The Food and Drug Administration has issued its most serious recall for peeled garlic sold in New York, Vermont and Pennsylvania over a potential botulism risk.

The Class I recall is for Christopher Ranch Garlic, sold in 6-ounce containers at Tops stores in those states, according to a March 27 announcement from the supermarket chain.

“Eating the food may cause health problems or even death,” the store notice warned.

The garlic was improperly stored in open-air coolers when it should be stored at temps between 32 and 37 degrees — allowing a potential for botulism growth, according to the notice.

The affected garlic contains the UPC codes 00068826753408 and 00071894000005, and all best-by dates are affected.

Tops grocery stores will issue a refund for the affected products with valid proof of purchase.

According to the U.S Centers for Disease Control and Prevention, symptoms from botulism — which can occur anywhere from six hours to two weeks post consumption — include difficulty swallowing and breathing, vomiting, nausea, stomach pain, diarrhea, muscle weakness, double or blurry vision, slurred speech, and difficulty moving the eyes.

Anyone who has consumed the recalled garlic and displays symptoms are urged to contact a healthcare provider immediately.

Botulism causes death in 5% to 10% of cases, said the CDC.