Swabbed Ears With Cotton Cue Tips. Tip Came Off Inside

Swabbed ears with cotton cue tips. Tip came off inside left ear. Went to urgent care clinic immediately. ARNP used Otoscope and said there was no cotton bud in there. Now I am home and feeling increased fullness in left ear, slight hearing loss, and very rarely deep soreness and referred pain through throat. Did he miss it? What to do next?