Twelve deaths have been reported as part of an outbreak of Listeria monocytogenes infections linked to frozen supplemental shakes, the US Food and Drug Administration said Monday. At least 38 people in 21 states had been infected,

Recalled supplemental shakes were distributed to hospitals and long-term care facilities nationwide, federal officials say.

Frozen supplemental shakes sold to hospitals and long-term care facilities in 21 states, including Florida, are making people sick and already have led to 12 deaths.