> ## Content Index > Fetch the complete content index at: https://www.foodsafetynews.com/llms.txt > Use this file to discover other available public pages before exploring further. # FDA says E. coli outbreak associated with romaine lettuce is over - URL: https://www.foodsafetynews.com/2022/01/fda-says-e-coli-outbreak-associated-with-romaine-lettuce-is-over/ - Published: 2022-01-27T05:06:18.000Z - Updated: 2022-01-26T23:18:35.000Z - Author: Coral Beach - Tags: Foodborne Illness Investigations, Foodborne Illness Outbreaks, bagged salad, CDC, cyclospora, E. coli, FDA, leafy greens, Listeria, packaged salad, romaine, Salmonella, #wp, #wp-post, #Import 2025-11-25 08:33 Federal officials are reporting that an outbreak of E. coli O121:H9 infections linked to romaine lettuce has ended. Four illnesses were confirmed in the outbreak. Little other information was available from the Food and Drug Administration. “The information collected over the course of this investigation indicated that romaine lettuce was the likely source of this outbreak; however, it appears that this outbreak is over, and there is no actionable advice for consumers,” according to FDA officials. “FDA has been conducting a traceback investigation and other activities in an effort to learn more about possible sources or routes of contamination.” The FDA first reported the outbreak two weeks ago but has not shared any information about patient demographics or what states are involved. The agency did not report when the first illness was reported or when the last one was logged by public health officials. As of Jan. 26, the Centers for Disease Control and Prevention had not posted any information about the outbreak. That is generally standing procedure for the agency if a specific product is not identified. Romaine and other leafy greens have been behind many foodborne illness outbreaks in recent years. Most involved bagged or otherwise packaged salads. Those outbreaks include: **2018 — E. coli — romaine lettuce** 62 people infected with the outbreak strain of E. coli O157:H7 were reported from 16 states and the District of Columbia; 25 patients were hospitalized. Canada also identified patients infected with the outbreak strain. **2018 – Cyclospora — romaine lettuce-carrot mix in McDonalds salad** 511 infections were confirmed in people from 15 states. **2018 — E. coli — romaine lettuce** 210 people infected with the outbreak strain were reported from 36 states; 96 people were hospitalized, including 27 people who developed a type of kidney failure called hemolytic uremic syndrome; 5 deaths were reported. **2018-19 — E. coli — romaine lettuce** 167 people infected with the outbreak strain of E. coli O157:H7 were reported from 27 states; 85 hospitalizations were reported, including 15 people who developed hemolytic uremic syndrome, a type of kidney failure. **2020 — E. coli — leafy greens** 40 people were infected with the outbreak strain of E. coli O157:H7 from 19 states; 20 were hospitalized. **2020 — Cyclospora — bagged salad** 701 people with laboratory-confirmed Cyclospora infections were reported from 14 states; 38 were hospitalized. **2021 — E. coli — packaged salad** 10 people infected with the outbreak strain of E. coli O157:H7 were reported from four states; four were hospitalized and one person developed a type of kidney failure called hemolytic uremic syndrome (HUS). **2021 — Listeria — packaged salad** 16 people infected with the outbreak strain of Listeria monocytogenes were reported from 13 states; 12 were hospitalized; 2 deaths were reported. **2021 — Listeria — packaged salad** 