Hillary Clinton, under questioning by federal investigators over whether she had been briefed on how to preserve government records as she was about to leave the State Department, said she had suffered a concussion, was working part-time and could not recall every briefing she received.
Clinton, the Democratic Party's presidential candidate, raised the health scare during her 3-1/2-hour interview with the Federal Bureau of Investigation and Justice Department prosecutors on July 2, according to an FBI summary released on Friday.
Besides the 11-page interview summary, the FBI also released other details of its investigation into her use of an unauthorized private email system while running the State Department, in which it concluded she mishandled classified information but not in a way that warranted a criminal prosecution.
Clinton told investigators she could not recall getting any briefings on how to handle classified information or comply with laws governing the preservation of federal records, the summary of her interview shows.
"However, in December of 2012, Clinton suffered a concussion and then around the New Year had a blood clot," the FBI's summary said. "Based on her doctor's advice, she could only work at State for a few hours a day and could not recall every briefing she received."
A Clinton campaign aide said Clinton only referenced her concussion to explain she was not at work but for a few hours a day at that time, not that she did not remember things from that period.
The concussion was widely reported then, and Republicans have since used it to attack the 68-year-old candidate's health in a way her staff have said is unfounded.
The FBI report, which does not quote Clinton directly, is ambiguous about whether it was her concussion that affected her ability to recall briefings.
The FBI declined to provide further comment on the report.
Clinton, who is challenging Republican Donald Trump for the White House in the November 8 election, has been dogged for more than a year by the fallout from her decision to use an unauthorized private email account run from the basement of her Chappaqua, New York, home.
Republicans have repeatedly attacked Clinton over the issue, helping drive opinion polls that show many US voters doubt her trustworthiness.
Trump's campaign issued a statement immediately following the FBI report's release saying the notes from the interview "reinforce her tremendously bad judgment and dishonesty."
Clinton has said that in hindsight she regretted using a private email system while secretary of state.
According to the report, Clinton told the FBI that she did not set up a private email server to sidestep the law requiring her to keep her business communications a matter of public record.
At least one federal judge is examining whether this was the case as part of a lawsuit against the State Department concerning public access to Clinton's government records, which the US government said it had no access to in response to requests from members of the public.
The documents also show that Clinton contacted former Secretary of State Colin Powell in 2009 to ask about his use of a personal BlackBerry phone.
In his reply to Clinton via email, Powell told Clinton to "be very careful" because the work-related emails she sent on her BlackBerry could become public record.
"I got around it all by not saying much and not using systems that captured the data," Powell said, according to the summary.
After her use of a private email system became public knowledge in March 2015, Clinton repeatedly said she did not use it to send or receive classified information. The government forbids handling such information outside secure channels.
The FBI has since concluded Clinton was wrong to say that: At least 81 email threads contained information that was classified at the time, although the final number may be more than 2,000, the report said. Some of the emails appear to include discussion of planned future attacks by unmanned US military drones, the FBI report showed.
"Clinton believed the classification level of future drone strikes depended on the context," the FBI's interview summary said. The US government requires that military plans be classified.
The FBI released its report on Friday afternoon before the Labor Day holiday weekend, a time many Americans are preparing to travel.
State Department spokesman John Kirby said he would not comment on the FBI's findings because the department "does not have full insight into the FBI's investigation."
He declined to say whether State Department officials still discussed the planning of future attacks using drones in unclassified emails.
"I'm not going to speak to past email practices," he said. "We trust State Department employees to use their best judgment when conveying sensitive information, taking into account a range of factors."
The Clinton campaign released a statement welcoming the report's release.
"While her use of a single email account was clearly a mistake and she has taken responsibility for it, these materials make clear why the Justice Department believed there was no basis to move forward with this case," Brian Fallon, a campaign spokesman, said in a statement.
Some Republicans saw the files as confirming their belief that the Department of Justice should have prosecuted Clinton.
"These documents demonstrate Hillary Clinton's reckless and downright dangerous handling of classified information during her tenure as secretary of state," Paul Ryan, the Republican speaker of the US House of Representatives, said in a statement. "This is exactly why I have called for her to be denied access to classified information."
