Reported Reactions

Drugs › Histamine-1 receptor antagonist

Generic name

Diphenhydramine: adverse event reports filed with FDA

15,339 reports list it as a suspect or interacting product, 2004–2026. Class: Histamine-1 receptor antagonist. Also reported as Diphenhydramine Injection, Diphenhydramine /00000402/, Diphenhydramine 50mg.

15,339
reports as suspect product
0.1% of all reports · about 687 a year
1,157
reports, 12 months to June 2026
1,301 in the 12 months before
96%
marked serious by the reporter
57.7% across the class
57.6%
record death among outcomes, as reported
8,831 reports · not verified by FDA

15,339 adverse event reports received by FDA list diphenhydramine, a generic name as a suspect or interacting product, from March 2004 to June 2026. A further 48,575 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, 1,157 reports listed it, down 11% from 1,301 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 687 reports a year and 0.1% of the 20,646,523 reports in the database, and 11.3% 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 toxicity to various agents (24.7%), completed suicide (19.8%) and drug abuse (12.9%). A report can list several reactions, so shares add to more than 100%; 1,424 different terms appear across these reports. Toxicity to various agents is recorded in 24.7% of these reports, a larger share than in the median histamine-1 receptor antagonist drug (0.1%).

96% of the reports are marked serious by the reporter (57.7% across the class); 57.6% record death among the outcomes and 29.1% record hospitalisation, as reported. 46.2% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (33.9%). 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

0131261Jul 2021: 155Aug 2021: 102Sep 2021: 78Oct 2021: 72Nov 2021: 71Dec 2021: 1322022Jan 2022: 219Feb 2022: 106Mar 2022: 165Apr 2022: 81May 2022: 50Jun 2022: 52Jul 2022: 55Aug 2022: 83Sep 2022: 37Oct 2022: 66Nov 2022: 60Dec 2022: 912023Jan 2023: 187Feb 2023: 261Mar 2023: 59Apr 2023: 82May 2023: 75Jun 2023: 119Jul 2023: 73Aug 2023: 89Sep 2023: 96Oct 2023: 145Nov 2023: 65Dec 2023: 1112024Jan 2024: 173Feb 2024: 104Mar 2024: 75Apr 2024: 86May 2024: 91Jun 2024: 71Jul 2024: 76Aug 2024: 77Sep 2024: 76Oct 2024: 112Nov 2024: 92Dec 2024: 962025Jan 2025: 201Feb 2025: 122Mar 2025: 68Apr 2025: 86May 2025: 233Jun 2025: 62Jul 2025: 119Aug 2025: 85Sep 2025: 82Oct 2025: 48Nov 2025: 81Dec 2025: 612026Jan 2026: 163Feb 2026: 99Mar 2026: 57Apr 2026: 61May 2026: 246Jun 2026: 55

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

07201,4402004: 1620042005: 222006: 142007: 720072008: 152009: 202010: 25320102011: 1742012: 992013: 68620132014: 1,2782015: 1,4142016: 49120162017: 8422018: 7202019: 1,08820192020: 1,4402021: 1,2742022: 1,06520222023: 1,3622024: 1,1292025: 1,24820252026: 681

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Diphenhydramine reports recording the termmedian drug in histamine-1 receptor antagonist

  1. Toxicity to various agentspoisoning or toxic effect of one or more substances24.7%3,795
  2. Completed suicidedeath by suicide19.8%3,030
  3. Drug abusemisuse of a medicine12.9%1,975
  4. Drug ineffectivethe medicine did not work as expected11.9%1,827
  5. Off label useused for a purpose or in a way not on the label8.7%1,330
  6. Overdosea dose above the recommended amount7.4%1,131
  7. Headachehead pain6.3%963
  8. Deaththe patient died; cause not stated by this term6%915
  9. Painpain, site not specified5.9%906
  10. Fatiguetiredness5.8%885
  11. Infusion related reactiona reaction during or soon after an infusion5.5%849
  12. Cardio-respiratory arrestthe heart and breathing stopped5.1%783
  13. Hypertensionhigh blood pressure4.8%737
  14. Cardiac arrestthe heart stopped4.7%721
  15. Pyrexiafever4.7%716
  16. Nauseafeeling sick4.6%708
  17. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease4.5%695
  18. Intentional product misusedeliberate use not as intended4.3%660
  19. Hypersensitivityan allergic-type reaction4.3%652
  20. Hepatic enzyme increasedraised liver enzymes3.8%588
  21. Rashskin rash3.8%580
  22. Drug hypersensitivityan allergic-type reaction to a medicine3.7%561
  23. Asthmaasthma3.5%539
  24. Exposure during pregnancythe medicine was taken during pregnancy3.5%530
  25. Product use issuea problem in how the product was used3.4%526
  26. Intentional overdosea deliberate overdose3.4%515
  27. Erythemaskin redness3.3%502
  28. Constipationconstipation3.2%486
  29. Hyperhidrosisexcessive sweating3.1%477
  30. Malaisegeneral feeling of being unwell3.1%476

