Reported Reactions

Drugs › Central nervous system stimulant

Generic name

Caffeine: adverse event reports filed with FDA

3,721 reports list it as a suspect or interacting product, 2004–2026. Class: Central nervous system stimulant. Also reported as Caffeine Tablet.

3,721
reports as suspect product
0% of all reports · about 165 a year
348
reports, 12 months to June 2026
700 in the 12 months before
92.8%
marked serious by the reporter
45% across the class
55.1%
record death among outcomes, as reported
2,052 reports · not verified by FDA

3,721 adverse event reports received by FDA list caffeine, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 4,003 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 348 reports listed it, down 50% from 700 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 165 reports a year and 0% of the 20,646,523 reports in the database, and 3.4% of the reports for the central nervous system stimulant class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded toxicity to various agents (32.3%), drug abuse (11.9%) and overdose (11.7%). A report can list several reactions, so shares add to more than 100%; 798 different terms appear across these reports. Toxicity to various agents is recorded in 32.3% of these reports, a larger share than in the median central nervous system stimulant drug (0.9%).

92.8% of the reports are marked serious by the reporter (45% across the class); 55.1% record death among the outcomes and 32% record hospitalisation, as reported. 54.6% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (45.2%). 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

062124Jul 2021: 17Aug 2021: 14Sep 2021: 18Oct 2021: 12Nov 2021: 20Dec 2021: 172022Jan 2022: 29Feb 2022: 27Mar 2022: 17Apr 2022: 15May 2022: 7Jun 2022: 17Jul 2022: 14Aug 2022: 22Sep 2022: 12Oct 2022: 7Nov 2022: 13Dec 2022: 222023Jan 2023: 21Feb 2023: 29Mar 2023: 11Apr 2023: 38May 2023: 31Jun 2023: 11Jul 2023: 7Aug 2023: 28Sep 2023: 15Oct 2023: 21Nov 2023: 11Dec 2023: 372024Jan 2024: 35Feb 2024: 34Mar 2024: 34Apr 2024: 40May 2024: 91Jun 2024: 82Jul 2024: 60Aug 2024: 42Sep 2024: 51Oct 2024: 124Nov 2024: 109Dec 2024: 302025Jan 2025: 31Feb 2025: 79Mar 2025: 97Apr 2025: 26May 2025: 18Jun 2025: 33Jul 2025: 31Aug 2025: 21Sep 2025: 35Oct 2025: 42Nov 2025: 25Dec 2025: 382026Jan 2026: 33Feb 2026: 30Mar 2026: 21Apr 2026: 27May 2026: 24Jun 2026: 21

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

03667322004: 7620042005: 682006: 232007: 3220072008: 162009: 242010: 7020102011: 682012: 562013: 9820132014: 1132015: 2032016: 10620162017: 1332018: 1442019: 20220192020: 2392021: 2242022: 20220222023: 2602024: 7322025: 47620252026: 156

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Caffeine reports recording the termmedian drug in central nervous system stimulant

  1. Toxicity to various agentspoisoning or toxic effect of one or more substances32.3%1,201
  2. Drug abusemisuse of a medicine11.9%441
  3. Overdosea dose above the recommended amount11.7%434
  4. Vomitingbeing sick9.3%345
  5. Completed suicidedeath by suicide8.4%314
  6. Drug interactionan interaction between medicines8.4%312
  7. Dyspnoeashortness of breath8%297
  8. Painpain, site not specified7.9%295
  9. Headachehead pain7.2%268
  10. Fatiguetiredness7%259
  11. Diarrhoealoose or frequent stools6.9%256
  12. Anxietyanxiety6.9%255
  13. Arthralgiajoint pain6.8%253
  14. Dizzinesslight-headedness or unsteadiness6.5%243
  15. Insomniadifficulty sleeping6.5%243
  16. Off label useused for a purpose or in a way not on the label6.4%239
  17. Malaisegeneral feeling of being unwell6.2%230
  18. Nauseafeeling sick6.2%230
  19. Mobility decreasedreduced ability to move about5.9%221
  20. Abdominal discomfortstomach discomfort5.9%219
  21. Abdominal pain upperupper stomach pain5.9%218
  22. Pruritusitching5.7%213
  23. Pneumonialung infection5.6%208
  24. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.5%206
  25. Depressionlow mood5.5%205
  26. Confusional stateconfusion5.5%204
  27. Drug hypersensitivityan allergic-type reaction to a medicine5.4%200
  28. Rashskin rash5.4%200
  29. Abdominal painstomach or belly pain5.2%193

