Reported Reactions

Drugs › Cytoprotective agent

Generic name

Bleomycin: adverse event reports filed with FDA

6,341 reports list it as a suspect or interacting product, 2004–2026. Class: Cytoprotective agent.

6,341
reports as suspect product
0% of all reports · about 282 a year
352
reports, 12 months to June 2026
350 in the 12 months before
98%
marked serious by the reporter
98.2% across the class
22.6%
record death among outcomes, as reported
1,434 reports · not verified by FDA

Between January 2004 and June 2026, 6,341 adverse event reports received by FDA list bleomycin, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,103) are left out of every figure here.

In the 12 months to June 2026, 352 reports listed it, close to the 350 of 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 282 reports a year and 0% of the 20,646,523 reports in the database, and 47.6% of the reports for the cytoprotective agent 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 off label use (8.4%), febrile neutropenia (7.6%) and neutropenia (6.1%). A report can list several reactions, so shares add to more than 100%; 1,118 different terms appear across these reports. Off label use is recorded in 8.4% of these reports, about the same share as in the median cytoprotective agent drug (7.4%).

98% of the reports are marked serious by the reporter (98.2% across the class); 22.6% record death among the outcomes and 30.2% record hospitalisation, as reported. 52.1% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (35.1%). 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

03059Jul 2021: 50Aug 2021: 26Sep 2021: 26Oct 2021: 21Nov 2021: 31Dec 2021: 422022Jan 2022: 27Feb 2022: 16Mar 2022: 21Apr 2022: 13May 2022: 40Jun 2022: 29Jul 2022: 31Aug 2022: 15Sep 2022: 27Oct 2022: 28Nov 2022: 32Dec 2022: 252023Jan 2023: 27Feb 2023: 37Mar 2023: 50Apr 2023: 19May 2023: 29Jun 2023: 50Jul 2023: 33Aug 2023: 26Sep 2023: 24Oct 2023: 25Nov 2023: 30Dec 2023: 192024Jan 2024: 20Feb 2024: 40Mar 2024: 21Apr 2024: 21May 2024: 45Jun 2024: 13Jul 2024: 29Aug 2024: 42Sep 2024: 43Oct 2024: 28Nov 2024: 31Dec 2024: 282025Jan 2025: 28Feb 2025: 19Mar 2025: 23Apr 2025: 35May 2025: 20Jun 2025: 24Jul 2025: 34Aug 2025: 30Sep 2025: 24Oct 2025: 22Nov 2025: 29Dec 2025: 262026Jan 2026: 59Feb 2026: 29Mar 2026: 34Apr 2026: 27May 2026: 12Jun 2026: 26

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

02975942004: 6420042005: 1112006: 962007: 17320072008: 152009: 292010: 5320102011: 622012: 1662013: 26120132014: 2432015: 3572016: 55820162017: 5832018: 5942019: 41620192020: 5652021: 4602022: 30420222023: 3692024: 3612025: 31420252026: 187

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Bleomycin reports recording the termmedian drug in cytoprotective agent

  1. Off label useused for a purpose or in a way not on the label8.4%530
  2. Febrile neutropeniafever with low white blood cells7.6%481
  3. Neutropenialow neutrophils, a type of white blood cell6.1%385
  4. Drug ineffectivethe medicine did not work as expected5.7%363
  5. Pyrexiafever4.6%293
  6. Thrombocytopenialow platelets3.9%247
  7. Disease progressionthe disease advanced3.9%246
  8. Nauseafeeling sick3.7%232
  9. Respiratory failurethe lungs could not supply enough oxygen3.6%226
  10. Vomitingbeing sick3.5%224
  11. Anaemialow red blood cells3.4%215
  12. Product use in unapproved indicationused for a purpose not on the label3.4%214
  13. Sepsisa severe body-wide response to infection3.1%199
  14. Toxicity to various agentspoisoning or toxic effect of one or more substances2.9%183
  15. Dyspnoeashortness of breath2.8%177
  16. Pneumonialung infection2.8%177
  17. Fatiguetiredness2.3%145
  18. Interstitial lung diseasescarring or inflammation of lung tissue2.2%140
  19. Pancytopenialow counts of all blood cells2%128
  20. Deaththe patient died; cause not stated by this term1.9%121
  21. Infectionan infection, type not specified1.9%119
  22. Hodgkin's disease1.8%114
  23. Foetal exposure during pregnancythe unborn baby was exposed to the medicine1.8%113
  24. Pulmonary embolisma blood clot in the lung1.8%113

Top 30 of 1,118 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 3 drugs in the cytoprotective agent 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

Death22.6%1,434
Life-threatening8.8%555
Hospitalisation (initial or prolonged)30.2%1,916
Disability1.4%89
Congenital anomaly0.7%44
Other serious68.6%4,348
Not serious2%124

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 13,325 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 21.1%72
2 to 112.5%161
12 to 175.1%324
18 to 4435.1%2,227
45 to 6416.8%1,063
65 to 744.7%297
75 and over2.5%161
Age not given32.1%2,036

Patient sex

Female31.6%2,005
Male43.7%2,772
Not given24.7%1,564

Who reported

Physician35.5%2,252
Pharmacist3.9%247
Other health professional52.1%3,305
Lawyer0.1%9
Consumer or non-health professional3.1%194
Not given5.3%334

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 23% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hodgkin's disease2,05132.3%
Testis cancer2974.7%
Hodgkin's disease1963.1%
Diffuse large b-cell lymphoma1732.7%
Non-hodgkin's lymphoma1051.7%
Germ cell cancer1041.6%

The indication field is filled in by the reporter and is often blank; shares are of all 6,341 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Bleomycin reports
Etoposide3,61457%
Cisplatin2,25435.5%
Doxorubicin2,09233%
Dacarbazine2,00431.6%
Vinblastine1,97631.2%
Cyclophosphamide1,85229.2%
Vincristine1,66426.2%
Prednisone1,45322.9%
Procarbazine1,08617.1%
Doxorubicin hydrochloride95715.1%

Other products listed in reports where Bleomycin 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

MeasureBleomycinCytoprotective agentAll reports
Reports as suspect product6,34113,32520,646,523
Share of that pool—47.6%0%
Reports, latest 12 months352—1,332,454
Marked serious98%98.2%57.4%
Death recorded among outcomes, per 1,000 reports22622891
Hospitalisation recorded, per 1,000 reports302368213
Consumer-filed share3.1%4.9%45.8%
Top term, share of reportsOff label use 8.4%median 7.4%4.1%

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 cytoprotective agent class

DrugName typeReportsLatest 12 monthsMarked serious
Mesnageneric4,39332598.3%
Bleomycin sulfategeneric2,59110498.5%

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 Bleomycin reports

How many adverse event reports has FDA received for Bleomycin?

6,341 reports list Bleomycin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 352 of them arrived in the latest 12 months. Another 1,103 list it only as a concomitant medication.

What reactions are recorded in Bleomycin reports?

off label use (8.4%), febrile neutropenia (7.6%), neutropenia (6.1%), drug ineffective (5.7%) and pyrexia (4.6%). 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 Bleomycin was responsible.

How serious are the reports?

98% are marked serious by the reporter. Among the outcomes recorded, 22.6% of reports include death and 30.2% 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?

other health professional (52.1%), physician (35.5%) and not given (5.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Bleomycin rising?

352 reports in the 12 months to June 2026, close to the 350 of 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 Bleomycin 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 Bleomycin?

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 Bleomycin as a suspect or interacting product; reports listing it only as a concomitant medication (1,103) 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.