From the 1/15/2021 release of VAERS data:

This is VAERS ID 91555

Case Details

VAERS ID:	91555 (history)
Form:	Version 1.0
Age:	56.0
Sex:	Female
Location:	California

Vaccinated:	1996-09-21
Onset:	1996-09-21
Days after vaccination:	0
Submitted:	1996-10-15
Days after onset:	24
Entered:	1996-11-04
Days after submission:	20

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH	4968188 / UNK	- / -

Administered by: Other Purchased by: Private
Symptoms: Deafness, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Premarin
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI, ear exam, blood work
CDC Split Type:

Write-up: pt recv vax 1PM 21SEP96 & later had an eye exam & went home;about 4PM took a nap;around 5PM woke up lt ear was ringing loudly about 6PM pt daughter called & pt stated could not hear at all from left ear;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=91555