RedactedNarrative: On 6/6/2020 at approximately 7 pm, V1 was heading east and hit a big wake. The passenger hit her forehead very hard on the back of the Operator's head when they hit the big wake. The passenger initially claimed to be fine though the operator could tell she was in pain.  Approximately 30 minutes later the victim was almost unconscious and started  to vomit blood.  Both subjects were wearing life jackets.