Officials are investigating 13 deaths over the past four years that may be tied to 5-hour Energy, the Food and Drug Administration confirmed on Wednesday.

FDA records obtained by the New York Times show that since 2009 there have been 90 filings against the caffeinated shots, including more than 30 which were deemed serious or life-threatening. Symptoms included heart attacks, convulsion and one case of spontaneous abortion.

“We take every adverse event report seriously,” Shelly Burgess, an FDA spokeswoman, said to the Wall Street Journal.

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