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That’s why Tennessee health officials are continuing intensive follow-up with the approximately 1,000 patients who received the injections here between June 27 and Sept. 28, when the suspect medication was pulled from clinics.

Reagan said officials are calling patients once a week to check in and calling twice a week if patients report any symptoms. That has included tracking down people who were vacationing out of state or even out of the country. For anyone who cannot communicate clearly by telephone, officials are making home visits.