The CDC is investigating a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 infection that appears linked to a soy nut butter made by SoyNut Butter Company. Between January 6 and February 15 of this year, 12 people, including 11 children, became ill. Half the patients were hospitalized, and four developed hemolytic uremic syndrome. There have been no deaths. Cases have been reported in Arizona, California, Maryland, New Jersey, and Oregon. All nine patients (or caregivers) who were interviewed reported either consuming I.M. Healthy SoyNut Butter at home during the week before they became sick, or attending a childcare facility that served the soy nut butter or a granola coated with the butter. The CDC advises that consumers not eat the soy nut butter or granola. In response, SoyNut Butter Co. has recalled all of its I.M. Healthy Original Creamy SoyNut Butter with best-by dates of August 30 and 31, 2018.