TOPIC: Outbreak Investigation of Listeria monocytogenes: Chicken Fettuccine Alfredo Meals (June 2025) - Do Not Eat or Serve Recalled Chicken Fettuccine Alfredo Meals Made by Certain FreshRealm, Inc. Facilities. FDA’s Investigation is Ongoing
AUDIENCE: Consumer, Patient, Health Care Professional, Gastroenterology
ISSUE: On June 18, 2025, the FDA, USDA FSIS, and CDC in collaboration with state and local partners, issued advisories on the investigations of illnesses in a multistate outbreak of Listeria monocytogenes infections linked to chicken fettuccine alfredo meals.
As of June 18, 2025, a total of 17 cases have been reported from 13 states. Of the 11 people interviewed, 7 reported eating precooked meals, and 4 (57%) specifically reported eating chicken fettuccine alfredo. Of 17 people with information, 16 (94%) were hospitalized and there are 3 deaths attributed to listeriosis. There is one pregnancy associated illness in a mother that resulted in a fetal loss.
On June 17, 2025, in response to this investigation, FreshRealm, Inc., recalled certain pre-made chicken fettuccine alfredo products sold at Kroger and Walmart under the following brand names and packaging details:
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Marketside Grilled Chicken Alfredo with Fettuccine 12.3 oz – best-by date of June 26, 2025, or prior
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Marketside Grilled Chicken Alfredo with Fettuccine 32.8 oz – best-by date of June 27, 2025, or prior
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Home Chef Chicken Fettuccine Alfredo 12.5 oz – best-by date of June 19, 2025, or prior
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Establishment number “EST. P-50784,” “EST. P-47770,” or “EST. P-47718” appears on the label in the USDA mark of inspection.
FDA will continue to collaborate with federal and local partners and will provide updates as they become available.
For more information about this investigation, click on the blue button "Read Outbreak Advisory" below.
BACKGROUND: Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.
RECOMMENDATIONS:
In General
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Consumers who purchased or received recalled chicken fettuccine alfredo meals manufactured by FreshRealm, Inc., should check their refrigerators and freezers and should not eat or serve these products.
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If you or your family member have symptoms of listeriosis you should contact your health care provider to report your symptoms and receive care.
At Risk Population
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Listeria is most likely to sicken pregnant women and newborns, adults aged 65 or older, and people with weakened immune systems. Other people can be infected with Listeria, but they rarely become seriously ill.
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Pregnant women typically experience only fever, fatigue, and muscle aches. However, Listeria infection during pregnancy can lead to miscarriage, stillbirth, premature delivery, or life-threatening infection of the newborn.
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