Reported Reactions

Drugs › Echinocandin antifungal

Generic name

Micafungin: adverse event reports filed with FDA

1,970 reports list it as a suspect or interacting product, 2004–2026. Class: Echinocandin antifungal. Also reported as Micafungin Injection.

1,970
reports as suspect product
0% of all reports · about 89 a year
156
reports, 12 months to June 2026
192 in the 12 months before
97.2%
marked serious by the reporter
87.9% across the class
42.9%
record death among outcomes, as reported
845 reports · not verified by FDA

1,970 adverse event reports received by FDA list micafungin, a generic name as a suspect or interacting product, from April 2004 to June 2026. A further 3,200 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, 156 reports listed it, down 19% from 192 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 89 reports a year and 0% of the 20,646,523 reports in the database, and 26.7% of the reports for the echinocandin antifungal 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 (30.2%), off label use (10.6%) and multiple organ dysfunction syndrome (5.9%). A report can list several reactions, so shares add to more than 100%; 505 different terms appear across these reports. Drug ineffective is recorded in 30.2% of these reports, about the same share as in the median echinocandin antifungal drug (30.2%).

97.2% of the reports are marked serious by the reporter (87.9% across the class); 42.9% record death among the outcomes and 42.4% record hospitalisation, as reported. 48.1% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (29.2%). 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

01937Jul 2021: 9Aug 2021: 6Sep 2021: 9Oct 2021: 14Nov 2021: 5Dec 2021: 182022Jan 2022: 5Feb 2022: 10Mar 2022: 8Apr 2022: 14May 2022: 18Jun 2022: 6Jul 2022: 8Aug 2022: 12Sep 2022: 6Oct 2022: 11Nov 2022: 12Dec 2022: 152023Jan 2023: 5Feb 2023: 7Mar 2023: 17Apr 2023: 16May 2023: 17Jun 2023: 11Jul 2023: 22Aug 2023: 11Sep 2023: 19Oct 2023: 27Nov 2023: 7Dec 2023: 172024Jan 2024: 16Feb 2024: 11Mar 2024: 14Apr 2024: 12May 2024: 24Jun 2024: 18Jul 2024: 16Aug 2024: 17Sep 2024: 11Oct 2024: 24Nov 2024: 17Dec 2024: 132025Jan 2025: 9Feb 2025: 37Mar 2025: 17Apr 2025: 12May 2025: 7Jun 2025: 12Jul 2025: 12Aug 2025: 36Sep 2025: 9Oct 2025: 5Nov 2025: 4Dec 2025: 182026Jan 2026: 19Feb 2026: 11Mar 2026: 8Apr 2026: 9May 2026: 13Jun 2026: 12

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

0971942004: 720042005: 52006: 72007: 320072008: 132009: 52010: 1220102011: 392012: 552013: 5420132014: 602015: 1812016: 7220162017: 1042018: 1942019: 17120192020: 1262021: 1182022: 12520222023: 1762024: 1932025: 17820252026: 72

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Micafungin reports recording the termmedian drug in echinocandin antifungal

  1. Drug ineffectivethe medicine did not work as expected30.2%595
  2. Off label useused for a purpose or in a way not on the label10.6%209
  3. Multiple organ dysfunction syndromeseveral organs failing5.9%116
  4. Candida infectionthrush, a yeast infection5.3%104
  5. Product use in unapproved indicationused for a purpose not on the label4.9%97
  6. Acute kidney injurysudden loss of kidney function4.7%92
  7. Septic shockshock arising from infection4.7%92
  8. Condition aggravatedthe condition being treated got worse4.4%87
  9. Respiratory failurethe lungs could not supply enough oxygen3.7%73
  10. Neutropenialow neutrophils, a type of white blood cell3.7%72
  11. Pyrexiafever3.7%72
  12. Diarrhoealoose or frequent stools3.6%70
  13. Pneumonialung infection3.4%67
  14. Deaththe patient died; cause not stated by this term3.4%66
  15. Renal failurekidney failure3.1%62
  16. Febrile neutropeniafever with low white blood cells3%60
  17. Dyspnoeashortness of breath2.9%57
  18. Sepsisa severe body-wide response to infection2.6%52
  19. Treatment failurethe treatment did not work2.6%51
  20. Disease progressionthe disease advanced2.5%49
  21. Fungal infectiona fungal infection2.1%41
  22. Leukopenialow white blood cells2.1%41
  23. Infectionan infection, type not specified2%39
  24. Pancytopenialow counts of all blood cells2%39
  25. Anaemialow red blood cells1.9%37

Top 30 of 505 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 5 drugs in the echinocandin antifungal 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

Death42.9%845
Life-threatening13.7%269
Hospitalisation (initial or prolonged)42.4%835
Disability0.5%10
Congenital anomaly0%0
Other serious63.7%1,255
Not serious2.8%55

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 7,377 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 21.7%33
2 to 115.5%108
12 to 173.6%71
18 to 4421.1%416
45 to 6429.2%575
65 to 7415.9%313
75 and over8.3%164
Age not given14.7%290

Patient sex

Female35%690
Male56%1,104
Not given8.9%176

Who reported

Physician32.1%633
Pharmacist4.3%85
Other health professional48.1%947
Lawyer0%0
Consumer or non-health professional14.1%278
Not given1.4%27

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 42.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Antifungal prophylaxis20110.2%
Fungal infection1708.6%
Candida infection1306.6%
Aspergillus infection673.4%
Bronchopulmonary aspergillosis653.3%
Prophylaxis623.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,970 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Micafungin reports
Meropenem44722.7%
Voriconazole42921.8%
Vancomycin39319.9%
Amphotericin b38219.4%
Tacrolimus28614.5%
Fluconazole27914.2%
Cefepime1789%
Methylprednisolone1748.8%
Posaconazole1728.7%
Metronidazole1718.7%

Other products listed in reports where Micafungin 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

MeasureMicafunginEchinocandin antifungalAll reports
Reports as suspect product1,9707,37720,646,523
Share of that pool—26.7%0%
Reports, latest 12 months156—1,332,454
Marked serious97.2%87.9%57.4%
Death recorded among outcomes, per 1,000 reports42936791
Hospitalisation recorded, per 1,000 reports424369213
Consumer-filed share14.1%18.1%45.8%
Top term, share of reportsDrug ineffective 30.2%median 30.2%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 echinocandin antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Cancidasbrand2,2961890.9%
Mycaminebrand1,4061558.9%
Caspofungin acetategeneric1,0119495.3%
Anidulafungingeneric6947799.6%

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 Micafungin reports

How many adverse event reports has FDA received for Micafungin?

1,970 reports list Micafungin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 156 of them arrived in the latest 12 months. Another 3,200 list it only as a concomitant medication.

What reactions are recorded in Micafungin reports?

drug ineffective (30.2%), off label use (10.6%), multiple organ dysfunction syndrome (5.9%), candida infection (5.3%) and product use in unapproved indication (4.9%). 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 Micafungin was responsible.

How serious are the reports?

97.2% are marked serious by the reporter. Among the outcomes recorded, 42.9% of reports include death and 42.4% 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 (48.1%), physician (32.1%) and consumer or non-health professional (14.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Micafungin rising?

156 reports in the 12 months to June 2026, down 19% from 192 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 Micafungin 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 Micafungin?

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 Micafungin as a suspect or interacting product; reports listing it only as a concomitant medication (3,200) 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.