CDC Food Safety Alert: Listeria Outbreak in 13 States

Listeria Outbreak Linked to Chicken Fettuccine Alfredo Meals

Food Safety Alert

Investigation status: Open

Recall issued: Yes

CDC and public health officials in several states are investigating a multistate outbreak of Listeria infections. Certain chicken fettuccine alfredo meals made by FreshRealm sold in grocery stores are a source of illness in this outbreak. Do not eat recalled chicken fettuccine alfredo meals.

Fast Facts

Cases: 17

Hospitalizations: 16

Deaths: 3

States: 13

Recalled food

FreshRealm Chicken Fettuccine Alfredo Meals

On June 17, 2025, FreshRealm recalled chicken fettuccine alfredo meals that were distributed to retail locations nationwide.

Recalled foods are no longer available for sale.

Sold nationwide at Kroger and Walmart under the Marketside brand and the Home Chef brand.

Establishment number "EST. P-50784," "EST. P-47770," or "EST. P-47718" appears on the label in the USDA mark of inspection.

Best by dates: 06/27/25, 06/26/25 and 06/19/25 or prior

Sold in the refrigerated section

Assembled and ready for microwaving

Does not include frozen meals

See the recall for additional information.

What Everyone Should do

-Do not eat recalled chicken fettuccine alfredo meals from FreshRealm.

- Clean your refrigerator, containers, and surfaces that may have touched the chicken fettuccine alfredo meals. Listeria can survive in the refrigerator and can easily spread to other foods and surfaces.

If you are pregnant, 65 or older, or have a weakened immune system:

- Call a healthcare provider right away if you have these symptoms after eating the chicken fettuccine alfredo:

Pregnant women: Fever, muscle aches, and tiredness. Your illness may be mild, but Listeria can cause pregnancy loss or premature birth. It can also cause serious illness or death in newborns.

Other people may have: Headache, stiff neck, confusion, loss of balance, and convulsions, in addition to fever, muscle aches, and tiredness.

Symptoms

Listeria is especially harmful to pregnant women and people who are 65 or older or who have weakened immune systems. This is because Listeria is more likely to spread beyond their gut to other parts of their body, resulting in a severe condition known as invasive listeriosis.

For women who are pregnant, Listeria can cause pregnancy loss, premature birth, or a life-threatening infection in newborns.For people who are 65 years or older or who have a weakened immune system, Listeria often results in hospitalization and sometimes death.

Symptoms usually start within 2 weeks after eating food contaminated with Listeria but may start as early as the same day or as late as 10 weeks after.

Pregnant women: Fever, muscle aches, and tiredness. Your illness may be mild, but Listeria can cause pregnancy loss or premature birth. It can also cause serious illness or death in newborns.

Other people may have: Headache, stiff neck, confusion, loss of balance, and convulsions, in addition to fever, muscle aches, and tiredness.

CDC

June 18, 2025