FreshRealm establishments in San Clemente, Calif., Montezuma, Ga., and Indianapolis, Ind., are recalling chicken fettuccine alfredo products that may be adulterated with an outbreak strain of Listeria monocytogenes. Out of an abundance of caution, the company is voluntarily recalling all products produced prior to June 17, 2025, that are available in commerce under the following brand names.

The ready-to-eat products were shipped to Kroger and Walmart retail locations nationwide:

• 32.8-ounce 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-ounce 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-ounce 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.                               

The products bear the USDA mark of inspection on the product label as well as establishment numbers “EST. P-50784,” “EST. P-47770” or “EST. P-47718” printed on the side of the packaging.

USDA Food Safety & Inspection Service and public health partners are investigating an outbreak of Listeria monocytogenes that currently includes 17 ill people in 13 states. As of June 17, 2025, there have been three reported deaths and one fetal loss associated with this outbreak. The outbreak strain of Lm was isolated from ill people on dates ranging from August 2024–May 2025. The same outbreak strain was isolated from a routine chicken fettuccine alfredo sample collected by FSIS in a FreshRealm establishment in March 2025. The lot of chicken fettuccine alfredo represented by this sample was held during sampling, destroyed, and never entered commerce. The subsequent investigations at the establishment that produced this product, and into the product ingredients, have not identified the source of contamination.

FSIS also used purchase records from two ill people to trace purchased chicken fettuccine alfredo products 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. This investigation is ongoing. FSIS is sharing what is currently known regarding products associated with the outbreak as the agency continues to work with public health partners to identify whether a specific ingredient in the chicken fettucine alfredo may be the source of this strain of Listeria monocytogenes.

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, people outside these risk groups are affected.

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and people with weakened immune systems can occur. Listeriosis is treated with antibiotics. People in the higher-risk categories who experience flu-like symptoms within two months after eating contaminated food should seek medical care and tell the health care provider about eating the contaminated food.

FSIS is concerned that some products may be in consumers’ refrigerators or freezers. Consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers of the recall and that steps are taken to make certain that the product is no longer available to consumers. When available, the retail distribution list(s) will be posted on the FSIS website.

FSIS advises all consumers to safely prepare their meat products, including fresh and frozen, and to only consume premade meals like chicken fettuccine alfredo that have been cooked to a temperature of 165 degrees Fahrenheit. The only way to confirm that premade meals are cooked to a temperature high enough to kill harmful bacteria is to use a food thermometer that measures internal temperature.

Source: USDA FSIS