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

This is VAERS ID 951519

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Case Details

VAERS ID:	951519 (history)
Form:	Version 1.0
Age:	78.0
Sex:	Male
Location:	Minnesota

Vaccinated:	2021-01-05
Onset:	2021-01-05
Days after vaccination:	0
Submitted:	2021-01-06
Days after onset:	1
Entered:	2021-01-09
Days after submission:	3

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / 2	LA / -

Administered by: Other Purchased by: Other
Symptoms: Palpitations, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-05
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Narrative: Symptoms: Palpitations & Syncope Treatment: EPINEPHRINE 1 MG ONCE ,EPINEPHRINE 1 MG ONCE ,SODIUM BICARBONATE 50 ML ONCE

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=951519