She was sick at some point, but I don't think it affected her vocals.
Quote:
(S) How did you get out of the dilemma?
(A) Well, I was very uneasy when I started the nationwide concert tour. I felt like drawing back when singing the second song or so, which I know is very impolite. I wondered why. I had been looking forward to the tour and every staff had made great efforts to prepare for it, but I felt something different on the very first day from what I had imagined. I couldn't enjoy at all. I had been wondering why while I was doing the Act 1 (the first half of the tour). After finishing the Act 1, I had to cancel some concerts of the Act 2 because of the ear disease. But I could rest then. I could have a time calm and not busy in the hospital, for example. I thought then I had wished strongly before as, "Look at me, everyone ! I'm here !" and had made efforts to make them turn toward me. I didn't know what a live concert was like, as I hadn't done it before then. But, when I first appeared on the live stage, I had already been looked at, by about 20,000 eyes, before I said, "Look at Ayu ! I'm here !"
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From masa's site.