From the 3/29/2024 release of VAERS data:

This is VAERS ID 914917

Government Disclaimer on use of this data

Case Details

VAERS ID:	914917 (history)
Form:	Version 2.0
Age:	63.0
Sex:	Male
Location:	Illinois

Vaccinated:	2020-12-19
Onset:	2020-12-23
Days after vaccination:	4
Submitted:	0000-00-00
Entered:	2020-12-30

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EJ1685 / UNK	- / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2020-12-23
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: Atenolol, Chlorthalidone, Tamsulosin
Current Illness: None
Preexisting Conditions: hypertension
Allergies: None
Diagnostic Lab Data: Death certificate
CDC Split Type:

Write-up: Death by massive heart attack. Pfizer-BioNTech COVID-19 Vaccine EUA

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=914917