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

This is VAERS ID 930487

Government Disclaimer on use of this data

Case Details

VAERS ID:	930487 (history)
Form:	Version 2.0
Age:	86.0
Sex:	Male
Location:	North Carolina

Vaccinated:	2021-01-08
Onset:	2021-01-08
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2021-01-08

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA	037K20A / UNK	- / -

Administered by: Senior Living Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-08
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: calcium-D tablet, cholecalciferol, fish oil, melatonin, tylenol,
Current Illness: na
Preexisting Conditions: bph, apraxia, , dysphagia, muscle weakness, alzheimers disease
Allergies: cephalexin
Diagnostic Lab Data: na
CDC Split Type:

Write-up: Medical docter state patient has a acute cardiac attack

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=930487