Reported Reactions

Drugs › Sphingosine 1-phosphate receptor modulator

Brand name · Siponimod

Mayzent: adverse event reports filed with FDA

8,222 reports list it as a suspect or interacting product, 2012–2026. Class: Sphingosine 1-phosphate receptor modulator.

8,222
reports as suspect product
0% of all reports · about 606 a year
251
reports, 12 months to June 2026
341 in the 12 months before
47.1%
marked serious by the reporter
49.1% across the class
2.1%
record death among outcomes, as reported
176 reports · not verified by FDA

Between December 2012 and June 2026, 8,222 adverse event reports received by FDA list the brand name Mayzent (siponimod) as a suspect or interacting product. Reports that mention it only as a concomitant medication (104) are left out of every figure here.

In the 12 months to June 2026, 251 reports listed it, down 26% from 341 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 606 reports a year and 0% of the 20,646,523 reports in the database, and 7.9% of the reports for the sphingosine 1-phosphate receptor modulator 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 fatigue (11.4%), headache (10.3%) and dizziness (7.8%). A report can list several reactions, so shares add to more than 100%; 830 different terms appear across these reports. Fatigue is recorded in 11.4% of these reports, a larger share than in the median sphingosine 1-phosphate receptor modulator drug (8%).

47.1% of the reports are marked serious by the reporter (49.1% across the class); 2.1% record death among the outcomes and 15.6% record hospitalisation, as reported. 63.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (27.4%). 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

099197Jul 2021: 137Aug 2021: 197Sep 2021: 135Oct 2021: 132Nov 2021: 154Dec 2021: 1532022Jan 2022: 129Feb 2022: 127Mar 2022: 144Apr 2022: 118May 2022: 118Jun 2022: 136Jul 2022: 112Aug 2022: 109Sep 2022: 119Oct 2022: 108Nov 2022: 84Dec 2022: 1052023Jan 2023: 120Feb 2023: 111Mar 2023: 104Apr 2023: 110May 2023: 112Jun 2023: 103Jul 2023: 88Aug 2023: 111Sep 2023: 66Oct 2023: 85Nov 2023: 74Dec 2023: 592024Jan 2024: 34Feb 2024: 47Mar 2024: 45Apr 2024: 47May 2024: 36Jun 2024: 33Jul 2024: 39Aug 2024: 34Sep 2024: 25Oct 2024: 38Nov 2024: 26Dec 2024: 212025Jan 2025: 28Feb 2025: 29Mar 2025: 28Apr 2025: 25May 2025: 28Jun 2025: 20Jul 2025: 24Aug 2025: 26Sep 2025: 19Oct 2025: 18Nov 2025: 21Dec 2025: 182026Jan 2026: 16Feb 2026: 30Mar 2026: 29Apr 2026: 22May 2026: 13Jun 2026: 15

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

01,0412,0822012: 120122014: 12016: 120162017: 12018: 520182019: 8782020: 2,08220202021: 1,8672022: 1,40920222023: 1,1432024: 42520242025: 2842026: 1252026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Mayzent reports recording the termmedian drug in sphingosine 1-phosphate receptor modulator

  1. Fatiguetiredness11.4%941
  2. Headachehead pain10.3%850
  3. Dizzinesslight-headedness or unsteadiness7.8%642
  4. Multiple sclerosis relapsea flare of multiple sclerosis6.2%507
  5. Gait disturbancedifficulty walking5.8%474
  6. Falla fall5.7%471
  7. Nauseafeeling sick5%412
  8. Drug ineffectivethe medicine did not work as expected4.8%391
  9. Product dose omission issuea dose was missed4.7%383
  10. Astheniaweakness or lack of energy4.2%344
  11. Covid-19COVID-19 infection4.2%343
  12. Urinary tract infectionbladder or urinary infection4.2%343
  13. Painpain, site not specified3.9%322
  14. Malaisegeneral feeling of being unwell3.6%299
  15. Balance disorderproblems with balance3.6%295
  16. Memory impairmentmemory problems3.5%291
  17. Hypoaesthesianumbness3.5%289
  18. Feeling abnormalfeeling odd or not right3.4%281
  19. Hypertensionhigh blood pressure3.3%269
  20. White blood cell count decreasedlow white cell count3.2%265
  21. Visual impairmentreduced vision3.1%254
  22. Pain in extremitypain in an arm or leg2.9%242
  23. Dyspnoeashortness of breath2.8%234
  24. Peripheral swellingswelling of the arms or legs2.8%234
  25. Muscular weaknessmuscle weakness2.7%219
  26. Vision blurredblurred vision2.7%218
  27. Diarrhoealoose or frequent stools2.4%199

