Reported Reactions

Drugs › Corticosteroid

Brand name · Budesonide

Pulmicort Flexhaler: adverse event reports filed with FDA

4,350 reports list it as a suspect or interacting product, 2007–2025. Class: Corticosteroid.

4,350
reports as suspect product
0% of all reports · about 229 a year
1
reports, 12 months to June 2026
6 in the 12 months before
15.1%
marked serious by the reporter
77.7% across the class
1.4%
record death among outcomes, as reported
62 reports · not verified by FDA

4,350 adverse event reports received by FDA list the brand name Pulmicort Flexhaler (budesonide) as a suspect or interacting product, from July 2007 to October 2025. A further 560 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, 1 report listed it, down 83% from 6 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 229 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the corticosteroid 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 dyspnoea (22.5%), off label use (18.1%) and asthma (14.8%). A report can list several reactions, so shares add to more than 100%; 475 different terms appear across these reports. Dyspnoea is recorded in 22.5% of these reports, a larger share than in the median corticosteroid drug (8.1%).

15.1% of the reports are marked serious by the reporter (77.7% across the class); 1.4% record death among the outcomes and 6.2% record hospitalisation, as reported. 68.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (19.1%). 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

02345Jul 2021: 15Aug 2021: 18Sep 2021: 21Oct 2021: 20Nov 2021: 23Dec 2021: 182022Jan 2022: 39Feb 2022: 23Mar 2022: 30Apr 2022: 19May 2022: 21Jun 2022: 15Jul 2022: 17Aug 2022: 14Sep 2022: 13Oct 2022: 12Nov 2022: 21Dec 2022: 182023Jan 2023: 21Feb 2023: 23Mar 2023: 21Apr 2023: 45May 2023: 25Jun 2023: 18Jul 2023: 18Aug 2023: 21Sep 2023: 7Oct 2023: 7Nov 2023: 2Dec 2023: 42024Jan 2024: 0Feb 2024: 3Mar 2024: 1Apr 2024: 2May 2024: 4Jun 2024: 1Jul 2024: 3Aug 2024: 1Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 12025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 1May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 1Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 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

02765522007: 1620072008: 2922009: 22820092010: 2132011: 32320112012: 5522013: 14320132014: 3622015: 29520152016: 2502017: 28420172018: 2502019: 23920192020: 2102021: 22120212022: 2422023: 21220232024: 162025: 22025

Reactions recorded in the reports

share of Pulmicort Flexhaler reports recording the termmedian drug in corticosteroid

  1. Dyspnoeashortness of breath22.5%980
  2. Off label useused for a purpose or in a way not on the label18.1%787
  3. Asthmaasthma14.8%643
  4. Intentional product misusedeliberate use not as intended14%608
  5. Coughcough13.9%604
  6. Drug ineffectivethe medicine did not work as expected13%564
  7. Drug dose omissiona dose was missed11.8%513
  8. Device malfunctionthe device did not work properly11.4%498
  9. Malaisegeneral feeling of being unwell7.7%333
  10. Circumstance or information capable of leading to medication errora situation that could lead to a medication error7.4%324
  11. Product use issuea problem in how the product was used7.1%308
  12. Device issuea problem with the device6.4%277
  13. Wheezingwheezing6%259
  14. Intentional device misuse5.9%258
  15. Product quality issuea problem with the product itself5.7%247
  16. Chest discomfortchest discomfort4.3%187
  17. Device failurethe device failed4.2%184
  18. Dysphoniaa hoarse voice3.6%157
  19. Feeling abnormalfeeling odd or not right3.6%157
  20. Product use in unapproved indicationused for a purpose not on the label3.5%152
  21. Product dose omission issuea dose was missed3%131
  22. Fatiguetiredness2.9%125
  23. Product dose omissiona dose was missed2.8%123
  24. Device delivery system issuea problem with the delivery system2.6%111
  25. Incorrect dose administeredthe wrong dose was given2.5%109
  26. Nasopharyngitisa cold2.4%106
  27. Bronchitischest infection2.3%101

