Reported Reactions

Drugs › Antimalarial

Generic name

Hydroxychloroquine: adverse event reports filed with FDA

40,514 reports list it as a suspect or interacting product, 2004–2026. Class: Antimalarial. Also reported as Hydroxychloroquine 200mg, Hydroxychloroquine /00072603/, Hydroxychloroquine Tablet.

40,514
reports as suspect product
0.2% of all reports · about 1,801 a year
2,661
reports, 12 months to June 2026
3,606 in the 12 months before
93.1%
marked serious by the reporter
92.5% across the class
14.7%
record death among outcomes, as reported
5,970 reports · not verified by FDA

Between January 2004 and June 2026, 40,514 adverse event reports received by FDA list hydroxychloroquine, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (34,387) are left out of every figure here.

In the 12 months to June 2026, 2,661 reports listed it, down 26% from 3,606 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 1,801 reports a year and 0.2% of the 20,646,523 reports in the database, and 43.9% of the reports for the antimalarial class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (39.2%), off label use (29.3%) and rheumatoid arthritis (25.4%). A report can list several reactions, so shares add to more than 100%; 2,814 different terms appear across these reports. Drug ineffective is recorded in 39.2% of these reports, a larger share than in the median antimalarial drug (9.3%).

93.1% of the reports are marked serious by the reporter (92.5% across the class); 14.7% record death among the outcomes and 30.4% record hospitalisation, as reported. 59.4% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (25.5%). 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

0293585Jul 2021: 585Aug 2021: 495Sep 2021: 419Oct 2021: 481Nov 2021: 294Dec 2021: 4542022Jan 2022: 345Feb 2022: 260Mar 2022: 318Apr 2022: 263May 2022: 400Jun 2022: 436Jul 2022: 256Aug 2022: 458Sep 2022: 265Oct 2022: 274Nov 2022: 309Dec 2022: 2722023Jan 2023: 213Feb 2023: 237Mar 2023: 205Apr 2023: 210May 2023: 214Jun 2023: 153Jul 2023: 231Aug 2023: 235Sep 2023: 222Oct 2023: 240Nov 2023: 227Dec 2023: 2952024Jan 2024: 255Feb 2024: 251Mar 2024: 274Apr 2024: 322May 2024: 384Jun 2024: 307Jul 2024: 418Aug 2024: 261Sep 2024: 285Oct 2024: 440Nov 2024: 311Dec 2024: 3772025Jan 2025: 300Feb 2025: 259Mar 2025: 317Apr 2025: 232May 2025: 105Jun 2025: 301Jul 2025: 377Aug 2025: 224Sep 2025: 254Oct 2025: 220Nov 2025: 236Dec 2025: 3422026Jan 2026: 203Feb 2026: 153Mar 2026: 187Apr 2026: 155May 2026: 136Jun 2026: 174

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

04,3858,7702004: 620042005: 12006: 22007: 620072008: 112009: 242010: 4720102011: 472012: 492013: 20420132014: 2162015: 4222016: 1,08320162017: 2,3452018: 3,0102019: 3,47920192020: 8,7702021: 6,1942022: 3,85620222023: 2,6822024: 3,8852025: 3,16720252026: 1,008

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Hydroxychloroquine reports recording the termmedian drug in antimalarial

  1. Drug ineffectivethe medicine did not work as expected39.2%15,882
  2. Off label useused for a purpose or in a way not on the label29.3%11,882
  3. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease25.4%10,285
  4. Drug intolerancethe medicine was not tolerated19.5%7,890
  5. Painpain, site not specified17.8%7,214
  6. Joint swellinga swollen joint16%6,470
  7. Fatiguetiredness15.3%6,218
  8. Arthralgiajoint pain14.9%6,051
  9. Synovitis14.2%5,740
  10. Rashskin rash13.8%5,584
  11. Condition aggravatedthe condition being treated got worse13.6%5,506
  12. Treatment failurethe treatment did not work13%5,251
  13. Abdominal discomfortstomach discomfort12.4%5,036
  14. Alopeciahair loss12.4%5,025
  15. Arthropathy12.4%5,005
  16. Systemic lupus erythematosuslupus, an autoimmune disease11.9%4,834
  17. Swellingswelling11.2%4,535
  18. Pemphigus10.8%4,385
  19. Nauseafeeling sick10.8%4,359
  20. Drug hypersensitivityan allergic-type reaction to a medicine10.5%4,254
  21. Hypersensitivityan allergic-type reaction10.3%4,160
  22. Hepatic enzyme increasedraised liver enzymes10.1%4,109
  23. Glossodynia10.1%4,083
  24. Peripheral swellingswelling of the arms or legs9.9%4,015
  25. Infusion related reactiona reaction during or soon after an infusion9.1%3,694
  26. Maternal exposure during pregnancythe mother took the medicine during pregnancy8.6%3,479
  27. Wound8.6%3,474

