Reported Symptoms: 10054115:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Patient is a 76 year old MALE with PMH of COPD on 4L home 02, previous PE on apixaban, and recent COVID + status who presents to the ED with increased difficulty breathing and worsening dyspnea. He was admitted 08/28/2024. Patient was recently seen in the ED on 08/23 for complaint of feeling unwell and increased shortness of breath with increased 02 requirements and was diagnosed with COVID 19 at that time, and started on molnupiravir. Over the weekend patient states that he did not get any better despite therapy, and today he feels subjectively worse than previous so decided to seek care. He denies any chest pain, palpitations, vomiting, diarrhea, headache. Pt was admitted and then after being medically stabilized he was discharged 09/02/2024. Patient was encouraged to seek out his pulmonologist for follow up appointment and to get prescription for specific at home oxygen usage. Other Relevant HX: PMH of Gout, BPH, Essential hypertension, Chronic obstructive lung disease, Vitamin B12 deficiency, Obesity, Gastroesophageal reflux disease, Pulmonary embolism, and Raised prostate specific antigen. Other: : Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination