live photos are the few seconds records ?
Picking a different frame doesn't impact visual quality on a mobile screen, but it was quite a noticeable IQ drop on a 4k/5k display.
Things might be different on newer iPhones and the latest iOS.
It does pull multiple full frames off the sensor in rapid exposure tho, and chooses whichever one it thinks best (blur, ML, whatever) for the initial key photo.