Top 30 of 475 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 74 drugs in the corticosteroid 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

Death1.4%62
Life-threatening0.5%22
Hospitalisation (initial or prolonged)6.2%269
Disability0.5%23
Congenital anomaly0%1
Other serious9%392
Not serious84.9%3,694

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 808,789 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 20.1%4
2 to 113.8%167
12 to 171.4%62
18 to 445.4%237
45 to 6419.1%830
65 to 7415.3%667
75 and over13.6%592
Age not given41.2%1,791

Patient sex

Female68.3%2,969
Male27.2%1,184
Not given4.5%197

Who reported

Physician3.5%153
Pharmacist6.4%279
Other health professional2.7%116
Lawyer0%1
Consumer or non-health professional68.4%2,976
Not given19%825

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Asthma1,80341.4%
Chronic obstructive pulmonary disease2936.7%
Dyspnoea1072.5%
Cough1062.4%
Bronchitis761.7%
Emphysema551.3%

The indication field is filled in by the reporter and is often blank; shares are of all 4,350 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pulmicort Flexhaler reports
Albuterol3498%
Symbicort3026.9%
Singulair2034.7%
Nexium1553.6%
Aspirin1373.1%
Prednisone1303%
Proair Hfa1232.8%
Lisinopril1192.7%
Tiotropium bromide1142.6%
Albuterol sulfate1112.6%

Other products listed in reports where Pulmicort Flexhaler 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

MeasurePulmicort FlexhalerCorticosteroidAll reports
Reports as suspect product4,350808,78920,646,523
Share of that pool—0.5%0%
Reports, latest 12 months1—1,332,454
Marked serious15.1%77.7%57.4%
Death recorded among outcomes, per 1,000 reports1414691
Hospitalisation recorded, per 1,000 reports62336213
Consumer-filed share68.4%29.1%45.8%
Top term, share of reportsDyspnoea 22.5%median 8.1%2.7%

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 corticosteroid class

DrugName typeReportsLatest 12 monthsMarked serious
Prednisonegeneric183,86715,61491.4%
Dexamethasonegeneric129,6779,21695.1%
Prednisolonegeneric87,8066,62497.6%
Methylprednisolonegeneric49,5374,43095.2%
Symbicortbrand39,1191,17750.6%
Breo Elliptabrand22,22062831.7%
Hydrocortisonegeneric21,2632,38689.5%
Advair Diskusbrand20,51812029%
Advair Hfabrand19,62258954.9%
Budesonidegeneric14,7141,08382.2%
Desoximetasonegeneric12,2091,52599.2%
Floventbrand10,77217142.1%
Methylprednisolone sodium succinategeneric10,7721,63097.8%
Solu-medrolgeneric10,28843288.8%
Ciprobrand9,79110857.3%

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 Pulmicort Flexhaler reports

How many adverse event reports has FDA received for Pulmicort Flexhaler?

4,350 reports list Pulmicort Flexhaler as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1 of them arrived in the latest 12 months. Another 560 list it only as a concomitant medication.

What reactions are recorded in Pulmicort Flexhaler reports?

dyspnoea (22.5%), off label use (18.1%), asthma (14.8%), intentional product misuse (14%) and cough (13.9%). 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 Pulmicort Flexhaler was responsible.

How serious are the reports?

15.1% are marked serious by the reporter. Among the outcomes recorded, 1.4% of reports include death and 6.2% 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 (68.4%), not given (19%) and pharmacist (6.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pulmicort Flexhaler rising?

1 reports in the 12 months to June 2026, down 83% from 6 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 Pulmicort Flexhaler 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 Pulmicort Flexhaler?

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 Pulmicort Flexhaler as a suspect or interacting product; reports listing it only as a concomitant medication (560) 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.