A prospective cohort study enrolled 105 hospitalized and 73 non-hospitalized COVID-19 patients from April 2020 to April 2021, approved by Johns Hopkins University IRB. Non-hospitalized patients provided oral consent over the phone, while hospitalized patients gave written consent. Blood plasma samples were collected at various time points post-enrollment, with hospitalized patients' samples collected until death or 100 days post-enrollment. SARS-CoV-2 RNA levels were measured via RT-PCR, and SARS-CoV-2 variant inference was based on sample collection dates. Plasma proinflammatory cytokines and chemokines were measured using a custom multiplex kit, and binding antibodies were determined via ELISA. ACE2 binding inhibition and complement activation assays were also performed. ADCC assays and flow cytometry confirmed spike surface expression. Multiplex antibody assays on mucosal samples determined IgG and sIgA responses. Statistical analyses included linear regression, ANOVA, Spearman correlation, and linear mixed-effects modeling. Random forest modeling assessed predictive power of sociodemographic and serological variables for intubation or death outcomes.