On May 19, 2020, this report was posted online as an MMWR Early Release.Allison James, DVM, PhD1,2; Lesli Eagle1; Cassandra Phillips1; D.
Stephen Hedges, MPH1; Cathie Bodenhamer1; Robin Brown, MPAS, MPH1; J. Gary Wheeler, MD1; Hannah Kirking, MD3 (View author affiliations)Large gatherings pose a risk for SARS-CoV-2 transmission.Among 92 attendees at a rural Arkansas church during March 6–11, 35 (38%) developed laboratory-confirmed COVID-19, and three persons died.