From the 4/26/2024 release of VAERS data:

This is VAERS ID 925556

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Case Details

VAERS ID:	925556 (history)
Form:	Version 2.0
Age:	81.0
Sex:	Male
Location:	Unknown

Vaccinated:	2020-12-30
Onset:	2021-01-06
Days after vaccination:	7
Submitted:	0000-00-00
Entered:	2021-01-07

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	- / 1	- / -

Administered by: Senior Living Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-06
Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Acute on chronic heart failure, sepsis
Preexisting Conditions: CAD, CKD, DM type 2, CHF, Hx TIA, Atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Expired 1/05/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=925556