Adverse Event Reporting

VAERS ID 952301
Gender Male
Age 19
StateCode CA
Pharmaceutical Company MODERNA
Lot Number 025L20A
Number of vaccinations 1
Vaccinated 2021-01-11
Onset 2021-01-15
Condition Permanent Disability
Symptoms
  • Tinnitus
  • Computerised tomogram normal
  • Deafness unilateral
  • Hypoacusis
  • Deafness
  • Sudden hearing loss

Current Illness

None (Not an illness, but was on Keto diet over a month ago)

Preexisting Conditions

None

Other Medications

Vitamin C

Previous Vaccinations

Allergies

None

Laboratory Data

CT scan Jan 15 shows clear.
Jan 18- to see ENT specialist.

Write-up

Jan 11-vaccination day.
On Jan 14, in afternoon had tinnitus and muffled hearing that went away.
The next morning Jan15, complete sudden hearing loss on left ear.
Tinnitus and muffled hearing that has not went away.