Reported Reactions

Drugs › Cephalosporin antibacterial

Generic name

Cefepime: adverse event reports filed with FDA

5,419 reports list it as a suspect or interacting product, 2004–2026. Class: Cephalosporin antibacterial. Also reported as Cefepime Injection.

5,419
reports as suspect product
0% of all reports · about 241 a year
505
reports, 12 months to June 2026
636 in the 12 months before
95%
marked serious by the reporter
89.1% across the class
18.1%
record death among outcomes, as reported
983 reports · not verified by FDA

Between January 2004 and June 2026, 5,419 adverse event reports received by FDA list cefepime, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (9,024) are left out of every figure here.

In the 12 months to June 2026, 505 reports listed it, down 21% from 636 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 241 reports a year and 0% of the 20,646,523 reports in the database, and 9.5% of the reports for the cephalosporin antibacterial 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 drug ineffective (15.4%), acute kidney injury (11.3%) and off label use (6.7%). A report can list several reactions, so shares add to more than 100%; 849 different terms appear across these reports. Drug ineffective is recorded in 15.4% of these reports, a larger share than in the median cephalosporin antibacterial drug (8%).

95% of the reports are marked serious by the reporter (89.1% across the class); 18.1% record death among the outcomes and 56.6% record hospitalisation, as reported. 44.5% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (27.6%). 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

065129Jul 2021: 35Aug 2021: 40Sep 2021: 44Oct 2021: 37Nov 2021: 31Dec 2021: 222022Jan 2022: 22Feb 2022: 26Mar 2022: 42Apr 2022: 53May 2022: 41Jun 2022: 38Jul 2022: 41Aug 2022: 43Sep 2022: 50Oct 2022: 56Nov 2022: 57Dec 2022: 392023Jan 2023: 27Feb 2023: 41Mar 2023: 35Apr 2023: 48May 2023: 54Jun 2023: 47Jul 2023: 34Aug 2023: 29Sep 2023: 30Oct 2023: 32Nov 2023: 35Dec 2023: 362024Jan 2024: 53Feb 2024: 27Mar 2024: 43Apr 2024: 31May 2024: 46Jun 2024: 39Jul 2024: 43Aug 2024: 54Sep 2024: 36Oct 2024: 129Nov 2024: 62Dec 2024: 752025Jan 2025: 47Feb 2025: 40Mar 2025: 27Apr 2025: 39May 2025: 44Jun 2025: 40Jul 2025: 36Aug 2025: 55Sep 2025: 46Oct 2025: 44Nov 2025: 27Dec 2025: 462026Jan 2026: 50Feb 2026: 31Mar 2026: 39Apr 2026: 53May 2026: 39Jun 2026: 39

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

03196382004: 3120042005: 172006: 382007: 3220072008: 542009: 1112010: 4120102011: 592012: 1042013: 9820132014: 1592015: 1852016: 18020162017: 3472018: 3812019: 30920192020: 4872021: 4502022: 50820222023: 4482024: 6382025: 49120252026: 251

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cefepime reports recording the termmedian drug in cephalosporin antibacterial

  1. Drug ineffectivethe medicine did not work as expected15.4%835
  2. Acute kidney injurysudden loss of kidney function11.3%611
  3. Off label useused for a purpose or in a way not on the label6.7%363
  4. Condition aggravatedthe condition being treated got worse4.6%249
  5. Drug reaction with eosinophilia and systemic symptomsDRESS, a severe reaction with rash, fever and organ involvement4.4%237
  6. Confusional stateconfusion3.9%209
  7. Pyrexiafever3.7%199
  8. Rashskin rash3.4%183
  9. Thrombocytopenialow platelets3.4%182
  10. Neutropenialow neutrophils, a type of white blood cell2.8%154
  11. Septic shockshock arising from infection2.8%152
  12. Multiple organ dysfunction syndromeseveral organs failing2.6%142
  13. Myoclonus2.3%125
  14. Renal failurekidney failure2.3%124
  15. Febrile neutropeniafever with low white blood cells2.2%121
  16. Pneumonialung infection2.1%116
  17. Sepsisa severe body-wide response to infection2.1%116
  18. Diarrhoealoose or frequent stools2.1%115
  19. Hypotensionlow blood pressure1.9%103
  20. Deaththe patient died; cause not stated by this term1.9%101
  21. Product use in unapproved indicationused for a purpose not on the label1.8%95

