Reported Reactions

Drugs

Product name as reported

Sofosbuvir Velpatasvir: adverse event reports filed with FDA

3,417 reports list it as a suspect or interacting product, 2017–2026.

3,417
reports as suspect product
0% of all reports · about 387 a year
179
reports, 12 months to June 2026
219 in the 12 months before
37.5%
marked serious by the reporter
57.4% across all reports
6.8%
record death among outcomes, as reported
234 reports · not verified by FDA

Between September 2017 and June 2026, 3,417 adverse event reports received by FDA list the product name "Sofosbuvir Velpatasvir" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (57) are left out of every figure here.

In the 12 months to June 2026, 179 reports listed it, down 18% from 219 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 387 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 MedDRA terms listed most often are fatigue (17.6%), headache (15.6%) and product dose omission issue (11.2%). A report can list several reactions, so shares add to more than 100%; 325 different terms appear across these reports. Fatigue is recorded in 17.6% of these reports, against 3.7% of all reports in the database.

37.5% of the reports are marked serious by the reporter; 6.8% record death among the outcomes and 13% record hospitalisation, as reported. 76.9% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.7%). 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

051101Jul 2021: 63Aug 2021: 70Sep 2021: 47Oct 2021: 83Nov 2021: 69Dec 2021: 1012022Jan 2022: 52Feb 2022: 66Mar 2022: 71Apr 2022: 59May 2022: 53Jun 2022: 71Jul 2022: 92Aug 2022: 72Sep 2022: 56Oct 2022: 36Nov 2022: 32Dec 2022: 292023Jan 2023: 30Feb 2023: 18Mar 2023: 32Apr 2023: 19May 2023: 25Jun 2023: 31Jul 2023: 10Aug 2023: 29Sep 2023: 15Oct 2023: 33Nov 2023: 27Dec 2023: 252024Jan 2024: 16Feb 2024: 17Mar 2024: 12Apr 2024: 24May 2024: 35Jun 2024: 27Jul 2024: 23Aug 2024: 15Sep 2024: 21Oct 2024: 23Nov 2024: 13Dec 2024: 162025Jan 2025: 18Feb 2025: 10Mar 2025: 16Apr 2025: 26May 2025: 17Jun 2025: 21Jul 2025: 16Aug 2025: 22Sep 2025: 26Oct 2025: 16Nov 2025: 18Dec 2025: 152026Jan 2026: 6Feb 2026: 5Mar 2026: 21Apr 2026: 11May 2026: 8Jun 2026: 15

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

04168312017: 320172018: 420182019: 27120192020: 79620202021: 83120212022: 68920222023: 29420232024: 24220242025: 22120252026: 662026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Sofosbuvir Velpatasvir reports recording the termall reports in the database

  1. Fatiguetiredness17.6%601
  2. Headachehead pain15.6%534
  3. Product dose omission issuea dose was missed11.2%383
  4. Nauseafeeling sick8.4%287
  5. Deaththe patient died; cause not stated by this term4.9%166
  6. Diarrhoealoose or frequent stools4.1%141
  7. Product dose omissiona dose was missed3.7%126
  8. Insomniadifficulty sleeping3.5%120
  9. Drug ineffectivethe medicine did not work as expected3.2%109
  10. Vomitingbeing sick3%104
  11. Dizzinesslight-headedness or unsteadiness2.7%92
  12. Abdominal discomfortstomach discomfort2.6%88
  13. Somnolencedrowsiness2.5%85
  14. Hepatitis Chepatitis C infection2.3%80
  15. Painpain, site not specified2.2%75
  16. Astheniaweakness or lack of energy2.1%71
  17. Memory impairmentmemory problems1.9%65
  18. Abdominal pain upperupper stomach pain1.8%60
  19. Decreased appetitereduced appetite1.8%60
  20. Dyspepsiaindigestion1.7%59
  21. Feeling abnormalfeeling odd or not right1.5%51
  22. Product use issuea problem in how the product was used1.5%51
  23. Malaisegeneral feeling of being unwell1.4%49
  24. Drug interactionan interaction between medicines1.4%47
  25. Constipationconstipation1.3%44
  26. Dyspnoeashortness of breath1.3%43
  27. Weight decreasedweight loss1.3%43
  28. Pruritusitching1.2%40

Top 30 of 325 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

Death6.8%234
Life-threatening0.3%9
Hospitalisation (initial or prolonged)13%445
Disability1.2%41
Congenital anomaly0%1
Other serious30%1,026
Not serious62.5%2,134

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%1
2 to 110.1%4
12 to 170%0
18 to 4412.3%420
45 to 6422.7%777
65 to 745.3%181
75 and over1%33
Age not given58.6%2,001

Patient sex

Female41.3%1,412
Male53.9%1,842
Not given4.8%163

Who reported

Physician5.3%182
Pharmacist6.3%215
Other health professional10.6%361
Lawyer0%0
Consumer or non-health professional76.9%2,629
Not given0.9%30

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 91.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic hepatitis c2,13062.3%
Hepatitis c91526.8%
Hepatic cirrhosis351%
Hepatitis viral120.4%
Acute hepatitis c100.3%
Antiviral treatment70.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,417 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Sofosbuvir Velpatasvir reports
Gabapentin2878.4%
Lisinopril2196.4%
Ibuprofen1725%
Omeprazole1384%
Furosemide1253.7%
Suboxone1023%
Spironolactone942.8%
Ribavirin842.5%
Hydrochlorothiazide802.3%
Atorvastatin calcium792.3%

Other products listed in reports where Sofosbuvir Velpatasvir 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

MeasureSofosbuvir VelpatasvirAll reports
Reports as suspect product3,41720,646,523
Share of that pool—0%
Reports, latest 12 months1791,332,454
Marked serious37.5%57.4%
Death recorded among outcomes, per 1,000 reports6891
Hospitalisation recorded, per 1,000 reports130213
Consumer-filed share76.9%45.8%
Top term, share of reportsFatigue 17.6%3.7%

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."

Questions about Sofosbuvir Velpatasvir reports

How many adverse event reports has FDA received for Sofosbuvir Velpatasvir?

3,417 reports list Sofosbuvir Velpatasvir as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 179 of them arrived in the latest 12 months. Another 57 list it only as a concomitant medication.

What reactions are recorded in Sofosbuvir Velpatasvir reports?

fatigue (17.6%), headache (15.6%), product dose omission issue (11.2%), nausea (8.4%) and intentional dose omission (6.1%). 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 Sofosbuvir Velpatasvir was responsible.

How serious are the reports?

37.5% are marked serious by the reporter. Among the outcomes recorded, 6.8% of reports include death and 13% 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 (76.9%), other health professional (10.6%) and pharmacist (6.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Sofosbuvir Velpatasvir rising?

179 reports in the 12 months to June 2026, down 18% from 219 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 Sofosbuvir Velpatasvir 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 Sofosbuvir Velpatasvir?

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 Sofosbuvir Velpatasvir as a suspect or interacting product; reports listing it only as a concomitant medication (57) 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.