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Watch: Simone Biles exits team final after vault

Tokyo Olympics Artistic Gymnastics
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Simone Biles is out of the women's Olympic gymnastics team final in Tokyo, due to "medical issues."

"Simone Biles has withdrawn from the team final competition due to a medical issue. She will be assessed daily to determine medical clearance for future competitions," USA Gymnastics said in a statement.

The U.S. women’s gymnastics team earned the silver medal in the team final in a shocking upset by Russia who won gold.

Biles competed in Team USA's first rotation on vault in the women's Olympic team final, bailing out of her Amanar and scoring a 13.766 for a 1.5 twist. Shortly after, she withdrew from the team contest.

The Russian Olympic Committee won gold with a team score of 169.529 while Team USA totaled 166.096.

Great Britain finished in third with a 164.096.

This marks the first time in eleven years that the American women did not win the team gold in a major international competition.

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