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

This is VAERS ID 926600

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Case Details

VAERS ID:	926600 (history)
Form:	Version 2.0
Age:	65.0
Sex:	Male
Location:	Missouri

Vaccinated:	2021-01-04
Onset:	2021-01-06
Days after vaccination:	2
Submitted:	0000-00-00
Entered:	2021-01-07

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA	37K20A / 1	RA / IM

Administered by: Pharmacy Purchased by: ?
Symptoms: Death, Malaise
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: Unknown
Current Illness: Diabetes, renal insufficiency
Preexisting Conditions: Diabetes, renal insufficiency
Allergies: Penicillin, ibuprofen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient did not report any signs or symptoms of adverse reaction to vaccine. Patient suffered from several comorbidities (diabetes and renal insufficiency). Patient reported not feeling well 01/06/2021 and passed away that day.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=926600