(DALLAS AP) — Thomas Eric Duncan’s temperature spiked to 103 degrees during the hours of his initial visit to an emergency room — a fever that was flagged with an exclamation point in the hospital’s record-keeping system.

Medical records provided to The Associated Press show that the man who would become the only person to die from Ebola in the U.S. was eventually sent home, despite the fever and other symptoms consistent with the disease, and despite telling a nurse that he had recently been in Africa.

Duncan’s family provided his medical records to The Associated Press — more than 1,400 pages in all.

Neither a spokesman for Texas Health Presbyterian Hospital nor a doctor who evaluated Duncan immediately responded to messages left by AP on Friday.