Federal health officials are investigating a possible death and dozens of illnesses tied to recalled microdosing candies sold online and at vape shops.

At least 48 people in 24 states said they got sick after eating Diamond Shruumz-brand products, including chocolate bars, cones and gummies, the U.S. Food and Drug Administration said Tuesday.

One death is “potentially associated” with the outbreak and 27 people have been hospitalized, the agency said. People who fell ill reported severe symptoms like seizures, agitation, abnormal heart rates and loss of consciousness. The latest illness was reported Monday, FDA officials said.

Prophet Premium Blends LLC, of Santa Ana, California, recalled all of its Diamond Shruumz products late last month because they contain muscimol, a psychoactive chemical found in potentially toxic Amanita mushrooms that may be tied to the illnesses.

The products are marketed for microdosing, which means taking very small doses of a psychedelic drug to achieve supposed benefits while minimizing negative side effects.