Reported Reactions

Drugs › Respiratory syncytial virus Anti-F protein monoclonal antibody

Brand name · Palivizumab

Synagis: adverse event reports filed with FDA

14,497 reports list it as a suspect or interacting product, 2004–2026. Class: Respiratory syncytial virus Anti-F protein monoclonal antibody. Also reported as Synagis Injection.

14,497
reports as suspect product
0.1% of all reports · about 644 a year
82
reports, 12 months to June 2026
396 in the 12 months before
79.7%
marked serious by the reporter
78.5% across the class
12.3%
record death among outcomes, as reported
1,777 reports · not verified by FDA

Between January 2004 and June 2026, 14,497 adverse event reports received by FDA list the brand name Synagis (palivizumab) as a suspect or interacting product. Reports that mention it only as a concomitant medication (194) are left out of every figure here.

In the 12 months to June 2026, 82 reports listed it, down 79% from 396 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 644 reports a year and 0.1% of the 20,646,523 reports in the database, and 88.1% of the reports for the respiratory syncytial virus Anti-F protein monoclonal antibody class. 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 respiratory syncytial virus infection (14.2%), pyrexia (9.6%) and bronchiolitis (8.2%). A report can list several reactions, so shares add to more than 100%; 746 different terms appear across these reports. Respiratory syncytial virus infection is recorded in 14.2% of these reports, about the same share as in the median respiratory syncytial virus Anti-F protein monoclonal antibody drug (12.6%).

79.7% of the reports are marked serious by the reporter (78.5% across the class); 12.3% record death among the outcomes and 61.4% record hospitalisation, as reported. 34.7% of the reports came from other health professionals, and the largest patient age group is under 2 (53.1%). 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

0175349Jul 2021: 16Aug 2021: 49Sep 2021: 50Oct 2021: 133Nov 2021: 260Dec 2021: 3372022Jan 2022: 349Feb 2022: 273Mar 2022: 201Apr 2022: 171May 2022: 65Jun 2022: 83Jul 2022: 55Aug 2022: 47Sep 2022: 48Oct 2022: 61Nov 2022: 126Dec 2022: 2372023Jan 2023: 257Feb 2023: 161Mar 2023: 189Apr 2023: 96May 2023: 55Jun 2023: 21Jul 2023: 23Aug 2023: 45Sep 2023: 45Oct 2023: 60Nov 2023: 107Dec 2023: 1372024Jan 2024: 178Feb 2024: 136Mar 2024: 120Apr 2024: 77May 2024: 42Jun 2024: 34Jul 2024: 62Aug 2024: 107Sep 2024: 25Oct 2024: 17Nov 2024: 25Dec 2024: 382025Jan 2025: 31Feb 2025: 28Mar 2025: 34Apr 2025: 18May 2025: 8Jun 2025: 3Jul 2025: 3Aug 2025: 1Sep 2025: 5Oct 2025: 2Nov 2025: 5Dec 2025: 42026Jan 2026: 0Feb 2026: 8Mar 2026: 5Apr 2026: 11May 2026: 13Jun 2026: 25

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

09511,9022004: 10220042005: 1312006: 2512007: 35720072008: 1952009: 2262010: 46820102011: 5782012: 6092013: 30120132014: 4422015: 5592016: 80220162017: 6012018: 5792019: 1,02620192020: 1,9022021: 1,3912022: 1,71620222023: 1,1962024: 8612025: 14220252026: 62

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Synagis reports recording the termmedian drug in respiratory syncytial virus anti-f protein monoclonal antibody

