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

This is VAERS ID 1382906

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Case Details

VAERS ID:	1382906 (history)
Form:	Version 2.0
Age:	15.0
Sex:	Male
Location:	California

Vaccinated:	2021-05-15
Onset:	2021-06-07
Days after vaccination:	23
Submitted:	0000-00-00
Entered:	2021-06-08

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EW0187 / 2	LA / IM

Administered by: Other Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-06-07
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: None known
Current Illness: none noted
Preexisting Conditions: Acne, no other conditions noted
Allergies: None noted
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unexplained death within 48 hours

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