Top 30 of 2,814 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 7 drugs in the antimalarial 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

Death14.7%5,970
Life-threatening12.9%5,221
Hospitalisation (initial or prolonged)30.4%12,308
Disability14.3%5,807
Congenital anomaly5.2%2,092
Other serious81.2%32,893
Not serious6.9%2,792

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 92,320 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%156
2 to 111.2%474
12 to 171.4%576
18 to 4421.3%8,638
45 to 6425.5%10,351
65 to 7410.1%4,075
75 and over5.2%2,098
Age not given34.9%14,146

Patient sex

Female64%25,928
Male19.1%7,746
Not given16.9%6,840

Who reported

Physician24%9,720
Pharmacist1.1%447
Other health professional59.4%24,061
Lawyer0%2
Consumer or non-health professional14.4%5,816
Not given1.2%468

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 21.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis12,88131.8%
Covid-194,43711%
Systemic lupus erythematosus3,3848.4%
Covid-19 pneumonia1,1012.7%
Dermatomyositis3120.8%
Lupus nephritis2080.5%

The indication field is filled in by the reporter and is often blank; shares are of all 40,514 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Hydroxychloroquine reports
Methotrexate20,43250.4%
Enbrel16,17039.9%
Prednisone15,41538%
Humira14,57436%
Orencia14,15534.9%
Sulfasalazine14,13034.9%
Actemra13,29432.8%
Leflunomide11,69228.9%
Arava11,21527.7%
Rituximab10,99127.1%

Other products listed in reports where Hydroxychloroquine 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

MeasureHydroxychloroquineAntimalarialAll reports
Reports as suspect product40,51492,32020,646,523
Share of that pool—43.9%0.2%
Reports, latest 12 months2,661—1,332,454
Marked serious93.1%92.5%57.4%
Death recorded among outcomes, per 1,000 reports14713591
Hospitalisation recorded, per 1,000 reports304288213
Consumer-filed share14.4%17.9%45.8%
Top term, share of reportsDrug ineffective 39.2%median 9.3%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 antimalarial class

DrugName typeReportsLatest 12 monthsMarked serious
Hydroxychloroquine sulfategeneric24,0181,32497.9%
Plaquenilbrand21,54055486.7%
Quininegeneric1,8588194.5%
Atovaquonegeneric1,82522494.2%
Malaronebrand1,8222674.6%
Quinine sulfategeneric7431791.3%

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 Hydroxychloroquine reports

How many adverse event reports has FDA received for Hydroxychloroquine?

40,514 reports list Hydroxychloroquine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,661 of them arrived in the latest 12 months. Another 34,387 list it only as a concomitant medication.

What reactions are recorded in Hydroxychloroquine reports?

drug ineffective (39.2%), off label use (29.3%), rheumatoid arthritis (25.4%), drug intolerance (19.5%) and pain (17.8%). 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 Hydroxychloroquine was responsible.

How serious are the reports?

93.1% are marked serious by the reporter. Among the outcomes recorded, 14.7% of reports include death and 30.4% 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 (59.4%), physician (24%) and consumer or non-health professional (14.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Hydroxychloroquine rising?

2,661 reports in the 12 months to June 2026, down 26% from 3,606 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 Hydroxychloroquine 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 Hydroxychloroquine?

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 Hydroxychloroquine as a suspect or interacting product; reports listing it only as a concomitant medication (34,387) 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.