Drugs › Histamine-1 receptor antagonist
Brand name · Cetirizine hydrochloride
Childrens Zyrtec: adverse event reports filed with FDA
816 reports list it as a suspect or interacting product, 2015–2026. Class: Histamine-1 receptor antagonist.
- 816
- reports as suspect product
- 0% of all reports · about 74 a year
- 70
- reports, 12 months to June 2026
- 62 in the 12 months before
- 3.4%
- marked serious by the reporter
- 57.7% across the class
- 0%
- record death among outcomes, as reported
- 0 reports · not verified by FDA
Between July 2015 and June 2026, 816 adverse event reports received by FDA list the brand name Childrens Zyrtec (cetirizine hydrochloride) as a suspect or interacting product. Reports that mention it only as a concomitant medication (158) are left out of every figure here.
In the 12 months to June 2026, 70 reports listed it, up 13% from 62 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 74 reports a year and 0% of the 20,646,523 reports in the database, and 0.6% of the reports for the histamine-1 receptor antagonist 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 product use in unapproved indication (18.8%), therapeutic response unexpected (14%) and accidental overdose (12.6%). A report can list several reactions, so shares add to more than 100%; 94 different terms appear across these reports. Product use in unapproved indication is recorded in 18.8% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (2%).
3.4% of the reports are marked serious by the reporter (57.7% across the class); 0% record death among the outcomes and 0.5% record hospitalisation, as reported. 97.2% of the reports came from consumers, and the largest patient age group is 2 to 11 (39.1%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Childrens Zyrtec reports recording the termmedian drug in histamine-1 receptor antagonist
- Product use in unapproved indicationused for a purpose not on the label18.8%153
- Accidental overdosean accidental overdose12.6%103
- Off label useused for a purpose or in a way not on the label11.2%91
- Overdosea dose above the recommended amount7.7%63
- Incorrect dose administeredthe wrong dose was given6.3%51
- Product use issuea problem in how the product was used6.1%50
- Somnolencedrowsiness5.5%45
- Drug ineffectivethe medicine did not work as expected4.3%35
- Extra dose administered3.1%25
- Wrong technique in product usage processthe product was used in the wrong way2.6%21
- Expired product administeredthe product was used past its expiry date2.1%17
- Failure of child resistant product closure1.3%11
- Diarrhoealoose or frequent stools1.2%10
- Fatiguetiredness1.2%10
- Vomitingbeing sick1.2%10
- Abdominal pain upperupper stomach pain1%8
- Abnormal behaviourunusual behaviour1%8
- Aggressionaggressive behaviour1%8
- Drug administration errora mistake in giving the medicine0.9%7
- Inappropriate schedule of product administrationthe product was taken at the wrong times0.9%7
- Product container issuea problem with the container0.9%7
- Product physical issuea physical defect in the product0.9%7
- Adverse eventan unwanted medical event, type not specified0.7%6
Top 30 of 94 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 34 drugs in the histamine-1 receptor antagonist 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
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 135,666 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Multiple allergies | 96 | 11.8% |
| Seasonal allergy | 44 | 5.4% |
| Hypersensitivity | 40 | 4.9% |
| Accidental exposure to product | 32 | 3.9% |
| Urticaria | 21 | 2.6% |
| Accidental exposure to product by child | 17 | 2.1% |
The indication field is filled in by the reporter and is often blank; shares are of all 816 reports.
In context
| Measure | Childrens Zyrtec | Histamine-1 receptor antagonist | All reports |
|---|---|---|---|
| Reports as suspect product | 816 | 135,666 | 20,646,523 |
| Share of that pool | — | 0.6% | 0% |
| Reports, latest 12 months | 70 | — | 1,332,454 |
| Marked serious | 3.4% | 57.7% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 0 | 190 | 91 |
| Hospitalisation recorded, per 1,000 reports | 5 | 203 | 213 |
| Consumer-filed share | 97.2% | 50.8% | 45.8% |
| Top term, share of reports | Product use in unapproved indication 18.8% | median 2% | 1.2% |
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 histamine-1 receptor antagonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Zyrtec | brand | 20,342 | 929 | 16.7% |
| Cetirizine hydrochloride | generic | 19,092 | 2,043 | 77.5% |
| Diphenhydramine | generic | 15,339 | 1,157 | 96% |
| Cetirizine | generic | 12,522 | 1,548 | 91.7% |
| Benadryl | brand | 9,612 | 432 | 66.6% |
| Allegra Allergy | brand | 7,868 | 304 | 3.6% |
| Diphenhydramine hydrochloride | generic | 5,556 | 538 | 94.6% |
| Xyzal Allergy 24HR | brand | 5,302 | 147 | 3.3% |
| Cetirizine hydrochloride, pseudoephedrine hydrochloride | generic | 4,914 | 909 | 99.3% |
| Xyzal | brand | 3,824 | 181 | 44.6% |
| Fexofenadine | generic | 3,142 | 335 | 62.5% |
| Diphenhydramine hcl | generic | 2,741 | 0 | 91% |
| Desloratadine | generic | 2,699 | 190 | 93.6% |
| Azelastine hydrochloride | generic | 2,502 | 151 | 5.7% |
| Aleve PM | brand | 1,877 | 13 | 6.4% |
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 Childrens Zyrtec reports
How many adverse event reports has FDA received for Childrens Zyrtec?
816 reports list Childrens Zyrtec as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 70 of them arrived in the latest 12 months. Another 158 list it only as a concomitant medication.
What reactions are recorded in Childrens Zyrtec reports?
product use in unapproved indication (18.8%), therapeutic response unexpected (14%), accidental overdose (12.6%), off label use (11.2%) and overdose (7.7%). 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 Childrens Zyrtec was responsible.
How serious are the reports?
3.4% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.5% 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 (97.2%), other health professional (2.2%) and physician (0.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Childrens Zyrtec rising?
70 reports in the 12 months to June 2026, up 13% from 62 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 Childrens Zyrtec 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 Childrens Zyrtec?
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 Childrens Zyrtec as a suspect or interacting product; reports listing it only as a concomitant medication (158) 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.