Q2 reported on Monday that an E. coli outbreak in Montana has been linked to chopped romaine lettuce sourced from Arizona, according to the Montana Department of Health and Human Services. Confirmed and suspected cases have been identified in Missoula, Flathead and Lincoln. The contaminated lettuce was narrowed down to growing areas in Yuma. The Centers for Disease Control and Prevention in Atlanta is reporting three people hospitalized in Montana and an additional 35 cases, including 22 hospitalizations, in other states. Symptoms of E. coli typically include severe stomach cramps, diarrhea and vomiting. Those symptoms are often accompanied by a low fever.