Fresh Express has issued a voluntary recall of branded and private label salad products produced at its Streamwood, Illinois, facility that contain iceberg lettuce, red cabbage and/or carrot ingredients due to a possible health risk from Cyclospora.

According to the Centers for Disease Control and Prevention, over 200 illnesses have been reported in connection with a current outbreak of Cyclospora occurring in primarily Midwest states.

Cyclosporiasis is an intestinal infection caused by the Cyclospora parasite. A person may become infected after ingesting contaminated food or water. Common symptoms include severe abdominal pain, diarrhea, nausea and vomiting, body aches and fatigue. The infection is treated with antibiotics and most people respond quickly to treatment.

The Fresh Express recall includes only those salads that are clearly marked with the letter Z at the beginning of the product code, which is located in the upper right-hand corner of the front of the package. Products containing the ingredients iceberg lettuce, red cabbage and/or carrots and displaying the Product Code Z178, or a lower number, are recalled.

Products are also marketed under Hy-Vee name, Little Salad Bar sold at Aldi and Marketside mixes sold at Walmart.

Recalled products were distributed to select retail stores between June 6 and June 26 in various states including Pennsylvania.

Fresh Express customers have been notified of the recall and instructed to immediately remove recalled products from all store shelves, distribution and other inventories to ensure they are no longer available for sale or consumption.

Consumers who may have a recalled salad should discard it immediately and not eat it. Consumers with questions, or to obtain refunds, may contact the Fresh Express Consumer Response Center toll-free at (800) 242-5472 on Monday through Saturday from 8 a.m. to 7 p.m. Eastern time and on Sunday from 11 a.m. to 7 p.m. Eastern time.