(Washington, D-C) – Officials with the U-S Food and Drug Administration (FDA) have updated an egg recall issued early last month (September), due to include additional eggs affected in a salmonella outbreak.  The FDA warns eggs distributed by Milo’s Poultry Farms, LLC, in Bonduel, Wisconsin, may cause “serious adverse health consequences or death.” The recall pertains to all eggs branded “Milo’s Poultry Farms” and “Tony’s Fresh Market” with all expiration dates.

The Food and Drug Administration (FDA) upgraded the recall status to Class I, which the agency defines as “situation[s] in which there is a reasonable probability that the use of, or exposure to, a violative product will cause serious adverse health consequences or death.” Anyone in possession should immediately throw them away.

According to the FDA’s website, the recall impacts 345,417 dozen cartons of eggs – equaling more than four million eggs in total. The eggs were sold in Iowa, Wisconsin, Illinois and Michigan over the summer. The Centers for Disease Control and Prevention (CDC) says 65 consumers fell ill from the eggs and 24 others were hospitalized, but there have been no deaths. Sicknesses were reported in Virginia, Iowa (2 cases), Wisconsin (42 cases), Minnesota, Colorado, Utah and California.

Health officials cautioned that the true number of cases related to the outbreak is likely much higher and potentially includes additional states, as people who recover without being tested aren’t counted. It takes roughly 3 to 4 weeks to determine if an infection in a sick person is related to an outbreak, according to the CDC. Symptoms include abdominal pain, diarrhea, fever, and vomiting, which can last several days.

The recall began after the FDA found out the eggs tested positive for salmonella.