Auditory complications of COVID-19 infection and vaccination: a TriNetX retrospective cohort study.

Publication date: Jul 27, 2026

To assess the incidence of new-onset tinnitus and hearing loss following COVID-19 infection or vaccination using a large, real-world electronic health record database. A retrospective cohort study utilizing the TriNetX Global Collaborative Network (180 + million records). Adults without prior tinnitus or hearing loss were grouped by exposure: COVID-19 infection, mRNA vaccination, viral vector vaccination, and unexposed controls. Outcomes included tinnitus (ICD-10-CM: H93. 1) and hearing loss (ICD-10-CM: H90) within six months post-index. Propensity score matching controlled for confounding and odds ratios (ORs) were calculated. mRNA vaccination was associated with increased odds of tinnitus (OR 1. 220; 95% CI: 1. 189-1. 252) and hearing loss (OR 1. 214; 95% CI: 1. 189-1. 240), with small absolute risk differences (0. 143% and 0. 215%, respectively; p 

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Concepts Keywords
COVID-19
Hearing loss
500 Internal Server Error Tinnitus
Internal Server Error TriNetX
Vaccination

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
disease MESH tinnitus
disease MESH hearing loss
disease MESH included
disease MESH ICD
disease MESH Long Covid

Original Article

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