SALT LAKE CITY (AP) — Utah health officials say they have confirmed 28 cases of lung damage linked to vaping and are investigating 14 more potential cases.

The state Department of Health announced the new number Tuesday, a jump from the 21 cases in teenagers and young adults reported last week.

The department says the cases stem from the use of a mix of nicotine and marijuana electronic cigarette products.

Symptoms of the disease include coughing, shortness of breath, chest pain, fatigue, nausea and vomiting.

The news comes as federal health officials continue to investigate at least 215 possible cases of a breathing ailments linked to the devices across 25 states.

In Utah, the first five people found with the disease were hospitalized. Their conditions have improved after treatment.

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