CDC provided more information on the ongoing Listeria outbreak including there has been 1 more death and 3 people sickened since the last update back on June 18.1
Since September 25, the federal agency reported there has been a total of 20 people infected with Listeria across 15 states. Samples were collected on dates ranging from August 1, 2024, to September 11, 2025. Of 20 people with information available, 19 have been hospitalized and 4 deaths have been reported overall. One each from Illinois, Michigan, Texas, and Utah. One pregnancy-associated illness resulted in a fetal loss.1
Several of the infections have been linked to alfredo-based meals manufactured by FreshRealm, a food production company with facilities in California, Georgia, and Indiana.2
According to CDC, FreshRealm has tested the ingredients used in the meals. And the pasta used in the meals tested positive for Listeria. Whole genome sequencing results show the pathogen in the pasta is the same strain making people sick. Companies that used certain lots of affected pasta are working to recall food and meals that contain these pastas.1
The manufacturer issued a voluntary recall of the following products made prior to June 17:
- Marketside Grilled Chicken Alfredo with Fettucine (32.8 oz; Best by June 27 or earlier)
- Marketside Grilled Chicken Alfredo with Broccoli (12.3 oz; Best by June 26 or earlier)
- Home Chef Heat & Eat Chicken Fettuccine Alfredo (12.5 oz; Best by June 19 or earlier)2
Learn more: 3 Deaths and 17 Illnesses Tied to Listeria Outbreak From Recalled Chicken Alfredo Meals
What You Need to Know
As of September 25, there are 20 confirmed cases across 15 states, with 19 hospitalizations, 4 deaths, and 1 fetal loss—highlighting the serious risks of listeriosis.
The outbreak has been linked to pasta used in FreshRealm-manufactured alfredo meals; whole genome sequencing confirmed it was the same strain of Listeria making people sick.
FreshRealm voluntarily recalled multiple chicken alfredo products, but CDC warns more illnesses may emerge since listeriosis often goes undetected and case reporting can lag several weeks.
It is important to note, the agency says it is likely there are more people sickened with Listeria, and this outbreak may not have been limited to the states with known illnesses. CDC says some people recover without medical care and are not tested for Listeria. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.1
Listeria infection can lead to severe disease, particularly among pregnant individuals, neonates, older adults, and immunocompromised patients. Clinical manifestations include febrile gastroenteritis, meningitis, encephalitis, and sepsis. In pregnancy, listeriosis may result in miscarriage, stillbirth, premature delivery, or neonatal infection. Approximately 1,600 cases of listeriosis occur annually in the US, with an estimated 260 fatalities.3
