The FDA, USDA FSIS, and the CDC, in collaboration with state and local partners, investigate illnesses in a multistate outbreak of Listeria monocytogenes infections linked to chicken fettuccine Alfredo meals. The recalled products were 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 (FL, IL, IN, LA, MI, MN, MO, NC, NV, OH, SC, TX, and VA). 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 were 3 deaths attributed to listeriosis. There is one pregnancy associated illness in a mother that resulted in a fetal loss. The 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. FSIS identified products produced by FreshRealm that matched the descriptions during follow-up at the retail stores where they shopped. Testing of the FDA-regulated ingredients collected to date is complete, and the outbreak strain of Listeria was not found. On June 17, 2025, in response to this investigation, FreshRealm, Inc., recalled their pre-made chicken fettuccine Alfredo products sold at Kroger and Walmart @ https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-listeria-monocytogenes-chicken-fettuccine-alfredo-meals-june-2025
