During the match, Mysterio used a headscissors takedown to propel Aguayo out of the ring, but Aguayo returned to the ring, upon which Mysterio dropkicked Aguayo in the back/shoulder to set up for Mysterio's signature 619 as Aguayo landed on the middle rope (the proper position for the 619). Manik then fell onto the middle rope beside Aguayo—when Aguayo appeared to be limp and unconscious, Manik shook him slightly to revive him. Mysterio performed the 619, but did not hit either opponent.

According to the initial statement by the hospital, Aguayo died from a cervical spine trauma, reportedly as a result of the dropkick by Mysterio Jr. that propelled him forward to the ring ropes, causing severe whiplash trauma that snapped his neck.[53][55][56]