The accident happened just before 8 a.m. (1300 GMT) Sunday on Interstate 64 in York County and for a time shut down traffic in both directions, Virginia State Police Sgt. Michelle Anaya said in a statement.
State police tweeted that there was fog and ice along a bridge when what was described as a chain-reaction wreck began.
Sixty-three vehicles were involved, and 35 people were transported for treatment of injuries, Anaya said late Sunday morning.
She said an unspecified number of those people had injuries considered critical. There were no immediate reports of fatalities.
"It was all foggy. So it was hard to see what's in front of me. And then I saw somebody stop light and I press the brake and the car started like moving around," said Alena Levy, describing the moments just before crashing her new Audi in the wreck.
She says she sustained minor neck injuries, but says they aren't "serious."
Levy's husband, Ivan, was driving in a separate car further behind and was able to avoid the crash.
"I mean, it was crazy, it was like chaos, you know. But, you know, you know, I'm a Marine, so I get trained to run to the sounds of chaos, I suppose," He said. Ivan says he used his training to jump into action and offer assistance to other drivers.
Eastbound lanes eventually reopened, but westbound lanes remained closed hours after the crash, according to the Virginia Department of Transportation.
An investigation was ongoing, and motorists were being asked to avoid the area.
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