I address you as an admin of a tinnitus adverse event support forum.
1/18
My only conflict is the unlikely copay reimbursement in the two thousand dollar range from CICP if I were to influence recognition, and later file a claim.
2/18
With that, my comments, as a triple, but unfortunately not quadruple dosed individual, are not being made to dissuade vaccination, but have the goal of further improving frequency and outcomes for an unlikely event.
3/18
That is, tinnitus after COVID vaccination, which I developed nearly two years to this day after my dose one. My wife would also later develop tinnitus in mid March of the same year in line with her later phased access and dosing. We still hear our rings, as I speak to you.
4/18
This is an important distinction, this is unlike some other adverse events that resolve, it is also so intrusive we have regularly provided suicide hotline information in our groups.
5/18
This issue though isn't foreign to this committee, a prior member, and Editor-in-Chief of Vaccine, Dr Poland also developed tinnitus, along with his wife. He also experienced variability to his ring after being rechallenged.
6/18
While many others, along with myself, didn't develop tinnitus after Janssen, I thought it would be best to spotlight it in a slide here because it has a particularly strong argument for tinnitus being related, but is still not recognized in the US.
7/18
(Slide)
8/18
Both passive monitoring signals mentioned in the slide were observed for Janssen, but I highlight the second because it has not yet been reported.
9/18
This is because I followed up with Dr Harpaz at Oracle Health Sciences and his group, which includes FDA coauthors, that reported in Drug Safety the effect of masking, in Pharmacovigilance speak, on signals in VAERS data.
10/18
The group didn't consider to examine Janssen, but after requested re-analysis they identified a prior masked signal for tinnitus for this vaccine, the orange curve in the figure. The blue represents a much lower signal score, like what is probably produced by the FDA.
11/18
So I ask, how much longer do, THE vaccinated, not the anti-vax, those that developed tinnitus after Janssen have to wait for the FDA to account for masking within their monitoring?
12/18
Or has this been accounted for, and after all the imbalances, the passive monitoring signals, the foreign government recognition and recognition for a vaccine of the same platform, that this is still actually not enough for recognition here?
13/18
If this is the case, where is the funding for EHR database or inner ear tissue analysis papers, that researchers like Dr Harpaz or Otolaryngologist Dr Stankovic at Stanford want to do?
14/18
I want you to find answers to these questions.
15/18
That's my call of action to you, and this just scratches the surface for the challenges of recognition, or work of, with just one vaccine, that may be the key to your future peace and quiet.
16/18
So, please don't make your response the same that Dr Tom Shimabukuro had when I asked for research, which was, "Thank him for his email, cut him off".
17/18
I must regret I made a factual error in my #VRBPAC comments. I said Dr Tom Shimabukuro said "Thank him for his email, cut him off." He actually said, "Thank him for his email and cut him off." These were comments he made about me. I regret my error.
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Got this from a reporter, Tom Shimabukuro at the CDC talking about me.
To clarify, there was no need for this response. I was sharing IRB approved survey data collected by a University of Arizona tinnitus researcher that had not been published.
My name is Robert Edmonds, I am an admin of one of the actually smaller tinnitus adverse event focused support forums for COVID vaccines with nearly 1000 members.
2/21
The topic is of course of personal interest to me because I developed chronic tinnitus after my COVID vaccination.
Peer reviewed papers (not anecdotal case reports) and governmental sources that indicate a link of COVID vaccination to tinnitus (even if not after a first pass). Author affiliations include the @WHO, @EMA_News, & @US_FDA. A thread 🧵, with select quotes:
who.int/publications/i…
"A recent signal detection activity at the
Uppsala Monitoring Centre (UMC) identified
hearing loss (including sudden cases) and
tinnitus following COVID-19 vaccination as a
preliminary signal to be further assessed."
jamanetwork.com/journals/jamao…
"This study suggests that the BNT162b2 mRNA COVID-19 vaccine might be associated with increased risk of SSNHL" ... "Patients with SSNHL might experience permanent hearing loss and tinnitus..."
They explained what masking is, and the effect on the signal for tinnitus as an adverse event within VAERS. Let me explain what I learned: 🧵
1/8
What is masking you ask?
"The masking effect is a statistical issue associated with
commonly applied signal detection methodologies in
which signals for a product of interest are hidden by the
presence of other reported products."
2/8
That is, when looking from one vaccine to another we look at changes in passive reporting to look for increased reporting of a symptom. However, some vaccines produce the symptom of interest, so it makes it hard to see that a signal is there if you don't see a change.
3/8
I was told I'm supposed to come up with clear goals with my advocacy, because I run the risk of looking antivax:
Goal 1: The FDA/CDC/NIH formally supports research via funding exploring the mechanism of tinnitus as an AE, risk factors, and treatment methods.
1/N
Goal 2: The recognition of tinnitus as a related adverse event for at least 3-4 C19 vaccines. There is now sufficient evidence to support this claim through many peer reviewed publications.
Goal 1 & 2 go hand in hand really.
2/N
Goal 3: Informing patients and providers of what to do in the event this develops for others in the future. Both patients and providers don't know what to do, it appears corticosteroid ASAP near to onset may be beneficial.
3/N