Top 30 of 798 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 26 drugs in the central nervous system stimulant 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

Death55.1%2,052
Life-threatening15.2%564
Hospitalisation (initial or prolonged)32%1,190
Disability9.8%363
Congenital anomaly5.3%196
Other serious56.6%2,105
Not serious7.2%269

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 109,804 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 21.2%46
2 to 110.8%31
12 to 172.8%105
18 to 4445.2%1,681
45 to 6420.8%773
65 to 744.3%160
75 and over4.9%183
Age not given19.9%742

Patient sex

Female47.6%1,770
Male42.3%1,574
Not given10.1%377

Who reported

Physician21.7%808
Pharmacist3.7%138
Other health professional54.6%2,031
Lawyer1.1%42
Consumer or non-health professional15.4%573
Not given3.5%129

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 37.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis3278.8%
Drug abuse742%
Migraine671.8%
Pruritus431.2%
Headache330.9%
Pain290.8%

The indication field is filled in by the reporter and is often blank; shares are of all 3,721 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Caffeine reports
Acetaminophen1,22032.8%
Codeine62816.9%
Fentanyl56415.2%
Prednisone48813.1%
Albuterol3399.1%
Nicotine3389.1%
Diphenhydramine3359%
Morphine3318.9%
Ergocalciferol3308.9%
Glucosamine3038.1%

Other products listed in reports where Caffeine 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

MeasureCaffeineCentral nervous system stimulantAll reports
Reports as suspect product3,721109,80420,646,523
Share of that pool—3.4%0%
Reports, latest 12 months348—1,332,454
Marked serious92.8%45%57.4%
Death recorded among outcomes, per 1,000 reports5517991
Hospitalisation recorded, per 1,000 reports320129213
Consumer-filed share15.4%57.1%45.8%
Top term, share of reportsToxicity to various agents 32.3%median 0.9%0.8%

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 central nervous system stimulant class

DrugName typeReportsLatest 12 monthsMarked serious
Vyvansebrand17,54662725.7%
Daytranabrand13,703545.6%
Concertabrand10,83428165.2%
Adderallbrand10,07462238%
Methylphenidategeneric6,48373874.2%
Ritalinbrand6,14717575.2%
Methylphenidate hydrochloridegeneric5,91670357.7%
Excedrinbrand5,5304727.5%
Excedrin Migrainebrand4,6629712.1%
Amphetaminegeneric4,38848696.1%
Lisdexamfetamine dimesylategeneric4,30071373.1%
Excedrin Extra Strengthbrand3,2425330.1%
Quillivantbrand2,0109211.1%
Focalinbrand1,8328039.1%
Amphetamine sulfategeneric1,4748993.7%

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 Caffeine reports

How many adverse event reports has FDA received for Caffeine?

3,721 reports list Caffeine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 348 of them arrived in the latest 12 months. Another 4,003 list it only as a concomitant medication.

What reactions are recorded in Caffeine reports?

toxicity to various agents (32.3%), drug abuse (11.9%), overdose (11.7%), vomiting (9.3%) and completed suicide (8.4%). 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 Caffeine was responsible.

How serious are the reports?

92.8% are marked serious by the reporter. Among the outcomes recorded, 55.1% of reports include death and 32% 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 (54.6%), physician (21.7%) and consumer or non-health professional (15.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Caffeine rising?

348 reports in the 12 months to June 2026, down 50% from 700 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 Caffeine 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 Caffeine?

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 Caffeine as a suspect or interacting product; reports listing it only as a concomitant medication (4,003) 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.