I've experienced vertigo with migraine in the morning for over 20 years. I now have during the afternoon or evening when experiencing visual and sound distortion migraines. I see as if looking through a dirty honey cone glass and my ears are filled with cotton, or just the visual distortion. I know heat can trigger these, but I live in AZ so high temperatures are expected. I've had 3 of these since the beginning of June and I don't know until the honey cone visual distortion has hit that I may experience vertigo. Twice I've been away from home and was really scared about how I was going to get back home. On July 1st I stood up to finish getting the rest of my groceries from my vehicle, experienced vertigo and fell hard. I'm still in pain from the fall and had to cancel plans this Friday because I'm afraid of another honey cone visual distortion migraine that may cause vertigo.