Reported Reactions

Drugs › Antimalarial

Brand name · Hydroxychloroquine sulfate

Plaquenil: adverse event reports filed with FDA

21,540 reports list it as a suspect or interacting product, 2004–2026. Class: Antimalarial. Also reported as Plaquenil /00072601/, Plaquenil /00072603/, Plaquenil /00072602/.

21,540
reports as suspect product
0.1% of all reports · about 958 a year
554
reports, 12 months to June 2026
601 in the 12 months before
86.7%
marked serious by the reporter
92.5% across the class
7.2%
record death among outcomes, as reported
1,550 reports · not verified by FDA

21,540 adverse event reports received by FDA list the brand name Plaquenil (hydroxychloroquine sulfate) as a suspect or interacting product, from January 2004 to June 2026. A further 40,649 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, 554 reports listed it, close to the 601 of 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 958 reports a year and 0.1% of the 20,646,523 reports in the database, and 23.3% 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 (55.2%), rheumatoid arthritis (38.3%) and pain (25.9%). A report can list several reactions, so shares add to more than 100%; 1,866 different terms appear across these reports. Drug ineffective is recorded in 55.2% of these reports, a larger share than in the median antimalarial drug (9.3%).

86.7% of the reports are marked serious by the reporter (92.5% across the class); 7.2% record death among the outcomes and 22.7% record hospitalisation, as reported. 44.7% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (28.4%). 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

0106212Jul 2021: 144Aug 2021: 108Sep 2021: 161Oct 2021: 148Nov 2021: 163Dec 2021: 2122022Jan 2022: 142Feb 2022: 63Mar 2022: 127Apr 2022: 139May 2022: 187Jun 2022: 202Jul 2022: 69Aug 2022: 69Sep 2022: 50Oct 2022: 71Nov 2022: 101Dec 2022: 1232023Jan 2023: 78Feb 2023: 43Mar 2023: 68Apr 2023: 45May 2023: 49Jun 2023: 52Jul 2023: 38Aug 2023: 49Sep 2023: 62Oct 2023: 50Nov 2023: 39Dec 2023: 532024Jan 2024: 54Feb 2024: 56Mar 2024: 48Apr 2024: 74May 2024: 94Jun 2024: 42Jul 2024: 64Aug 2024: 35Sep 2024: 33Oct 2024: 46Nov 2024: 45Dec 2024: 652025Jan 2025: 53Feb 2025: 67Mar 2025: 111Apr 2025: 28May 2025: 16Jun 2025: 38Jul 2025: 82Aug 2025: 62Sep 2025: 73Oct 2025: 42Nov 2025: 31Dec 2025: 742026Jan 2026: 40Feb 2026: 27Mar 2026: 29Apr 2026: 33May 2026: 20Jun 2026: 41

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

01,7873,5732004: 7420042005: 612006: 612007: 7520072008: 652009: 852010: 8620102011: 1152012: 1812013: 22120132014: 1912015: 7952016: 1,60120162017: 2,7412018: 3,0962019: 3,57320192020: 3,1422021: 1,8852022: 1,34320222023: 6262024: 6562025: 67720252026: 190

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Plaquenil reports recording the termmedian drug in antimalarial

