RedactedNarrative: Vessel 1 was underway at Alum Creek when both the operator and passenger fell off of the PWC.  Neither occupant was wearing a PFD.  The operator/victim attempted to get back on the PWC but fell off again and did not come back to the surface.  Occupant 2 was pulled from the water by an adult on another vessel. Victim's toxicology Report detected ethanol (related to alcohol consumption) and THC.