Reported Reactions

Drugs › Gadolinium-based contrast agent

Brand name · Gadobutrol

Gadavist: adverse event reports filed with FDA

3,653 reports list it as a suspect or interacting product, 2011–2026. Class: Gadolinium-based contrast agent.

3,653
reports as suspect product
0% of all reports · about 240 a year
115
reports, 12 months to June 2026
112 in the 12 months before
28.8%
marked serious by the reporter
55.4% across the class
1.1%
record death among outcomes, as reported
41 reports · not verified by FDA

3,653 adverse event reports received by FDA list the brand name Gadavist (gadobutrol) as a suspect or interacting product, from April 2011 to June 2026. A further 76 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, 115 reports listed it, close to the 112 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 240 reports a year and 0% of the 20,646,523 reports in the database, and 31% of the reports for the gadolinium-based contrast agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are urticaria (29.4%), nausea (20.6%) and vomiting (17.7%). A report can list several reactions, so shares add to more than 100%; 286 different terms appear across these reports. Urticaria is recorded in 29.4% of these reports, a larger share than in the median gadolinium-based contrast agent drug (15.3%).

28.8% of the reports are marked serious by the reporter (55.4% across the class); 1.1% record death among the outcomes and 8.7% record hospitalisation, as reported. 54.5% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (28.5%). 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

01223Jul 2021: 11Aug 2021: 15Sep 2021: 6Oct 2021: 12Nov 2021: 11Dec 2021: 162022Jan 2022: 6Feb 2022: 13Mar 2022: 14Apr 2022: 6May 2022: 5Jun 2022: 9Jul 2022: 6Aug 2022: 8Sep 2022: 16Oct 2022: 8Nov 2022: 13Dec 2022: 72023Jan 2023: 7Feb 2023: 13Mar 2023: 17Apr 2023: 16May 2023: 9Jun 2023: 5Jul 2023: 6Aug 2023: 13Sep 2023: 3Oct 2023: 13Nov 2023: 10Dec 2023: 172024Jan 2024: 12Feb 2024: 15Mar 2024: 8Apr 2024: 6May 2024: 23Jun 2024: 8Jul 2024: 7Aug 2024: 18Sep 2024: 17Oct 2024: 10Nov 2024: 9Dec 2024: 82025Jan 2025: 10Feb 2025: 9Mar 2025: 4Apr 2025: 5May 2025: 4Jun 2025: 11Jul 2025: 14Aug 2025: 4Sep 2025: 20Oct 2025: 12Nov 2025: 8Dec 2025: 72026Jan 2026: 9Feb 2026: 16Mar 2026: 6Apr 2026: 6May 2026: 4Jun 2026: 9

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

02194372011: 9820112012: 4372013: 32420132014: 3592015: 31020152016: 3502017: 39420172018: 2772019: 23320192020: 1412021: 19120212022: 1112023: 12920232024: 1412025: 10820252026: 50

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Gadavist reports recording the termmedian drug in gadolinium-based contrast agent

  1. Urticariahives29.4%1,073
  2. Nauseafeeling sick20.6%753
  3. Vomitingbeing sick17.7%646
  4. Pruritusitching16.2%591
  5. Dyspnoeashortness of breath8.4%306
  6. Erythemaskin redness7.9%290
  7. Rashskin rash4.7%173
  8. Dizzinesslight-headedness or unsteadiness4.4%160
  9. Coughcough4.4%159
  10. Headachehead pain4.4%159
  11. Throat irritationan irritated throat3.6%133
  12. Contrast media reaction3.6%132
  13. Sneezing3.5%129
  14. Feeling hotfeeling hot2.9%107
  15. Anaphylactic reactiona severe, sudden allergic reaction2.5%91
  16. Throat tightnessa tight throat2.5%91
  17. Paraesthesiatingling or pins and needles2.4%86
  18. Flushingsudden reddening or warmth of the skin2.3%83
  19. Eye swellinga swollen eye2.2%80
  20. Burning sensationa burning feeling2.1%75
  21. Arthralgiajoint pain2%74
  22. Chest discomfortchest discomfort2%74
  23. Hyperhidrosisexcessive sweating2%72
  24. Contrast media allergy1.9%70
  25. Swelling facea swollen face1.9%70
  26. Painpain, site not specified1.9%68
  27. Chest painchest pain1.7%62
  28. Hypersensitivityan allergic-type reaction1.6%57
  29. Malaisegeneral feeling of being unwell1.5%56
  30. Pain in extremitypain in an arm or leg1.4%52

Top 30 of 286 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 4 drugs in the gadolinium-based contrast 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

Death1.1%41
Life-threatening2.8%103
Hospitalisation (initial or prolonged)8.7%316
Disability2.7%97
Congenital anomaly0%0
Other serious20.1%735
Not serious71.2%2,600

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 11,772 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 20.4%13
2 to 111.2%45
12 to 172.1%76
18 to 4424%876
45 to 6428.5%1,040
65 to 749.4%345
75 and over5%181
Age not given29.5%1,077

Patient sex

Female56.4%2,060
Male25.5%930
Not given18.1%663

Who reported

Physician7.6%278
Pharmacist2.8%104
Other health professional54.5%1,990
Lawyer0.6%21
Consumer or non-health professional33.6%1,229
Not given0.8%31

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Nuclear magnetic resonance imaging64017.5%
Nuclear magnetic resonance imaging brain47312.9%
Magnetic resonance imaging2386.5%
Scan with contrast1103%
Imaging procedure822.2%
Nuclear magnetic resonance imaging abdominal671.8%

The indication field is filled in by the reporter and is often blank; shares are of all 3,653 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Gadavist reports
Benadryl250.7%
MultiHance190.5%
Vitamin d190.5%
Prednisone170.5%
Ergocalciferol160.4%
Aspirin120.3%
Levothyroxine120.3%
Albuterol100.3%
Dotarem90.2%
Metformin90.2%

Other products listed in reports where Gadavist 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

MeasureGadavistGadolinium-based contrast agentAll reports
Reports as suspect product3,65311,77220,646,523
Share of that pool—31%0%
Reports, latest 12 months115—1,332,454
Marked serious28.8%55.4%57.4%
Death recorded among outcomes, per 1,000 reports113391
Hospitalisation recorded, per 1,000 reports87167213
Consumer-filed share33.6%18.5%45.8%
Top term, share of reportsUrticaria 29.4%median 15.3%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 gadolinium-based contrast agent class

DrugName typeReportsLatest 12 monthsMarked serious
MultiHancebrand4,14712660.3%
Dotarembrand2,95421669%
Gadobutrolgeneric1,01818491.4%

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 Gadavist reports

How many adverse event reports has FDA received for Gadavist?

3,653 reports list Gadavist as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 115 of them arrived in the latest 12 months. Another 76 list it only as a concomitant medication.

What reactions are recorded in Gadavist reports?

urticaria (29.4%), nausea (20.6%), vomiting (17.7%), pruritus (16.2%) and dyspnoea (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 Gadavist was responsible.

How serious are the reports?

28.8% are marked serious by the reporter. Among the outcomes recorded, 1.1% of reports include death and 8.7% 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 (54.5%), consumer or non-health professional (33.6%) and physician (7.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Gadavist rising?

115 reports in the 12 months to June 2026, close to the 112 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 Gadavist 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 Gadavist?

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 Gadavist as a suspect or interacting product; reports listing it only as a concomitant medication (76) 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.