Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus, Tympanic membrane perforation, Vertigo
Clinical narrative: July 9, 2022 ? Received 2nd booster of Moderna at pharmacy July 10, 2022 ? Sneezing attack in AM. July 11, 2022 ? Left ear plugged, put swimmer?s ear fluid in left ear July 12 2022 ? Woke up and left ear was partially plugged and right ear didn?t hear July 13, 2022 ? Went to Dr. Office and was seen by staff and Dr. prescribed Amoxicillin and given Zyrtec, after advising that both ears were filled with fluid and left ear was black July 14, 2022 ? Experienced balance problems and vertigo July 26, 2022 ? Went back to see Dr. and advised her that left ear was working but right ear was not and could not be popped.  Examined and advised that both ears looked healthy.  She referred me to Dr. for audiologist exam and follow-up August 3, 2022 - for Dr.?s ENT office at 3:00 PM  Audiologist, put me in booth and tested hearing.  Left ear OK, Right ear complete hearing loss.  Followed with talk from Nurse Practitioner.  Prescribed Prednisone Tapered Dose. August 4, 2022 ? Telemedicine call with Dr.  Discussed and scheduled steroid injections in ear beginning August 9th.  Prognosis for recovery of hearing poor and unlikely that hearing aids would help. August 9, 2022 ? 4:00 PM ? First ear steroid injection by Dr.  with support.  Phenol Anesthesia shot burned quite a bit.  Injection not so much.  Turned on left side for 20 minutes.  Initial intense dizziness.  Talked with staff and successfully drove home.  Ribs and corn on the cob for dinner were difficult as anesthesia created facial drooping including inability to chew.  More significant, right eye would not close.  Built eye patch and placed over closed eyelid.  Went to bed.  3 hours later, woke up and removed patch.  Eyelid working correctly.  Major pain in right ear for 3 more hours.  Fed cat at 3 AM and felt much better (no eye or ear pain). August 16, 2022 Second ear steroid injection went fine.  No anesthesia shots. August 22, 2022 Third ear steroid injection went fine.  No anesthesia shots. September 1, 2022 Fourth and Final ear steroid injection went fine.  No anesthesia shots. September 22, 2022 Follow up audiometry with Dr. with consultation from D.  October 4, 2022  Cochlear Implant Evaluation and audiometry with audiologist.  The hearing test had several concerning events.  Audiologist was unable to block the hearing of my good ear when doing listening tests.  She need help from an assistant who tried to make a plug fit in my left ear.  At the end of the session, audiologist accidentally amplified the sound in my good left ear to the maximum.  It hurt so much I tore the speaker out of my ear.  Following that experience, my left ear suffered pain and hearing loss, hopefully note permanent.  She said there should not be a hearing problem since it was only 110 dB.   As a result of the accident, the tinnitus in my right ear increased significantly and continues. November 8, 2022  Cochlear Implant evaluation at Medical Ctr. with Dr. She noted that the hole in the ear drum from Dr.?s steroid injections was still there but that it should still heal.  Slightly worse hearing in left ear and no hearing in right ear.  She discussed options for improving hearing including Cochlear Implant and hearing aids that would transmit noise from right ear to left ear. November 9, 2022 staff from Cochlear center called and discussed their implant product.  We discussed options. November 30, 2022 Planned follow-up Cochlear Implant Evaluation with Dr.