Vertigo. After an injury to the eardrum, some people experience a feeling that the floor or room is spinning, often in a circular pattern. That is vertigo. Some patients describe it as dizziness or say that the room is spinning, and others get the sensation that they are being pulled to one side. Some people even experience trouble walking because they feel off balance. When vertigo occurs with eardrum perforation, doctors may suspect damage to the inner part of the ear. Sometimes nausea and vomiting accompany vertigo in these cases. Symptoms usually improve once the damage and possible inflammation are corrected.