The Everything Sprouts E. coli and Salmonella outbreak has ended with 77 people sick in 16 states, according to the Centers for Disease Control and Prevention (CDC). That is an increase of one more patient since the last update was issued on October 1, 2026; the new patent lives in Minnesota. There were three strains of E. coli in this outbreak: E. coli O26:H11, O103:H25, and O168:H8. The strain of Salmonella was Salmonella Agona. The company is located in Minneapolis, Minnesota.
The case count by state is: Florida (2), Iowa (2), Indiana (1), Kansas (1), Michigan (1), Minnesota (29), North Carolina (3), North Dakota (3), New Hampshire (1), New York (2), Oregon (1), Pennsylvania (1), South Carolina (1), South Dakota (1), Washington (1), and Wisconsin (27). Illness onset dates range from May 31, 2026 to October 19, 2026. The patient age range is from 12 to 94 years. Six people were hospitalized. Sixty-four people were sick with E. coli, 10 were sick with Salmonella, and three patients were sick with both Salmonella and E. coli.
Several recalls were issued in relation to this outbreak. The company’s Robust Radish mix was recalled, as was their alfalfa sprouts which were used in the company’s Crunchy Protein and Zesty Garlic sprout mixes. Everything and Calco alfalfa sprouts were recalled in August 2026. And International Sprout Holding recalled their alfalfa sprout seeds in September 2026.
Of the 52 people interviewed by public health officials, 41, or 79%, said they ate sprouts before they got sick, and 36 of those patients specifically recalled eating alfalfa sprouts. This percentage was significantly higher than the 8.7% of respondents who reported eating any sprouts during the same time frame. That suggests people in this outbreak got sick from eating alfalfa sprouts.
Some illness clusters were identified in this outbreak. Seven were identified in Minnesota and Wisconsin. The most commonly reported food item was alfalfa sprouts.
Whole genome sequencing performed on patient samples showed that their samples were closely related genetically. This suggests that people in this outbreak got sick from eating the same food. Finally, traceback information from Minnesota and Wisconsin restaurants identified Everything Sprouts were a source of illness. The FDA traced illnesses to a single lot of alfalfa seeds from a common supplier.
