The Centers for Disease Control and Prevention is advising shoppers to avoid charcuterie meats from Sam’s Club and Costco due to a salmonella outbreak.

Some 22 states have reported cases of salmonella associated with the Busseto charcuterie sampler from Sam’s Club in the nine-ounce twin pack and the Fratelli Beretta antipasto gran beretta platter from Costco in the 12-ounce twin pack. Both feature a variety of Italian deli meats and have resulted in 47 nationwide cases and 10 hospitalizations of salmonella infections.

On Jan. 3, the U.S. Department of Agriculture issued a recall on Busseto’s platter. Subsequently, on Jan. 5, the CDC began its investigation on the Busseto and Fratelli Beretta brands. The salmonella outbreak is associated with every platter, regardless of the lot code, as the production of these products began in October of last year.

While a typical prevention method for salmonella infection is cooking meats to a safe internal temperature, the USDA and CDC recommend that the products in their entirety be thrown out as they were advertised as ready to eat. However, Sam’s Club is accepting the products for a full return, according to officials.

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Symptoms of salmonella infection include diarrhea, vomiting, and dehydration. Those at the highest risk of infection include children under the age of 5, adults over the age of 65, and others with weakened immune systems.