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

This is VAERS ID 1757635

Government Disclaimer on use of this data

Case Details

VAERS ID:	1757635 (history)
Form:	Version 2.0
Age:	16.0
Sex:	Female
Location:	Texas

Vaccinated:	2021-10-02
Onset:	2021-10-03
Days after vaccination:	1
Submitted:	0000-00-00
Entered:	2021-10-04

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

Administered by: Pharmacy Purchased by: ?
Symptoms: Death, Fatigue
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-10-03
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: unknown
Preexisting Conditions: none
Allergies: unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: fatigue then death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1757635