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.

Product:

FreshRealm Chicken Fettuccine Alfredo Meals produced prior to June 17, 2025, that are available under the following brand names:

• Marketside Grilled Chicken Alfredo with Fettuccine 12.3 oz – best-by date of June 26, 2025, or prior
• Marketside Grilled Chicken Alfredo with Fettuccine 32.8 oz – best-by date of June 27, 2025, or prior
• Home Chef Chicken Fettuccine Alfredo 12.5 oz – best-by date of June 19, 2025, or prior
• Establishment number “EST. P-50784,” “EST. P-47770,” or “EST. P-47718” appears on the label in the USDA mark of inspection.

FreshRealm Chicken Fettuccine Alfredo Meals may have been sold in the refrigerated sections of grocery stores and are intended for microwaving before eating. Consumers who are unsure if they have purchased this product are advised to contact their retailer.

FreshRealm, Inc., recalled certain chicken fettuccine alfredo meals produced prior to June 17, 2025, and sold at Walmart and Kroger.

Symptoms of Listeriosis (Listeria Infection):

Symptoms usually start within two weeks after eating food contaminated with Listeria but may start as early as the same day or as late as 10 weeks after. Mild symptoms may include a fever, muscle aches, nausea, tiredness, vomiting, and diarrhea. If the more severe form of listeriosis develops, symptoms may include headache, stiff neck, confusion, loss of balance, and convulsions.

Stores Affected

FreshRealm Chicken Fettuccine Alfredo Meals were distributed nationwide and are sold in the refrigerated section at Walmart and Kroger stores under the Marketside and Home Chef brand names, respectively.  This advisory will be updated as needed.

Status

Ongoing

Recommendations

• 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.
• If you or your family member have symptoms of listeriosis you should contact your health care provider to report your symptoms and receive care.

Recommendations for At-Risk Groups:

• 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.
• 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.

 

Current Update

June 18, 2025

The U.S. Food & Drug Administration (FDA), U.S. Department of Agriculture Food Safety and Inspection Service (USDA FSIS), and Centers for Disease Control and Prevention (CDC), in collaboration with state and local partners, are investigating illnesses in a multistate outbreak of Listeria monocytogenes infections linked to chicken fettuccine alfredo meals. Recalled product assembled at FreshRealm, Inc.’s San Clemente, California; Montezuma, Georgia; and Indianapolis, Indiana, manufacturing locations may be adulterated with the outbreak strain of Listeria monocytogenes.

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.

FDA has conducted a thorough investigation in response to this outbreak, including traceback of FDA-regulated ingredients within the assembled product. FDA used specific meal information reported by ill people, and collected by state officials and CDC, and firm records to trace FDA-regulated ingredients through the supply chain to the establishments where those were produced.  FSIS identified the outbreak strain in a routine sample of FreshRealm’s chicken fettuccine alfredo collected on March 19, 2025. This lot of product was not distributed into the food supply. FSIS also used purchase documentation to trace chicken fettuccine alfredo products purchased by two ill people to FreshRealm establishments. An additional two ill people verbally described chicken fettuccine alfredo products they purchased. FSIS identified products produced by FreshRealm that matched the descriptions during follow-up at the retail stores where they shopped.

FDA also initiated multiple inspections, including sample collection, at the manufacturers of some ingredients used to make the chicken fettuccine alfredo product.

Testing of the FDA-regulated ingredients collected to date is complete and the outbreak strain of Listeria was not found. FDA and FSIS have not yet determined a source of contamination for this product; however, both agencies are working closely with each other and CDC to continue to collect information to determine what additional steps are needed to protect public health.

On June 17, 2025, in response to this investigation, FreshRealm, Inc., recalled their pre-made chicken fettuccine alfredo products sold at Kroger and Walmart under the following brand names and packaging details:

• 32.8-oz. tray packages containing “MARKETSIDE GRILLED CHICKEN ALFREDO WITH FETTUCCINE Tender Pasta with Creamy Alfredo Sauce, White Meat Chicken and Shaved Parmesan Cheese” with best-by date 06/27/25 or prior.
• 12.3 oz. tray packages containing “MARKETSIDE GRILLED CHICKEN ALFREDO WITH FETTUCCINE Tender Pasta with Creamy Alfredo Sauce, White Meat Chicken, Broccoli and Shaved Parmesan Cheese” with best-by date 06/26/25 or prior.
• 12.5 oz. tray packages containing “HOME CHEF Heat & Eat Chicken Fettuccine Alfredo with pasta, grilled white meat chicken, and Parmesan cheese” with best-by date 06/19/25 or prior.

FDA will continue to collaborate with federal and local partners and will provide updates as they become available.

 

Case Count Map Provided by CDC