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Date of the Injury
Type of case
Car Accident - Hit by truck or commercial vehicle
Car Accident - Hit by drunk driver
Car Accident - Hit while pedestrian
Car Accident - Private vehicle
Motorcycle Accident
Bicycle Accident
Hurt on the Job - Virginia (VA Workers Comp)
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Slip and Fall
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Slip and Fall - Other Location
Railroad Accident - Hurt at Work (FELA)
Railroad Accident - Hit at Crossing
Other Type of Case Not Listed
Basic Injury Description
Severe Injury - In Hospital Now
Severe Injury - Injured Person in Coma Now
Severe Injury - Injured Person was in Coma
Severe Injury - Required Overnight Hospital Stay
Skull Fracture
Fracture or Fractures of Bone
Spinal Compression Fracture
Fracture(s) of One or More Bones Requiring Surgery
Brain Injury or Suspected Brain Injury
Brain Injury - Severe
Back or Neck Injury Requiring Surgery
Paralysis of One or More Limbs
Collapsed Lung
Eye Injury - Blind in One or Both Eyes
Eye Injury - Other
Herniated Disc or Discs in Back
Numbness or Shooting Pain in One or Both Legs
Herniated Disc or Discs in Neck
Numbness or Shooting Pain in One or Both Hands
Knee Injury Requiring Surgery
Shoulder Injury Requiring Surgery
Hand, Foot, Elbow or Ankle Injury Requiring Surgery
Knee Injury
Shoulder Injury
Hand, Foot or Ankle Injury
Neck Sprain/Strain
Back Sprain/Strain
Re-Injured Old Injury
Scarring - Severe
Scarring - Face
Scarring - Other Part of Body
Severe Burns
Other Injury not listed
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