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 (Lm), the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today. 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 following ready-to-eat products were shipped to Kroger and Walmart retail locations nationwide [view labels]:
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.
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.
FSIS and public health partners are investigating an outbreak of Lm 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 Lm.
Consumption of food contaminated with Lm 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. 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.