Top 30 of 849 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 17 drugs in the cephalosporin antibacterial 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

Death18.1%983
Life-threatening13.7%745
Hospitalisation (initial or prolonged)56.6%3,066
Disability1.1%60
Congenital anomaly0%1
Other serious55.2%2,993
Not serious5%272

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 57,006 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 21.7%93
2 to 112.3%124
12 to 172.9%155
18 to 4414.7%798
45 to 6427.6%1,496
65 to 7417.4%943
75 and over17.5%950
Age not given15.9%860

Patient sex

Female42.2%2,289
Male46.4%2,514
Not given11.4%616

Who reported

Physician28.3%1,532
Pharmacist18.8%1,018
Other health professional44.5%2,413
Lawyer0%1
Consumer or non-health professional5.5%299
Not given2.9%156

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 59.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Antibiotic therapy3616.7%
Pneumonia2554.7%
Infection2494.6%
Evidence based treatment1653%
Osteomyelitis1382.5%
Sepsis1282.4%

The indication field is filled in by the reporter and is often blank; shares are of all 5,419 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cefepime reports
Vancomycin1,83333.8%
Metronidazole74013.7%
Meropenem65312.1%
Ciprofloxacin4578.4%
Ceftriaxone3957.3%
Levofloxacin3716.8%
Linezolid3286.1%
Daptomycin3256%
Acetaminophen2795.1%
Pantoprazole2765.1%

Other products listed in reports where Cefepime 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

MeasureCefepimeCephalosporin antibacterialAll reports
Reports as suspect product5,41957,00620,646,523
Share of that pool—9.5%0%
Reports, latest 12 months505—1,332,454
Marked serious95%89.1%57.4%
Death recorded among outcomes, per 1,000 reports18113391
Hospitalisation recorded, per 1,000 reports566454213
Consumer-filed share5.5%11.7%45.8%
Top term, share of reportsDrug ineffective 15.4%median 8%6.3%

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 cephalosporin antibacterial class

DrugName typeReportsLatest 12 monthsMarked serious
Ceftriaxonegeneric17,1551,29493.7%
Cephalexingeneric5,64747270.6%
Cefuroximegeneric5,07829393.9%
Cefazolingeneric4,19329392%
Ceftriaxone sodiumgeneric3,77931193.3%
Ceftazidimegeneric3,31624196.7%
Cefotaximegeneric2,21010498.1%
Cefuroxime axetilgeneric2,10017275.7%
Cefdinirgeneric1,6148350.3%
Cefazolin sodiumgeneric1,33119195.5%
Cefepime hydrochloridegeneric1,0215186.6%
Cefiximegeneric9338689.8%
Zerbaxabrand8911866.1%
Cefuroxime sodiumgeneric8655197.3%
Cefaclorgeneric7293878.9%

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 Cefepime reports

How many adverse event reports has FDA received for Cefepime?

5,419 reports list Cefepime as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 505 of them arrived in the latest 12 months. Another 9,024 list it only as a concomitant medication.

What reactions are recorded in Cefepime reports?

drug ineffective (15.4%), acute kidney injury (11.3%), off label use (6.7%), encephalopathy (6.7%) and condition aggravated (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 Cefepime was responsible.

How serious are the reports?

95% are marked serious by the reporter. Among the outcomes recorded, 18.1% of reports include death and 56.6% 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 (44.5%), physician (28.3%) and pharmacist (18.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cefepime rising?

505 reports in the 12 months to June 2026, down 21% from 636 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 Cefepime 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 Cefepime?

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 Cefepime as a suspect or interacting product; reports listing it only as a concomitant medication (9,024) 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.