LOS ANGELES (AP) — Four California clinics have received steroid shots from a recalled batch linked to a deadly meningitis outbreak, and at least two clinics have alerted about 300 patients they may have been treated with contaminated medicine, according to federal and clinic officials.

The recalled shots have been linked to five deaths and 40 cases of the illness in other states, but the California Department of Public Health said Friday that no cases of meningitis have been reported here.

Universal Pain Management CEO Lance Jackson said the clinic has successfully contacted 150 patients who were treated with drugs from the Framingham  pharmacy that supplied the contaminated steroid solution, New England Compounding Center.

One patient reported mild symptoms, was examined by emergency room doctors and released. Tests are still being conducted to determine if the patient has meningitis, Jackson said. Across the country, 75 clinics received the recalled steroid shots.

Copyright 2012 The Associated Press.