From the 5/31/2024 release of VAERS data:

This is VAERS ID 952204

Government Disclaimer on use of this data

Case Details

VAERS ID:	952204 (history)
Form:	Version 2.0
Age:	75.0
Sex:	Male
Location:	Florida

Vaccinated:	2020-12-30
Onset:	2020-12-30
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2021-01-18

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	PFIZERER9201 / 1	LA / IM

Administered by: Military Purchased by: ?
Symptoms: Autopsy, Death, Malaise
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2020-12-01
Days after onset: 29
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin 500mg
Current Illness: None: Clean bill of health and a full cardiac exam was performed 2 months prior.
Preexisting Conditions: None.
Allergies: None
Diagnostic Lab Data: A full autopsy was done but results are pending.
CDC Split Type:

Write-up: Patient became sick 3 hours after the vaccine and was found deceased 1 day after his vaccination. He passed away in his sleep.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=952204