Top 30 of 830 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 6 drugs in the sphingosine 1-phosphate receptor modulator 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

Death2.1%176
Life-threatening1.4%119
Hospitalisation (initial or prolonged)15.6%1,284
Disability1.3%110
Congenital anomaly0%0
Other serious35.7%2,938
Not serious52.9%4,353

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 103,701 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%3
2 to 110%2
12 to 170%1
18 to 448%656
45 to 6427.4%2,255
65 to 745.9%481
75 and over0.8%68
Age not given57.8%4,756

Patient sex

Female70.7%5,816
Male23%1,887
Not given6.3%519

Who reported

Physician19.3%1,587
Pharmacist2%167
Other health professional12.6%1,036
Lawyer0%0
Consumer or non-health professional63.4%5,213
Not given2.7%219

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 75.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Multiple sclerosis2,94235.8%
Secondary progressive multiple sclerosis1,63719.9%
Relapsing-remitting multiple sclerosis3314%
Relapsing multiple sclerosis1351.6%
Multiple sclerosis relapse540.7%
Primary progressive multiple sclerosis420.5%

The indication field is filled in by the reporter and is often blank; shares are of all 8,222 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Mayzent reports
Baclofen3083.7%
Gabapentin2222.7%
Ergocalciferol2122.6%
Gilenya1882.3%
Vitamin d1531.9%
Dalfampridine1471.8%
Vitamin B121351.6%
Aspirin1101.3%
Calcium760.9%
Ibuprofen740.9%

Other products listed in reports where Mayzent 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

MeasureMayzentSphingosine 1-phosphate receptor modulatorAll reports
Reports as suspect product8,222103,70120,646,523
Share of that pool—7.9%0%
Reports, latest 12 months251—1,332,454
Marked serious47.1%49.1%57.4%
Death recorded among outcomes, per 1,000 reports211491
Hospitalisation recorded, per 1,000 reports156129213
Consumer-filed share63.4%59.2%45.8%
Top term, share of reportsFatigue 11.4%median 8%3.7%

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 sphingosine 1-phosphate receptor modulator class

DrugName typeReportsLatest 12 monthsMarked serious
Gilenyabrand81,23427649.7%
Zeposiabrand8,13475126.5%
Fingolimodgeneric4,04156984.7%
Velsipitybrand1,53948436.7%
Siponimodgeneric5315396.8%

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 Mayzent reports

How many adverse event reports has FDA received for Mayzent?

8,222 reports list Mayzent as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 251 of them arrived in the latest 12 months. Another 104 list it only as a concomitant medication.

What reactions are recorded in Mayzent reports?

fatigue (11.4%), headache (10.3%), dizziness (7.8%), multiple sclerosis relapse (6.2%) and gait disturbance (5.8%). 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 Mayzent was responsible.

How serious are the reports?

47.1% are marked serious by the reporter. Among the outcomes recorded, 2.1% of reports include death and 15.6% 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?

consumer or non-health professional (63.4%), physician (19.3%) and other health professional (12.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Mayzent rising?

251 reports in the 12 months to June 2026, down 26% from 341 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 Mayzent 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 Mayzent?

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 Mayzent as a suspect or interacting product; reports listing it only as a concomitant medication (104) 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.