amyloid A may give suggestions on the viral load and condition judgment of COVID-19 patients at different stages of illness. The changes of viral load among patients of different clinical severity and different time after onset also can be tracked and used to inform public health policies to prevent the spread of SARS-CoV-2. The findings may facilitate the prevention and control of COVID-19.