Tamir Rice was shot in the abdomen and the bullet damaged a major vein and his intestines, the medical examiner's findings showed.
Several peaceful protests have taken place since the shooting, which has come at a time when police-involved deaths around the nation have drawn on spotlight on departments and their use of force.
Last week, the US. Justice Department released the results of a nearly two-year investigation of Cleveland police that found its officers use excessive and unnecessary force far too often. The report was completed before Tamir's death.
Police have said rookie officer Tim Loehmann believed the boy had a real firearm. They later discovered it was an airsoft gun, which shoots nonlethal plastic projectiles.
Tamir's mother, Samaria Rice, said at a news conference earlier this week her son's friend gave him the pellet gun. A grand jury will consider whether charges are merited. The autopsy said Tamir was 5-foot-5 (1.65 meters) and weighed 195 pounds (88 kilograms).
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