The Everything Sprouts outbreak has now sickened at least 76 people in 16 states, according to the CDC. There are three pathogens making people sick in this outbreak: E. coli O26:H11, E. coli O103:H25, and E. coli O168:H8 along with Salmonella Agona. That is an increase of 21 more patients and one more state since the last update was published on August 24, 2026. The new state is Oregon.
The case count by state is: Florida (2), Iowa (2), Indiana (1), Kansas (1), Michigan (1), Minnesota (28), 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 September 7, 2026. The patient age range is from 12 to 94 years. Six people have been hospitalized, an increase of two more patients.
Of the 50 people who were interviewed by public health officials, 40, or 80%, said they ate sprouts before they got sick. Thirty-five specifically reported eating alfalfa sprouts. Those percentages are significantly higher than the 8.7% of respondents who reported eating any sprouts in the FoodNet Population Survey over the same time period.
Sixty-four of these patients are sick with E. coli infections. Nine people have Salmonella Agona infections, and three people were sickened with both Salmonella and E. coli infections.
Some of the patients have been part of illness clusters. A cluster is defined as two or more people who do not live in the same household who ate at the same restaurant, attended a common event, or shopped at the same grocery store location. Seven illness clusters were identified in Minnesota and Wisconsin.
Whole genome sequencing performed on patient isolates showed that they are closely related genetically. That means that people in this outbreak likely got sick from eating the same food. Then, traceback evidence from the Minnesota and Wisconsin restaurants identified alfalfa sprouts by Everything Sprouts as a source of illness in this outbreak. The FDA traced illnesses to a single lot of alfalfa seeds from a common seed supplier, Berlin Seeds.
Four of the company’s sprouts and sprout mixes have been recalled. Calco and Everything Sprouts alfalfa sprouts were recalled, as were Crunchy Protein Sprout Mix and Zesty Garlic Sprout Mix in one notice. Finally, their Robust Radish mix was recalled.
If you purchased any of these sprouts or sprout mixes, do not eat them. You can throw them away or take them back to the place of purchase for a refund.
If you or anyone in your family ate these sprouts, monitor your health for the symptoms of an E. coli infection, HUS, and a Salmonella infection. If you do get sick, see your doctor.