Top 30 of 1,424 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

Death57.6%8,831
Life-threatening6.8%1,036
Hospitalisation (initial or prolonged)29.1%4,460
Disability1.7%268
Congenital anomaly0.8%120
Other serious52.4%8,043
Not serious4%606

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

Under 20.6%99
2 to 112.2%332
12 to 173.9%594
18 to 4433.9%5,200
45 to 6427.8%4,267
65 to 747.2%1,110
75 and over3.3%512
Age not given21%3,225

Patient sex

Female54.4%8,339
Male31.6%4,853
Not given14%2,147

Who reported

Physician31%4,759
Pharmacist12.1%1,862
Other health professional46.2%7,088
Lawyer0.2%25
Consumer or non-health professional8.5%1,300
Not given2%305

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 71.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Premedication7725%
Suicide attempt4012.6%
Pruritus1871.2%
Angioedema1501%
Prophylaxis910.6%
Insomnia790.5%

The indication field is filled in by the reporter and is often blank; shares are of all 15,339 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Diphenhydramine reports
Acetaminophen3,76124.5%
Alprazolam1,63410.7%
Gabapentin1,4809.6%
Prednisone1,2898.4%
Rituximab1,2758.3%
Methylprednisolone1,1067.2%
Humira1,0106.6%
Pantoprazole9516.2%
Codeine9506.2%
Cetirizine hydrochloride9456.2%

Other products listed in reports where Diphenhydramine 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

MeasureDiphenhydramineHistamine-1 receptor antagonistAll reports
Reports as suspect product15,339135,66620,646,523
Share of that pool—11.3%0.1%
Reports, latest 12 months1,157—1,332,454
Marked serious96%57.7%57.4%
Death recorded among outcomes, per 1,000 reports57619091
Hospitalisation recorded, per 1,000 reports291203213
Consumer-filed share8.5%50.8%45.8%
Top term, share of reportsToxicity to various agents 24.7%median 0.1%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 histamine-1 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Zyrtecbrand20,34292916.7%
Cetirizine hydrochloridegeneric19,0922,04377.5%
Cetirizinegeneric12,5221,54891.7%
Benadrylbrand9,61243266.6%
Allegra Allergybrand7,8683043.6%
Diphenhydramine hydrochloridegeneric5,55653894.6%
Xyzal Allergy 24HRbrand5,3021473.3%
Cetirizine hydrochloride, pseudoephedrine hydrochloridegeneric4,91490999.3%
Xyzalbrand3,82418144.6%
Fexofenadinegeneric3,14233562.5%
Diphenhydramine hclgeneric2,741091%
Desloratadinegeneric2,69919093.6%
Azelastine hydrochloridegeneric2,5021515.7%
Aleve PMbrand1,877136.4%
Azelastinegeneric1,5484011.6%

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 Diphenhydramine reports

How many adverse event reports has FDA received for Diphenhydramine?

15,339 reports list Diphenhydramine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,157 of them arrived in the latest 12 months. Another 48,575 list it only as a concomitant medication.

What reactions are recorded in Diphenhydramine reports?

toxicity to various agents (24.7%), completed suicide (19.8%), drug abuse (12.9%), drug ineffective (11.9%) and off label use (8.7%). 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 Diphenhydramine was responsible.

How serious are the reports?

96% are marked serious by the reporter. Among the outcomes recorded, 57.6% of reports include death and 29.1% 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 (46.2%), physician (31%) and pharmacist (12.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Diphenhydramine rising?

1,157 reports in the 12 months to June 2026, down 11% from 1,301 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 Diphenhydramine 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 Diphenhydramine?

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 Diphenhydramine as a suspect or interacting product; reports listing it only as a concomitant medication (48,575) 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.