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From the 5/7/2021 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 1262433



Case Details

VAERS ID: 1262433 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-10
Onset:2021-04-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 202A21A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Hypoacusis, Tinnitus
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin 20mg Vitamin D Melatonin (very rarely)
Current Illness: None
Preexisting Conditions: Cholesterol
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I had the COVID 19 Vaccine from Johnson and Johnson on April 10, 2021. (Note that this vaccine is not on your drop down list on item #17. You only list Phizer, Moderna and JANSSEN (not J&J) - this seems like an error in your database.) Anyhow, shortly thereafter I developed or started to notice tinnitus, or a hissing sound in my head. I cannot point to the exact time that I experienced the symptoms. I had been experiencing this for the last couple of weeks, and didn''t even think that it could be a possible association with the vaccine. But then I saw an article in the newspaper about a possible association. So I thought I would report this. I am not sure that there is causation on this, but I did not have tinnitus symptoms 24/7 before I had the vaccine, and now I do. So....maybe if there are enough reports of this there is some correlation ????


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=1262433


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