PORTLAND, Ore. (AP) — Oregon’s public health physician said Wednesday that a person who died recently of a severe respiratory illness had used a vaping device containing marijuana oil that was purchased at a legal dispensary.

The death is the second linked by public health officials nationwide to vaping and the first linked to product purchased at a marijuana dispensary.

Public health authorities in Oregon haven’t determined what sickened the middle-aged adult or whether the person may have added something to the liquid or tampered with the device after it was purchased, said Dr. Ann Thomas with the Oregon Health Authority.

Thomas declined to name the brand of the product or the dispensary where it was purchased, citing the ongoing investigation.

As of last week, 215 possible cases of severe pulmonary disease associated with the use of e-cigarettes had been reported by 25 states, according to the federal Centers for Disease Control and Prevention.