My closest friends are from college and we now live in different cities. We communicate on social media and meet once or twice a year in person. We are all in the early stages of our careers and are thud busy so I understand if someone is not able to be as communicative. of this group, I've felt that the relationship has become really one sided with one friend. I initiate everything but when we do meet up it's fun and cathartic but this "close" friend never reaches out to say how are you? happy [festival/occasion] or even respond to my messages. and I've excused it because she is pretty committed to her career and sort of a' out of sight -out of mind' kinda person.

I recently contracted Covid-19. My symptoms are pretty mild but am I being too needy or narcissistic to expect this friend to have checked in with me even once? her boyfriend (who is part of the same friend group) reached out, asked me how I am and to keep him updated. but nada from her.

I am thinking of expressing this to her when we next meet and straight up telling her that it hurt not to have heard from her but part of me knows that this may be an exercise in wasted physical and emotional energy.
additional context: last year this friend group spent labour day, Christmas and memorial weekend together.