| Age | 5 year(s) old |
| Sex | Male |
| Person Type | Passenger of a Motor Vehicle In-Transport |
| Injury Severity | Suspected Minor Injury (B) |
| Seating Position | Second Seat, Right Side |
| Restraint System Use | None Used/Not Applicable |
| Restraint System Misuse | None Used/Not Applicable |
| Helmet Use | Not Applicable |
| Helmet Misuse | None Used/Not Applicable |
| Airbag Deployed | Not Deployed |
| Ejection | Not Ejected |
| Ejection Path | Ejection Path Not Applicable |
| Extrication | Not Extricated/Not Applicable |
| Police Reported Alcohol Involvement | Not Reported |
| Alcohol Test Given | Not Reported |
| Alcohol Test Type | Not Reported |
| Alcohol Test Result | None Given |
| Police Reported Drug Involvement | Not Reported |
| Drug Tested | Not Reported |
| Transported To Medical Facility By | Transported Unknown Source |
| Died En Route | Not Applicable |
| Non Motorist Location | Occupant of a Motor Vehicle (Includes Railway Train Occupants Since 2006) |
| At Work | Not Aplicable |
| Hispanic | Not a Fatality (Not Applicable) |
| Race | Not a Fatality (Not Applicable) |
| Collapse Table | Collapse Table |
|---|
| Fatalities | 1 |
| Number of Occupants |
2 |
| Hit and Run | No Hit and Run |
| NCSA Make | Ford |
| Body Type | Minivan |
| NCSA Model | 442 |
| Registration State | Massachusetts |
| Registered Vehicle Owner | Driverless/Motor Vehicle Parked/Stopped off Roadway |
| VIN | 2FMZA5140YBC |
| Model Year | 2000 |
| VPIC Make ID | None |
| VPIC Model ID | None |
| VPIC Body Class | Unknown |
| Body Class | Unknown |
| Lower Weight Rating | Not Reported |
| Upper Weight Rating | Not Reported |
| Vehicle Trailing | No Trailers |
| Jackknife | Not an Articulated Vehicle |
| Motor Carrier ID | 00000000000 |
| Vehicle Configuration | Not Applicable |
| Cargo Body Type | Not Applicable |
| Bus Use | Not a Bus |
| Special Vehicle Use | No Special Use Noted |
| Emergency Vehicle Use | Not Applicable |
| Speed Limit | 20 |
| Travel Speed | 10 |
| Underride / Override | No Underride or Override |
| Rollover | No Rollover |
| Rollover Location | Unknown |
| Initial Contact Point | 12 O'Clock |
| Extent of Damage | Functional Damage |
| Vehicle Towed | Towed |
| Most Harmful Event | Utility Pole/Light Support |
| Fire Occurence | False |
| Driver Drinking | No Drinking |
| Driver Present | No Driver Present/Not Applicable |
| Drivers License State | None |
| Driver Zip Code | None |
| Non CDL License Type | Unknown License Type |
| Non CDL License Status | None |
| CDL License Status | None |
| CDL Endorsements | None |
| License Compliance With Class of Vehicle | None |
| Compliance with LIcense Restrictions | None |
| Driver Height | None |
| Driver Weight | None |
| Previous Recorded Crashes | None |
| Previous BAC Suspensions (Underage) | None |
| Previous BAC Suspensions | None |
| Previous Other Suspensions | None |
| Previous DWI | None |
| Previous Speeding Convictions | None |
| Previous Other Moving Violations | None |
| Month of Oldest Violation | No Record |
| Year of Oldest Violation | 0 |
| Month of Newest Violation | No Record |
| Year of Newest Violation | 0 |
| Speeding Related | No |
| Trafficway Description | One-Way Trafficway |
| Total Lanes in Roadway | One Lane |
| Roadway Alignment | Straight |
| Roadway Grade | Grade, Unknown Slope |
| Roadway Surface Type | Blacktop, Bituminous, or Asphalt |
| Roadway Surface Condition | Snow |
| Traffic Control Device | School Zone Sign/Device |
| Traffic Control Device Functioning | Reported as Unknown |
| Pre Event Movement | Unknown |
| Critical Precrash Event | OTHER Unknown |
| Attempted Avoidance Maneuver | Unknown/Not Reported |
| Precrash Stability | Precrash Stability Unknown |
| Pre-impact Location | Unknown |
| Crash Type | CATEGORY VI: MISCELLANEOUS - Other Crash Type |
| Vehicle Factors | Body, Doors |
| Damaged Areas | 12 O'Clock |
| Collapse Table | Collapse Table |
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