| Type of Incident: | Injury |
| Match Number: | 3377 |
| Date of Incident: | 2016-11-06 |
| Time of Incident: | 12:05:00 |
| Location of Incident: | John Mise Park, 594 Park Meadow Dr. San Jose, CA 95129 |
| Competition: | 2016_SOR_FALL_ |
| Home Team: | Silver Lightning 99 |
| Visiting Team: | Galaxy 99 |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Galaxy 99 |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action taken. |
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