  1. Drug ineffectivethe medicine did not work as expected55.2%11,890
  2. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease38.3%8,249
  3. Painpain, site not specified25.9%5,587
  4. Drug intolerancethe medicine was not tolerated25.4%5,470
  5. Joint swellinga swollen joint22.6%4,876
  6. Fatiguetiredness20.6%4,435
  7. Arthralgiajoint pain20.2%4,358
  8. Abdominal discomfortstomach discomfort19.1%4,121
  9. Alopeciahair loss17.7%3,802
  10. Rashskin rash17.1%3,676
  11. Arthropathy16.8%3,608
  12. Treatment failurethe treatment did not work16.6%3,577
  13. Drug hypersensitivityan allergic-type reaction to a medicine15.8%3,398
  14. Systemic lupus erythematosuslupus, an autoimmune disease15.6%3,357
  15. Off label useused for a purpose or in a way not on the label15.6%3,350
  16. Condition aggravatedthe condition being treated got worse15.1%3,257
  17. Swellingswelling14.7%3,176
  18. Synovitis14.7%3,159
  19. Pemphigus14.3%3,087
  20. Nauseafeeling sick14%3,017
  21. Hypersensitivityan allergic-type reaction13.4%2,884
  22. Glossodynia12.7%2,746
  23. Hand deformity12.5%2,697
  24. Hepatic enzyme increasedraised liver enzymes12.2%2,626
  25. Peripheral swellingswelling of the arms or legs11.3%2,442
  26. Wound10.9%2,347
  27. Maternal exposure during pregnancythe mother took the medicine during pregnancy10.5%2,265
  28. Infusion related reactiona reaction during or soon after an infusion10.4%2,246

Top 30 of 1,866 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

Death7.2%1,550
Life-threatening9.2%1,990
Hospitalisation (initial or prolonged)22.7%4,889
Disability15.3%3,290
Congenital anomaly3.5%747
Other serious76.4%16,452
Not serious13.3%2,862

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 20.2%37
2 to 110.3%67
12 to 170.4%79
18 to 4416.7%3,590
45 to 6428.4%6,107
65 to 7410.3%2,228
75 and over5.5%1,192
Age not given38.3%8,240

Patient sex

Female76.5%16,473
Male13.4%2,881
Not given10.1%2,186

Who reported

Physician29%6,251
Pharmacist1.6%351
Other health professional44.7%9,638
Lawyer0%5
Consumer or non-health professional23.5%5,058
Not given1.1%237

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 20.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis9,83945.7%
Systemic lupus erythematosus8453.9%
Coronavirus infection3051.4%
Polyarthritis840.4%
Covid-19710.3%
Cutaneous lupus erythematosus580.3%

The indication field is filled in by the reporter and is often blank; shares are of all 21,540 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Plaquenil reports
Methotrexate13,53862.9%
Enbrel12,34157.3%
Humira11,08951.5%
Arava9,64344.8%
Sulfasalazine9,51144.2%
Orencia9,13442.4%
Prednisone8,61440%
Actemra8,26338.4%
Remicade7,37034.2%
Xeljanz7,36534.2%

Other products listed in reports where Plaquenil 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

MeasurePlaquenilAntimalarialAll reports
Reports as suspect product21,54092,32020,646,523
Share of that pool—23.3%0.1%
Reports, latest 12 months554—1,332,454
Marked serious86.7%92.5%57.4%
Death recorded among outcomes, per 1,000 reports7213591
Hospitalisation recorded, per 1,000 reports227288213
Consumer-filed share23.5%17.9%45.8%
Top term, share of reportsDrug ineffective 55.2%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
Hydroxychloroquinegeneric40,5142,66193.1%
Hydroxychloroquine sulfategeneric24,0181,32497.9%
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 Plaquenil reports

How many adverse event reports has FDA received for Plaquenil?

21,540 reports list Plaquenil as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 554 of them arrived in the latest 12 months. Another 40,649 list it only as a concomitant medication.

What reactions are recorded in Plaquenil reports?

drug ineffective (55.2%), rheumatoid arthritis (38.3%), pain (25.9%), drug intolerance (25.4%) and joint swelling (22.6%). 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 Plaquenil was responsible.

How serious are the reports?

86.7% are marked serious by the reporter. Among the outcomes recorded, 7.2% of reports include death and 22.7% 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?

other health professional (44.7%), physician (29%) and consumer or non-health professional (23.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Plaquenil rising?

554 reports in the 12 months to June 2026, close to the 601 of 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 Plaquenil 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 Plaquenil?

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 Plaquenil as a suspect or interacting product; reports listing it only as a concomitant medication (40,649) 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.