Over 140 passengers and crew members aboard a Royal Caribbean International cruise ship were sickened by a gastrointestinal illness that led to vomiting and diarrhea, according to the Centers for Disease Control and Prevention.

The Centers for Disease Control and Prevention reported Wednesday that over 100 people have fallen ill from an unknown disease on a Royal Caribbean cruise.

Gastrointestinal illness sickened more than 130 cruise ship passengers aboard a Royal Caribbean cruise earlier this month. The cause of the outbreak has not been determined.