people have been stricken — including nine who have been hospitalized — after getting fake or mishandled injections in homes and spas, feds warn.

A new report from the CDC found that 19 women in nine states became ill after Botox injections. Botulism can lead to symptoms such as muscle paralysis, blurred or double vision, slurred speech, difficulty breathing, and in some cases, death.

A CDC investigation into people hospitalized with botulism-like illness after receiving cosmetic injections - commonly known as "botox" - that were administered in non-medical settings has widened.

Federal authorities are warning that unregulated Botox products are linked to an outbreak of botulism-like illnesses.

People in several states developed adverse reactions after receiving cosmetic injections in non-medical settings.

The US Food and Drug Administration found counterfeit Botox to be linked to 19 reports of illnesses across nine states. On 16 April, the FDA released a report in which they warned healthcare professionals and consumers of the severe symptoms that are now linked to the counterfeit versions of the medication,

The CDC is investigating cases in several states believed to be linked to at least 19 people reporting botulism-like illness after receiving the injections for cosmetic purposes.