Brett Lawrie was batting for the Blue Jays with two outs in the fourth when he lined a Matt Moore pitch in foul territory down the first-base line. Fletcher could not get out of the way and the ball appeared to clip him in the area of his right elbow.
The Rays medical staff rushed onto the field to check on Fletcher, who was in obvious pain. He then walked off the field to be checked out, leaving the crew short handed.
Second-base umpire Rob Drake moved to first base and crew chief Joe West remained at third base.
Fletcher returned to his post at first base in the top of the fifth inning.
Bill Chastain is a reporter for MLB.com. This story was not subject to the approval of Major League Baseball or its clubs.