| Type of Incident: | Injury |
| Match Number: | 1641 |
| Date of Incident: | 2021-09-19 |
| Time of Incident: | 10:05:00 |
| Location of Incident: | Aromas Sports Complex |
| Competition: | 2021_SOR_NCSC_ |
| Home Team: | PAJARO VALLEY YOUTH SOCCER CLUB PAJARO V |
| Visiting Team: | LFC INTERNATIONAL ACEDEMY BAY AREA LFC I |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | PAJARO VALLEY YOUTH SOCCER CLUB PAJARO V |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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