Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084268:COVID-19; Narrative: Pt was admitted October 3rd, 2024. Patient is a 60 year old MALE who was admitted to the ED due to 3 days of shortness of breath. Pmhx of hypertension, substance use disorder, alcohol use disorder (abstinent for > 1 year) and tobacco use (last use 1 month ago). Pt states that his SOB has been persistent for the past three days. Nothing has relieved it, and it is worsened with exercise and laying down flat while trying to sleep. He has never had these symptoms before. Pt states that while he has been tired, he does get woken up multiple times by it, and ends up gasping for breath. Pt stated that he had no illness before leading up to his SOB. He denies systemic symptoms, no fevers, chills. Patient was also found to be Covid positive in the ED and he recieved remdesivir 200mg once and 2 days of 100mg for symptoms. Symptomatic treatment was continued during hospitalization. Pt became medically stable was discharged on October 5th, 2024 Other Relevant HX: 1. gerd 2. hypertension 3. h/o cocaine and etoh abuse 4. s/p right bunionectomy 2001 5. Major-Recurernt 6. Dupuytren’s disease of palm of bilateral hands (16314671000119104) 7. Inguinal hernia, without mention of obstruction or gangrene 8. Hypertension (38341003) 9. Sciatica * 10. Chronic back pain (134407002) 11. Esophageal Reflux 12. Polysubstance dependence 13. Plantar fibromatosis * 14. Bipolar affective disorder (13746004) 15. Pain in left knee