Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: 77 year old MALE with PMH significant for recent NSTEMI (6/30/2024 sp LHC (no intervention), recent covid infection (1 mtn ago), Afib (on eliquis), severe COPD Gold Grade 4(FEV<30%), GroupD on 3-4L O2 NC at home, dilated cardiomyopathy (EtOH?) LVEF 55-60%, HTN, HLD, chronic cystitis, severe spinal stenosis, sacral wounds (follows with wound care) and previous smoker presented to hospital with dyspnea from his living facility. Patient admitted to the MICU for acute hypoxic respiratory failure requiring bipap secondary to concern for COPD exacerbation and decompensated diastolic heart failure exacerbation. Patient underwent treatment with steroids and azithromycin for COPD exacerbation and decompensated diastolic heart failure. He was downgraded to the medicine team on 9/2. Patient became stable and was discharged on 9/6. Other Relevant HX: PMH significant for NSTEMI, sp LHC, covid infection, Afib, severe COPD Gold Grade 4(FEV<30%),GroupD on 3-4L O2 NC at home, dilated cardiomyopathy, LVEF 55-60%, HTN, HLD, chronic cystitis, severe spinal stenosis, sacral wounds, and previous smoker. Other: Hospitalization due to Covid-19 infection after having received Covid-19 Vaccination