Reported Reactions

Drugs

Generic name

Osimertinib mesylate: adverse event reports filed with FDA

553 reports list it as a suspect or interacting product, 2020–2026.

553
reports as suspect product
0% of all reports · about 89 a year
5
reports, 12 months to June 2026
52 in the 12 months before
99.8%
marked serious by the reporter
57.4% across all reports
0.7%
record death among outcomes, as reported
4 reports · not verified by FDA

Between April 2020 and January 2026, 553 adverse event reports received by FDA list osimertinib mesylate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (19) are left out of every figure here.

In the 12 months to June 2026, 5 reports listed it, down 90% from 52 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. 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 myelosuppression (44.8%), hepatic function abnormal (6.3%) and malignant neoplasm progression (4.7%). A report can list several reactions, so shares add to more than 100%; 83 different terms appear across these reports. Myelosuppression is recorded in 44.8% of these reports, against 0.2% of all reports in the database.

99.8% of the reports are marked serious by the reporter; 0.7% record death among the outcomes and 43.4% record hospitalisation, as reported. 84.6% of the reports came from physicians, and the largest patient age group is 45 to 64 (44.7%). 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

01428Jul 2021: 7Aug 2021: 2Sep 2021: 9Oct 2021: 16Nov 2021: 14Dec 2021: 132022Jan 2022: 9Feb 2022: 11Mar 2022: 20Apr 2022: 6May 2022: 7Jun 2022: 10Jul 2022: 22Aug 2022: 18Sep 2022: 19Oct 2022: 13Nov 2022: 28Dec 2022: 112023Jan 2023: 5Feb 2023: 5Mar 2023: 9Apr 2023: 11May 2023: 11Jun 2023: 17Jul 2023: 10Aug 2023: 16Sep 2023: 10Oct 2023: 18Nov 2023: 16Dec 2023: 212024Jan 2024: 15Feb 2024: 13Mar 2024: 13Apr 2024: 13May 2024: 11Jun 2024: 19Jul 2024: 15Aug 2024: 22Sep 2024: 10Oct 2024: 0Nov 2024: 1Dec 2024: 12025Jan 2025: 2Feb 2025: 0Mar 2025: 0Apr 2025: 1May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 1Nov 2025: 0Dec 2025: 12026Jan 2026: 3Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0

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

0871742020: 820202021: 8120212022: 17420222023: 14920232024: 13320242025: 520252026: 32026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Osimertinib mesylate reports recording the termall reports in the database

  1. Platelet count decreasedlow platelet count4.7%26
  2. Interstitial lung diseasescarring or inflammation of lung tissue4%22
  3. Nauseafeeling sick3.8%21
  4. Pulmonary embolisma blood clot in the lung3.6%20
  5. Decreased appetitereduced appetite3.4%19
  6. White blood cell count decreasedlow white cell count3.4%19
  7. Hepatotoxicityliver injury3.3%18
  8. Vomitingbeing sick3.3%18
  9. Acquired gene mutation2.9%16
  10. Hepatitis2.7%15
  11. Rashskin rash2.4%13
  12. Astheniaweakness or lack of energy2.2%12
  13. Diarrhoealoose or frequent stools2.2%12
  14. Chest discomfortchest discomfort1.6%9
  15. Mouth ulcerationmouth ulcers1.6%9
  16. Pyrexiafever1.4%8
  17. Anaemialow red blood cells1.3%7
  18. Granulocyte count decreased1.3%7
  19. Off label useused for a purpose or in a way not on the label1.3%7
  20. Pruritusitching1.3%7
  21. Thrombocytopenialow platelets1.3%7
  22. Cardiac failureheart failure1.1%6
  23. Coughcough1.1%6

Top 30 of 83 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 share of all reports in the database; 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

Death0.7%4
Life-threatening7.2%40
Hospitalisation (initial or prolonged)43.4%240
Disability3.8%21
Congenital anomaly0.2%1
Other serious76.3%422
Not serious0.2%1

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 20,646,523 reports. 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%0
2 to 110%0
12 to 170%0
18 to 443.8%21
45 to 6444.7%247
65 to 7432.2%178
75 and over14.6%81
Age not given4.7%26

Patient sex

Female61.5%340
Male36.3%201
Not given2.2%12

Who reported

Physician84.6%468
Pharmacist1.4%8
Other health professional10.1%56
Lawyer0%0
Consumer or non-health professional3.3%18
Not given0.5%3

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 0% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Lung neoplasm malignant19635.4%
Lung adenocarcinoma539.6%
Neoplasm519.2%
Targeted cancer therapy488.7%
Neoplasm malignant437.8%
Chemotherapy346.1%

The indication field is filled in by the reporter and is often blank; shares are of all 553 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Osimertinib mesylate reports
Bevacizumab437.8%
Carboplatin386.9%
Pemetrexed disodium264.7%
Pemetrexed224%
Vinorelbine tartrate193.4%
Gefitinib183.3%
Gemcitabine hydrochloride173.1%
Sodium chloride132.4%
Furosemide112%
Keytruda112%

Other products listed in reports where Osimertinib mesylate 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

MeasureOsimertinib mesylateAll reports
Reports as suspect product55320,646,523
Share of that pool—0%
Reports, latest 12 months51,332,454
Marked serious99.8%57.4%
Death recorded among outcomes, per 1,000 reports791
Hospitalisation recorded, per 1,000 reports434213
Consumer-filed share3.3%45.8%
Top term, share of reportsMyelosuppression 44.8%0.2%

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."

Questions about Osimertinib mesylate reports

How many adverse event reports has FDA received for Osimertinib mesylate?

553 reports list Osimertinib mesylate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 5 of them arrived in the latest 12 months. Another 19 list it only as a concomitant medication.

What reactions are recorded in Osimertinib mesylate reports?

myelosuppression (44.8%), hepatic function abnormal (6.3%), malignant neoplasm progression (4.7%), platelet count decreased (4.7%) and interstitial lung disease (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 Osimertinib mesylate was responsible.

How serious are the reports?

99.8% are marked serious by the reporter. Among the outcomes recorded, 0.7% of reports include death and 43.4% 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?

physician (84.6%), other health professional (10.1%) and consumer or non-health professional (3.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Osimertinib mesylate rising?

5 reports in the 12 months to June 2026, down 90% from 52 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 Osimertinib mesylate 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 Osimertinib mesylate?

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 Osimertinib mesylate as a suspect or interacting product; reports listing it only as a concomitant medication (19) 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.