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Spungen left home at 17 and moved to New York City, where she worked as a stripper and prostitute. She followed bands such as Aerosmith, Bad Company, The New York Dolls, and Ramones. In 1977, she moved to London, possibly to win over Jerry Nolan of the Dolls and The Heartbreakers, but met the Sex Pistols instead. Lead singer Johnny Rotten showed no interest in Spungen, so she pursued bassist Sid Vicious, and the couple soon moved in together.
During a tumultuous 19-month relationship, Spungen and Vicious (who was abusing multiple drugs) became addicted to heroin and other drugs. The tabloids dubbed Spungen "Nauseating Nancy" for her frequent public displays of verbal abuse and violence. After the Sex Pistols broke up in January 1978, Spungen and Vicious moved to the Hotel Chelsea in New York City. They stayed in room 100, registered as "Mr. and Mrs. John Simon Ritchie", Vicious's real name.