While it may not have looked like anything special at first glance, the ceremonial first pitch at the Baltimore Orioles-Texas Rangers game Tuesday was nothing short of a miracle.

The tiny pitcher, 9-year-old Zion Harvey, was the first child in the world to undergo a bilateral hand transplant.

After losing his arms and legs to a life-threatening infection at the age of 2, the inspiring young boy had to overcome a lot in his short life to bring him to the mound at Camden Yards for Tuesday’s game.

Watch Zion’s first pitch and read more of his inspiring story at ESPN.