10 people infected with the outbreak strain of Listeria monocytogenes were reported from eight states; all 10 people were hospitalized; 1 death was reported. **2021 — E. coli — baby spinach** 15 people infected with the outbreak strain of E. coli O157:H7 were reported from 10 states; 4 were hospitalized and 3 developed a type of kidney failure called hemolytic uremic syndrome (HUS). **2021 — Salmonella — packaged salad** 31 people infected with the outbreak strain of Salmonella Typhimurium were reported from 4 states; 4 people were hospitalized. **Additional outbreaks associated with leafy greens included:** | **Date** | **Vehicle** | **Etiology** | **ConfirmedCases** | **States/Provinces** | | ------------------ | ----------------------------------- | ------------------------------------- | ------------------ | --------------------- | | July 1995 | Lettuce (leafy green; red; romaine) | *E. coli* O157:H7 | 74 | 1:MT | | Sept. 1995 | Lettuce (romaine) | *E. coli* O157:H7 | 20 | 1:ID | | Sept. 1995 | Lettuce (iceberg) | *E. coli* O157:H7 | 30 | 1:ME | | Oct. 1995 | Lettuce (iceberg; unconfirmed) | *E. coli* O157:H7 | 11 | 1:OH | | May-June 1996 | Lettuce (mesclun; red leaf) | *E. coli* O157:H7 | 61 | 3:CT, IL, NY | | May 1998 | Salad | *E. coli* O157:H7 | 2 | 1:CA | | Feb.-Mar. 1999 | Lettuce (iceberg) | *E. coli* O157:H7 | 72 | 1:NE | | Oct. 1999 | Salad | *E. coli* O157:H7 | 92 | 3:OR, PA, OH | | Oct. 2000 | Lettuce | *E. coli* O157:H7 | 6 | 1:IN | | Nov. 2001 | Lettuce | *E. coli* O157:H7 | 20 | 1:TX | | July-Aug. 2002 | Lettuce (romaine) | *E. coli* O157:H7 | 29 | 2:WA, ID | | Nov. 2002 | Lettuce | *E. coli* O157:H7 | 13 | 1:Il | | Dec. 2002 | Lettuce | *E. coli* O157:H7 | 3 | 1:MN | | Oct. 2003-May 2004 | Lettuce (mixed salad) | *E. coli* O157:H7 | 57 | 1:CA | | Apr. 2004 | Spinach | *E. coli* O157:H7 | 16 | 1:CA | | Nov. 2004 | Lettuce | *E. coli* O157:H7 | 6 | 1:NJ | | Sept. 2005 | Lettuce (romaine) | *E. coli* O157:H7 | 32 | 3:MN, WI, OR | | Sept. 2006 | Spinach (baby) | *E. coli* O157:H7 and other serotypes | 205 | Multistate and Canada | | Nov./Dec. 2006 | Lettuce | *E. coli* O157:H7 | 71 | 4:NY, NJ, PA, DE | | Nov./Dec. 2006 | Lettuce | *E. coli* O157:H7 | 81 | 3:IA, MN, WI | | July 2007 | Lettuce | *E. coli* O157:H7 | 26 | 1:AL | | May 2008 | Romaine | *E. coli* O157:H7 | 9 | 1:WA | | Oct. 2008 | Lettuce | *E. coli* O157:H7 | 59 | Multistate and Canada | | Nov. 2008 | Lettuce | *E. coli* O157:H7 | 130 | Canada | | Sept. 2009 | Lettuce: Romaine or Iceberg | *E. coli* O157:H7 | 29 | Multistate | | Sept. 2009 | Lettuce | *E. coli* O157:H7 | 10 | Multistate | | April 2010 | Romaine | *E. coli* O145 | 33 | 5:MI, NY, OH, PA, TN | | Oct. 2011 | Romaine | *E. coli* O157:H7 | 60 | Multistate | | April 2012 | Romaine | *E. coli* O157:H7 | 28 | 1:CA Canada | | June 2012 | Romaine | *E. coli* O157:H7 | 52 | Multistate | | Sept. 2012 | Romaine | *E. coli* O157:H7 | 9 | 1:PA | | Oct. 2012 | Spinach and Spring Mix Blend | *E. coli* O157:H7 | 33 | Multistate | | Apr. 2013 | Leafy Greens | *E. coli* O157:H7 | 14 | Multistate | | Aug. 2013 | Leafy Greens | *E. coli* O157:H7 | 15 | 1:PA | | Oct. 2013 | Ready-To-Eat Salads | *E. coli* O157:H7 | 33 | Multistate | | Apr. 2014 | Romaine | *E. coli* O126 | 4 | 1:MN | | Apr. 2015 | Leafy Greens | *E. coli* O145 | 7 | 3:MD, SC, VA | | June 2016 | Mesclun Mix | *E. coli* O157:H7 | 11 | 3:IL, MI, WI | | Nov. 2017 | Leafy Greens | *E. coli* O157:H7 | 67 | Multistate and Canada | ***(To sign up for a free subscription to Food Safety News,*** [***click here***](https://www.foodsafetynews.com/subscribe/#.VtSWqcdln%5FR)***.)***