  1. Pyrexiafever9.6%1,387
  2. Bronchiolitis8.2%1,191
  3. Deaththe patient died; cause not stated by this term7%1,014
  4. Coughcough6.7%971
  5. Pneumonialung infection6.1%884
  6. Dyspnoeashortness of breath5.1%746
  7. Nasopharyngitisa cold4.3%627
  8. Vomitingbeing sick4.2%613
  9. Influenzaflu3.2%467
  10. Bronchitischest infection2.8%411
  11. Product dose omission issuea dose was missed2.6%376
  12. Diarrhoealoose or frequent stools2.6%370
  13. Covid-19COVID-19 infection2.5%360
  14. Off label useused for a purpose or in a way not on the label2.5%358
  15. Nasal congestiona blocked nose2.4%346
  16. Weight decreasedweight loss2.3%334
  17. Illness2.3%332
  18. Malaisegeneral feeling of being unwell2.3%332
  19. Rhinorrhoeaa runny nose2.2%326
  20. Wheezingwheezing2.1%311
  21. Respiratory syncytial virus test positive2.1%304
  22. Viral infectiona viral infection2%292
  23. Respiratory syncytial virus bronchiolitis1.9%275
  24. Apnoeapauses in breathing1.9%272
  25. Respiratory distressdifficulty breathing1.9%271
  26. Rashskin rash1.8%264
  27. Respiratory tract infectiona respiratory infection1.7%252
  28. Rhinovirus infection1.7%251

Top 30 of 746 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 3 drugs in the respiratory syncytial virus anti-f protein monoclonal antibody 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

Death12.3%1,777
Life-threatening2.4%348
Hospitalisation (initial or prolonged)61.4%8,900
Disability0.3%46
Congenital anomaly0.2%36
Other serious20.1%2,909
Not serious20.3%2,947

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 16,458 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 253.1%7,700
2 to 111.4%206
12 to 170%5
18 to 440.1%10
45 to 640%6
65 to 740%0
75 and over0%1
Age not given45.3%6,569

Patient sex

Female39.6%5,745
Male51.9%7,519
Not given8.5%1,233

Who reported

Physician18.7%2,711
Pharmacist1.9%281
Other health professional34.7%5,025
Lawyer0%3
Consumer or non-health professional33.7%4,879
Not given11%1,598

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 61.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Antiviral prophylaxis3,66425.3%
Premature baby2,88619.9%
Respiratory syncytial virus infection9656.7%
Bronchopulmonary dysplasia5794%
Heart disease congenital5133.5%
Low birth weight baby1491%

The indication field is filled in by the reporter and is often blank; shares are of all 14,497 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Synagis reports
Furosemide4433.1%
Spironolactone3752.6%
Vitamin d2922%
Albuterol sulfate2811.9%
Albuterol2631.8%
Aspirin2411.7%
Omeprazole2131.5%
Ergocalciferol1891.3%
Lasix1891.3%
Famotidine1861.3%

Other products listed in reports where Synagis 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

MeasureSynagisRespiratory syncytial virus Anti-F protein monoclonal antibodyAll reports
Reports as suspect product14,49716,45820,646,523
Share of that pool—88.1%0.1%
Reports, latest 12 months82—1,332,454
Marked serious79.7%78.5%57.4%
Death recorded among outcomes, per 1,000 reports12311591
Hospitalisation recorded, per 1,000 reports614596213
Consumer-filed share33.7%32.7%45.8%
Top term, share of reportsRespiratory syncytial virus infection 14.2%median 12.6%0%

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 respiratory syncytial virus anti-f protein monoclonal antibody class

DrugName typeReportsLatest 12 monthsMarked serious
Beyfortusbrand1,41068058.9%
Palivizumabgeneric55111299.1%

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 Synagis reports

How many adverse event reports has FDA received for Synagis?

14,497 reports list Synagis as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 82 of them arrived in the latest 12 months. Another 194 list it only as a concomitant medication.

What reactions are recorded in Synagis reports?

respiratory syncytial virus infection (14.2%), pyrexia (9.6%), bronchiolitis (8.2%), death (7%) and cough (6.7%). 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 Synagis was responsible.

How serious are the reports?

79.7% are marked serious by the reporter. Among the outcomes recorded, 12.3% of reports include death and 61.4% 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?

other health professional (34.7%), consumer or non-health professional (33.7%) and physician (18.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Synagis rising?

82 reports in the 12 months to June 2026, down 79% from 396 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 Synagis 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 Synagis?

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 Synagis as a suspect or interacting product; reports listing it only as a concomitant medication (194) 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.