A salmonella outbreak tied to Rose Acre Farms has now sickened nearly three dozen people. The Centers for Disease Control and Prevention has confirmed 35 people have been sickened by Salmonella braenderup, resulting in 11 hospitalizations. No deaths have been reported. The outbreak has mainly affected people in states along the East Coast.

Salmonella is often transmitted by contaminated animal products such as beef, poultry, milk and eggs, but fruits and vegetables can become contaminated as well. It’s most common symptoms are fever, diarrhea, nausea, vomiting and abdominal pain.

Salmonella is responsible for about 1.2 million illnesses every year in the United States, according to the CDC. Out of the illnesses, there are 23,000 hospitalizations and 450 deaths, mainly occurring from fatal infections. Children younger than 5, adults older than 65 and those with weak immune systems are the most susceptible to fatal infections.

The outbreak has been traced to a single egg producer, a Rose Acre Farms facility in North Carolina. The farm’s facility in Hyde County, N.C. produces 2.3 million eggs a day from 3 million hens. The facility’s eggs are distributed to retail stores and restaurants in Colorado, Florida, New Jersey, New York, Pennsylvania, Virginia, West Virginia and the Carolinas. Illnesses have been reported in all of the states.

In April, the company recalled nearly 207 million eggs sold under brand names Great Value, Country Daybreak, and Crystal Farms. The recalled eggs were also sold to Waffle House restaurants and Food Lion stores. The family-owned company said in a statement, “We apologize to anyone who may have been sickened or who has a family member or friend who may have taken ill because of our eggs.”

The recall is the largest since 2010, when a major salmonella outbreak sickened more than 1,500 people. More than 500 million eggs were recalled that year. Two Iowa egg farms owned and controlled by Austin J. DeCoster were found to be responsible for the outbreak. DeCoster and his son, Peter DeCoster, each pleaded guilty to one count of introducing adulterated food into interstate commerce, for which they were sentenced to three months in jail and fined $7 million.