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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1424214



Case Details

VAERS ID: 1424214 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-05-10
Onset:2021-06-04
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Magnetic resonance imaging head, Sudden hearing loss, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Famotadine 40mg
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: On 6/4/21 at 11:30 am, I went deaf in my right ear suddenly. It started with tinnitus and I went deaf over the course of a few minutes. 6/4/21 Urgent care visit : hearing test, no sound detected in right ear 6/7/21 ENT specialist visit: Hearing test for baseline, diagnosed sudden onset hearing loss 6/14/21 ENT specialist visit: Hearing test shows no significant improvement: 6/22/21 MRI of head done: (results not in yet)
CDC Split Type:

Write-up: On 6/4/21 at 11:30 am, I went deaf in my right ear suddenly. It started with tinnitus and I went deaf over the course of a few minutes. 6/4/21 Urgent care visit: no sound detected in right ear 6/4/21 Emergency room visit: Oral steroid prescribed. 6/7/21 ENT specialist visit: Hearing test for baseline, diagnosed sudden onset hearing loss and additional oral Steroids prescribed. 6/14/21 ENT specialist visit: Hearing test shows no significant improvement: Steroid injections into ear prescribed and done in office 6/21/21 ENT specialist visit: 2nd steroid injection into ear done. 6/22/21 MRI of head done: (results not in yet) Future 6/25/21: ENT specialist visit: 3rd steroid injection into ear scheduled.


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