FreshRealm is recalling three ready-to-eat chicken fettuccine Alfredo products sold nationwide at Walmart and Kroger after federal agencies said they may be linked to a listeria outbreak that has caused three deaths, one fetal loss, and 17 illnesses across 13 states.

Listeriosis, the infection that can occur from eating food contaminated with listeria, is particularly dangerous for older people and young children, as well as people who are pregnant and their fetuses.

The three recalled products include:

All bear establishment numbers “EST. P-50784,” “EST. P-47770,” or “EST. P-47718” on the side of the packaging. The best-by dates are all June 27 or earlier.

In March 2025, Department of Agriculture inspectors found listeria during a routine test of a sample chicken fettuccine Alfredo at a FreshRealm facility. That particular lot of product was destroyed, but the strain of listeria that was found matched the strain responsible for the present listeria outbreak. The USDA was also able to determine that at least four of the 17 people who have become ill in the outbreak had consumed the chicken fettuccine Alfredo. 

FreshRealm didn’t respond to CR’s questions about why it took so long to issue a recall after listeria had been found by the USDA. In a statement, the company said it is investigating how the products became contaminated—either in the FreshRealm facility itself or through any of the ingredients that the company used from outside suppliers. The source of the contamination has not yet been identified.

“Search your refrigerator and freezer for these recalled meals and throw them out if you have them,” says James E. Rogers, PhD, director of food safety and testing at CR. Consumers who have purchased a product involved in the recall should destroy it or return it to the place of purchase for a refund.

For ready-to-eat foods not otherwise recalled, the surest way to stay safe, says Rogers, is to heat them to 165° F, which kills listeria. Check for that temperature using a food thermometer, Rogers says.

Symptoms of listeriosis—fever, muscle aches, headache, stiff neck, confusion, loss of balance, and diarrhea—can occur within two weeks of exposure. Very young children, people 65 and older, and those with compromised immune systems are more likely to get a more serious listeria infection that spreads beyond the gastrointestinal tract and into the bloodstream. In pregnant people, the infection can cause miscarriages, stillbirths, premature delivery, or a life-threatening infection of the newborn. 

Antibiotics are used for serious illnesses, and IV antibiotics are used for those who are pregnant.

See a doctor if you have a fever above 101° F or you’re unable to keep liquids in your system for two or three days, which could put you at risk for dehydration.