The New England Compounding Center of Framingham, Mass., reportedly distributed to 23 states, 17,676 vials of single dose steroid injections contaminated with a fungus called Aspergillus fumigates, which can cause fungal meningitis.

Clinic Manager of Pain Management at Great Plains Regional Medical Center clarified that the steroid injections purchased by GPRM are all FDA approved. The tainted steroid injections were distributed by a compounding center, which distributes products that are not approved by the FDA.

According to the Centers for Disease Control and Prevention, the states in which the steroid injection received the tainted  injections are: California, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Maryland, Michigan, Minnesota, North Carolina, New Hampshire, New Jersey, Nevada, New York, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Virginia, Texas, and West Virginia.

States with reported cases of meningitis are Indiana, Maryland, Virginia, Tennessee, North Carolina and Florida.