Reported Reactions

Drugs

Brand name · Voxelotor

Oxbryta: adverse event reports filed with FDA

21,698 reports list it as a suspect or interacting product, 2020–2026.

21,698
reports as suspect product
0.1% of all reports · about 3,341 a year
54
reports, 12 months to June 2026
474 in the 12 months before
42.2%
marked serious by the reporter
57.4% across all reports
1.8%
record death among outcomes, as reported
382 reports · not verified by FDA

21,698 adverse event reports received by FDA list the brand name Oxbryta (voxelotor) as a suspect or interacting product, from January 2020 to June 2026. A further 293 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, 54 reports listed it, down 89% from 474 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 3,341 reports a year and 0.1% 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.

Reporters most often recorded sickle cell anaemia with crisis (50.4%), product dose omission issue (23.6%) and diarrhoea (14.5%). A report can list several reactions, so shares add to more than 100%; 747 different terms appear across these reports. Sickle cell anaemia with crisis is recorded in 50.4% of these reports, against 0.1% of all reports in the database.

42.2% of the reports are marked serious by the reporter; 1.8% record death among the outcomes and 34.7% record hospitalisation, as reported. 87.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (34.7%). 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

02,1544,308Jul 2021: 121Aug 2021: 135Sep 2021: 606Oct 2021: 138Nov 2021: 142Dec 2021: 6642022Jan 2022: 124Feb 2022: 170Mar 2022: 982Apr 2022: 209May 2022: 215Jun 2022: 1,639Jul 2022: 267Aug 2022: 337Sep 2022: 322Oct 2022: 243Nov 2022: 349Dec 2022: 4,3082023Jan 2023: 561Feb 2023: 574Mar 2023: 711Apr 2023: 545May 2023: 795Jun 2023: 261Jul 2023: 156Aug 2023: 207Sep 2023: 125Oct 2023: 145Nov 2023: 122Dec 2023: 1092024Jan 2024: 155Feb 2024: 140Mar 2024: 107Apr 2024: 118May 2024: 109Jun 2024: 196Jul 2024: 170Aug 2024: 92Sep 2024: 99Oct 2024: 49Nov 2024: 18Dec 2024: 72025Jan 2025: 5Feb 2025: 9Mar 2025: 7Apr 2025: 6May 2025: 2Jun 2025: 10Jul 2025: 3Aug 2025: 5Sep 2025: 30Oct 2025: 4Nov 2025: 1Dec 2025: 12026Jan 2026: 0Feb 2026: 0Mar 2026: 3Apr 2026: 2May 2026: 3Jun 2026: 2

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

04,5839,1652020: 3,37320202021: 3,49620212022: 9,16520222023: 4,31120232024: 1,26020242025: 8320252026: 102026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Oxbryta reports recording the termall reports in the database

  1. Product dose omission issuea dose was missed23.6%5,117
  2. Diarrhoealoose or frequent stools14.5%3,150
  3. Off label useused for a purpose or in a way not on the label10.7%2,331
  4. Nauseafeeling sick9.1%1,981
  5. Headachehead pain7.7%1,667
  6. Abdominal pain upperupper stomach pain5.4%1,162
  7. Painpain, site not specified4.8%1,032
  8. Fatiguetiredness4.6%1,001
  9. Abdominal discomfortstomach discomfort4.4%959
  10. Vomitingbeing sick3.8%822
  11. Haemoglobin decreasedlow haemoglobin3.4%736
  12. Abdominal painstomach or belly pain2.8%612
  13. Rashskin rash2.6%564
  14. Malaisegeneral feeling of being unwell2.5%532
  15. Pneumonialung infection1.9%416
  16. Dizzinesslight-headedness or unsteadiness1.6%356
  17. Pyrexiafever1.6%354
  18. Acute chest syndrome1.6%338
  19. Deaththe patient died; cause not stated by this term1.4%314
  20. Therapy non-responderthe treatment did not work1.4%295
  21. Hospitalisationadmission to hospital1.3%274
  22. Intentional product misusedeliberate use not as intended1.3%273
  23. Covid-19COVID-19 infection1.2%260
  24. Pain in extremitypain in an arm or leg1.2%260
  25. Pruritusitching1.2%260
  26. Weight decreasedweight loss1.1%248

Top 30 of 747 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

Death1.8%382
Life-threatening0.2%46
Hospitalisation (initial or prolonged)34.7%7,524
Disability0.1%25
Congenital anomaly0%2
Other serious10.1%2,201
Not serious57.8%12,552

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%5
2 to 114.7%1,026
12 to 179.4%2,047
18 to 4434.7%7,519
45 to 6414.3%3,108
65 to 741.8%387
75 and over0.2%53
Age not given34.8%7,553

Patient sex

Female59%12,792
Male39.1%8,477
Not given2%429

Who reported

Physician5.1%1,112
Pharmacist0.3%60
Other health professional7.1%1,531
Lawyer0.3%57
Consumer or non-health professional87.1%18,905
Not given0.2%33

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Sickle cell disease13,58062.6%
Sickle cell anaemia with crisis1,1445.3%
Sickle cell anaemia3421.6%
Thalassaemia sickle cell2331.1%
Haemoglobin c disease1770.8%
Thalassaemia beta540.2%

The indication field is filled in by the reporter and is often blank; shares are of all 21,698 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Oxbryta reports
Hydroxyurea1,6697.7%
Folic acid1,1875.5%
Oxycodone3221.5%
Ergocalciferol2141%
Vitamin d1910.9%
Endari1870.9%
Ibuprofen1850.9%
Jadenu1760.8%
Deferasirox1720.8%
Gabapentin1430.7%

Other products listed in reports where Oxbryta 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

MeasureOxbrytaAll reports
Reports as suspect product21,69820,646,523
Share of that pool—0.1%
Reports, latest 12 months541,332,454
Marked serious42.2%57.4%
Death recorded among outcomes, per 1,000 reports1891
Hospitalisation recorded, per 1,000 reports347213
Consumer-filed share87.1%45.8%
Top term, share of reportsSickle cell anaemia with crisis 50.4%0.1%

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 Oxbryta reports

How many adverse event reports has FDA received for Oxbryta?

21,698 reports list Oxbryta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 54 of them arrived in the latest 12 months. Another 293 list it only as a concomitant medication.

What reactions are recorded in Oxbryta reports?

sickle cell anaemia with crisis (50.4%), product dose omission issue (23.6%), diarrhoea (14.5%), off label use (10.7%) and nausea (9.1%). 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 Oxbryta was responsible.

How serious are the reports?

42.2% are marked serious by the reporter. Among the outcomes recorded, 1.8% of reports include death and 34.7% 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?

consumer or non-health professional (87.1%), other health professional (7.1%) and physician (5.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Oxbryta rising?

54 reports in the 12 months to June 2026, down 89% from 474 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 Oxbryta 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 Oxbryta?

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 Oxbryta as a suspect or interacting product; reports listing it only as a concomitant medication (293) 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.