BALTIMORE—Orioles left-hander John Means left Saturday’s game against the Cleveland Indians after throwing just 29 pitches in the first inning. The Orioles announced that Means was removed because of left shoulder fatigue.

He had a similar condition last year and was scratched from his Opening Day start. He did take his next turn in the rotation.

On Saturday, Means allowed a leadoff home run to Cesar Hernandez. After getting two outs, he gave up a homer to Harold Ramirez. After Eddie Rosario followed with a single, pitching coach Chris Holt went to the mound. He was joined by manager Brandon Hyde and head athletic trainer Brian Ebel.

Means quickly left with Ebel and was replaced by Adam Plutko.

The 28-year-old left-hander, who threw a no-hitter against Seattle on May 5th, hadn’t pitched fewer than 4 2/3 innings in any start this season. On August 16, 2019, Means also left the game after throwing 2/3rds of an inning.