Reported Reactions

Drugs › Aromatase inhibitor

Brand name · Exemestane

Aromasin: adverse event reports filed with FDA

6,407 reports list it as a suspect or interacting product, 2004–2026. Class: Aromatase inhibitor.

6,407
reports as suspect product
0% of all reports · about 285 a year
112
reports, 12 months to June 2026
131 in the 12 months before
67.6%
marked serious by the reporter
82.2% across the class
10.4%
record death among outcomes, as reported
667 reports · not verified by FDA

Between January 2004 and June 2026, 6,407 adverse event reports received by FDA list the brand name Aromasin (exemestane) as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,855) are left out of every figure here.

In the 12 months to June 2026, 112 reports listed it, down 15% from 131 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 285 reports a year and 0% of the 20,646,523 reports in the database, and 9.1% of the reports for the aromatase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are arthralgia (9.5%), fatigue (7.7%) and disease progression (5.8%). A report can list several reactions, so shares add to more than 100%; 910 different terms appear across these reports. Arthralgia is recorded in 9.5% of these reports, about the same share as in the median aromatase inhibitor drug (9.5%).

67.6% of the reports are marked serious by the reporter (82.2% across the class); 10.4% record death among the outcomes and 20% record hospitalisation, as reported. 49.4% of the reports came from consumers, and the largest patient age group is 65 to 74 (24.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

02855Jul 2021: 25Aug 2021: 22Sep 2021: 16Oct 2021: 15Nov 2021: 21Dec 2021: 192022Jan 2022: 37Feb 2022: 30Mar 2022: 29Apr 2022: 55May 2022: 45Jun 2022: 20Jul 2022: 12Aug 2022: 28Sep 2022: 11Oct 2022: 17Nov 2022: 14Dec 2022: 212023Jan 2023: 15Feb 2023: 20Mar 2023: 20Apr 2023: 17May 2023: 28Jun 2023: 25Jul 2023: 18Aug 2023: 19Sep 2023: 11Oct 2023: 11Nov 2023: 19Dec 2023: 172024Jan 2024: 23Feb 2024: 25Mar 2024: 12Apr 2024: 20May 2024: 21Jun 2024: 7Jul 2024: 12Aug 2024: 11Sep 2024: 23Oct 2024: 11Nov 2024: 7Dec 2024: 162025Jan 2025: 5Feb 2025: 8Mar 2025: 13Apr 2025: 3May 2025: 9Jun 2025: 13Jul 2025: 16Aug 2025: 28Sep 2025: 14Oct 2025: 4Nov 2025: 4Dec 2025: 72026Jan 2026: 7Feb 2026: 6Mar 2026: 4Apr 2026: 5May 2026: 8Jun 2026: 9

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

03306592004: 6520042005: 1242006: 1462007: 14420072008: 1922009: 1942010: 37620102011: 2702012: 2852013: 34820132014: 4342015: 6592016: 51820162017: 4472018: 2802019: 42520192020: 3642021: 2462022: 31920222023: 2202024: 1882025: 12420252026: 39

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Aromasin reports recording the termmedian drug in aromatase inhibitor

  1. Arthralgiajoint pain9.5%610
  2. Fatiguetiredness7.7%493
  3. Disease progressionthe disease advanced5.8%373
  4. Deaththe patient died; cause not stated by this term5.5%355
  5. Malaisegeneral feeling of being unwell5.4%349
  6. Nauseafeeling sick5.1%327
  7. Diarrhoealoose or frequent stools4.4%279
  8. Painpain, site not specified4.2%266
  9. Breast cancerbreast cancer3.8%242
  10. Hot flusha hot flush3.8%241
  11. Headachehead pain3.7%240
  12. Pain in extremitypain in an arm or leg3.5%222
  13. Alopeciahair loss3.4%221
  14. Dyspnoeashortness of breath3.3%212
  15. Bone painbone pain3.2%202
  16. Astheniaweakness or lack of energy3.1%197
  17. Insomniadifficulty sleeping3%191
  18. Dizzinesslight-headedness or unsteadiness2.8%179
  19. Vomitingbeing sick2.6%168
  20. Weight decreasedweight loss2.6%168
  21. Myalgiamuscle pain2.5%157
  22. Coughcough2.4%155
  23. Back painback pain2.3%149
  24. Rashskin rash2.3%145
  25. Weight increasedweight gain2.2%143
  26. Condition aggravatedthe condition being treated got worse2.1%134
  27. Falla fall2.1%134

Top 30 of 910 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 6 drugs in the aromatase inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death10.4%667
Life-threatening1.6%102
Hospitalisation (initial or prolonged)20%1,284
Disability1.9%119
Congenital anomaly0.1%5
Other serious47.6%3,052
Not serious32.4%2,075

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 70,406 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%1
2 to 110%0
12 to 170%1
18 to 442.6%164
45 to 6424.6%1,574
65 to 7424.8%1,589
75 and over16.2%1,039
Age not given31.8%2,039

Patient sex

Female92.5%5,926
Male0.9%55
Not given6.6%426

Who reported

Physician27.3%1,747
Pharmacist6.2%400
Other health professional13%834
Lawyer0.1%6
Consumer or non-health professional49.4%3,168
Not given3.9%252

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 58.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Breast cancer2,10432.8%
Breast cancer metastatic73411.5%
Breast cancer female6119.5%
Neoplasm malignant1502.3%
Her2 positive breast cancer1131.8%
Breast cancer recurrent310.5%

The indication field is filled in by the reporter and is often blank; shares are of all 6,407 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Aromasin reports
Afinitor6119.5%
Femara3545.5%
Arimidex2493.9%
Ibrance2383.7%
Xgeva2333.6%
Faslodex2053.2%
Letrozole1832.9%
Herceptin1762.7%
Aspirin1612.5%
Calcium1572.5%

Other products listed in reports where Aromasin is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAromasinAromatase inhibitorAll reports
Reports as suspect product6,40770,40620,646,523
Share of that pool—9.1%0%
Reports, latest 12 months112—1,332,454
Marked serious67.6%82.2%57.4%
Death recorded among outcomes, per 1,000 reports1049491
Hospitalisation recorded, per 1,000 reports200240213
Consumer-filed share49.4%31.6%45.8%
Top term, share of reportsArthralgia 9.5%median 9.5%2%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the aromatase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Letrozolegeneric27,8492,52389.9%
Arimidexbrand10,2179558%
Anastrozolegeneric10,1221,23486.4%
Femarabrand8,77036789.1%
Exemestanegeneric7,04147385.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Aromasin reports

How many adverse event reports has FDA received for Aromasin?

6,407 reports list Aromasin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 112 of them arrived in the latest 12 months. Another 2,855 list it only as a concomitant medication.

What reactions are recorded in Aromasin reports?

arthralgia (9.5%), fatigue (7.7%), disease progression (5.8%), death (5.5%) and malaise (5.4%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Aromasin was responsible.

How serious are the reports?

67.6% are marked serious by the reporter. Among the outcomes recorded, 10.4% of reports include death and 20% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (49.4%), physician (27.3%) and other health professional (13%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Aromasin rising?

112 reports in the 12 months to June 2026, down 15% from 131 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Aromasin was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Aromasin?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Aromasin as a suspect or interacting product; reports listing it only as a concomitant medication (2,855) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.