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Jeremy incorporates rapid-fire editing and juxtaposition of sound, still images, graphics and text elements with live action sequences to create a collage effect. Actor Trevor Wilson portrayed Jeremy. His classroom scenes were filmed at Bayonne High School in New Jersey. The video also featured many close-ups of Vedder performing the song, with the other members of Pearl Jam shown only briefly. Jeremy is shown being taunted by classmates at school, running through a forest, and screaming at his parents at a dinner table. Shots of words such as "problem", "peer", "harmless", "bored", and "child" frequently appear onscreen.
The final scene of the video shows Jeremy striding into class, tossing an apple to the teacher and standing before his classmates. He reaches down and draws back his arm as he takes a gun out of his pocket. The gun only appears onscreen in the uncut version of the video. The edited video cuts to an extreme close-up of Jeremy's face as he puts the barrel of the gun in his mouth, closes his eyes, and pulls the trigger. After a flash of light the screen turns black. The next shot is a pan across the classroom, showing Jeremy's blood-spattered classmates, all completely still, recoiling in horror.
The video quickly found its way into heavy rotation on MTV. The video won four MTV Video Music Awards in 1993, including Best Video of the Year, Best Group Video, Best Metal/Hard Rock Video and Best Direction. The video was included in MuchMusic's list of the 12 most controversial videos. It was also included on VH1's countdown of the "100 Greatest Songs of the '90s" at number 11.