More than 20 toddlers in 14 states – including Alabama – were possibly sickened by lead in tainted applesauce pouches, according to U.S. health officials.

The Centers for Disease Control and Prevention released a health alert this week in connection to high blood lead levels in children who had consumed cinnamon-containing applesauce products. The products are WanaBrea brand apple cinnamon fruit puree pouches, Schnucks brand cinnamon applesauce pouches and Weis brand cinnamon applesauce pouches.

The products were sold in stores and online.

As of November, the CDC said there are 22 cases in children ages 1 to 3 in Alabama, Arkansas, Louisiana, Maryland, Missouri, New Mexico, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Washington.  The number of cases in each state wasn’t reported.

Among the reported symptoms are headache, nausea, vomiting, diarrhea, change in activity level and anemia.

There’s no safe level of lead exposure but the CDC uses a market of 3.5 micrographs per deciliter to identify children with higher levels than most, the AP reported. The affected children’s blood levels ranged from 4 to 29 micrograms per deciliter.

The CDC recommends people not eat or serve cinnamon-containing applesauce pouch products and, if they are parents or caregivers of children who may have consumed the pouches, to consult the child’s healthcare provider about having their blood tested for lead.

You can also return any of the recalled products to the place of purchase for a refund.