Twelve of the 49 people sickened in the ongoing multistate Hepatitis A outbreak are Colorado residents, according to the Colorado Department of Public Health and Environment. The state announced on Tuesday that it is working with the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention to investigate an outbreak believed to be associated with a froze berry and pomegranate mix purchased from Costco and Harris Teeter in several states. Colorado has 12 cases under investigation from eight counties, the state agency said: Adams, Arapahoe, Boulder, Clear Creek, Douglas, Eagle, El Paso and Jefferson. Other states reporting cases are Arizona, California, Hawaii, New Mexico, Nevada and Utah, according to the national update provided by CDC, which has not yet listed the number of cases per state. Local press reports said Wednesday five San Diego County residents have been sickened as part of the outbreak as well. CDC is expected to report a state-by-state breakdown of the illnesses in the coming days. Townsend Farms has issued a voluntary recall of its Organic Antioxidant Blend, 3-pound bag and UPC 0 78414 404448. This blend includes cherries, blueberries, pomegranate seeds, raspberries and strawberries. “The state health department is asking people to check their freezers. If you have the product, dispose of it. Do not eat it,” warned Coloado state officials. “Even if some of the product has been eaten without anyone in your home becoming ill, the rest of the product should be discarded.” Colorado is advising those who have eaten the recalled product within the last two weeks to contact their medical provider or local health department for an immunization. The hepatitis A vaccine can prevent infection if given within 14 days of exposure. Some people should receive immune globulin instead of the hepatitis A vaccine. Consumers who ate recalled product more than 14 days ago and show symptoms of mild fever, loss of appetite, nausea, vomiting diarrhea, dark urine and jaundice (yellow eyes or skin), should contact their health care providers.