Reported Reactions

Drugs › l-Thyroxine

Brand name · Levothyroxine sodium

Synthroid: adverse event reports filed with FDA

26,831 reports list it as a suspect or interacting product, 2004–2026. Class: l-Thyroxine. Also reported as Synthroid Tablets, Synthroid 25 Mcg, Synthroid 75 Mcg.

26,831
reports as suspect product
0.1% of all reports · about 1,193 a year
1,910
reports, 12 months to June 2026
1,140 in the 12 months before
38.1%
marked serious by the reporter
48.4% across the class
6.8%
record death among outcomes, as reported
1,831 reports · not verified by FDA

Between January 2004 and June 2026, 26,831 adverse event reports received by FDA list the brand name Synthroid (levothyroxine sodium) as a suspect or interacting product. Reports that mention it only as a concomitant medication (156,961) are left out of every figure here.

In the 12 months to June 2026, 1,910 reports listed it, up 68% from 1,140 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 1,193 reports a year and 0.1% of the 20,646,523 reports in the database, and 52.4% of the reports for the l-Thyroxine class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded fatigue (10.2%), drug ineffective (9.7%) and alopecia (7%). A report can list several reactions, so shares add to more than 100%; 1,798 different terms appear across these reports. Fatigue is recorded in 10.2% of these reports, about the same share as in the median l-Thyroxine drug (12.5%).

38.1% of the reports are marked serious by the reporter (48.4% across the class); 6.8% record death among the outcomes and 11.3% record hospitalisation, as reported. 81.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (11.9%). 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

06091,217Jul 2021: 1,217Aug 2021: 69Sep 2021: 95Oct 2021: 74Nov 2021: 85Dec 2021: 1052022Jan 2022: 49Feb 2022: 53Mar 2022: 53Apr 2022: 65May 2022: 58Jun 2022: 57Jul 2022: 1,171Aug 2022: 67Sep 2022: 128Oct 2022: 110Nov 2022: 202Dec 2022: 1792023Jan 2023: 204Feb 2023: 81Mar 2023: 123Apr 2023: 138May 2023: 155Jun 2023: 127Jul 2023: 94Aug 2023: 134Sep 2023: 144Oct 2023: 123Nov 2023: 83Dec 2023: 932024Jan 2024: 112Feb 2024: 115Mar 2024: 120Apr 2024: 143May 2024: 155Jun 2024: 96Jul 2024: 95Aug 2024: 117Sep 2024: 95Oct 2024: 105Nov 2024: 89Dec 2024: 672025Jan 2025: 103Feb 2025: 88Mar 2025: 101Apr 2025: 86May 2025: 106Jun 2025: 88Jul 2025: 118Aug 2025: 157Sep 2025: 142Oct 2025: 168Nov 2025: 125Dec 2025: 1362026Jan 2026: 184Feb 2026: 187Mar 2026: 188Apr 2026: 166May 2026: 155Jun 2026: 184

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

01,3042,6072004: 10820042005: 1862006: 1552007: 13720072008: 6922009: 7612010: 91220102011: 4642012: 8472013: 1,66320132014: 1,6752015: 1,5682016: 1,47820162017: 1,3062018: 1,1232019: 1,50720192020: 2,6072021: 2,1602022: 2,19220222023: 1,4992024: 1,3092025: 1,41820252026: 1,064

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Synthroid reports recording the termmedian drug in l-thyroxine

  1. Fatiguetiredness10.2%2,724
  2. Drug ineffectivethe medicine did not work as expected9.7%2,595
  3. Alopeciahair loss7%1,875
  4. Weight increasedweight gain5.8%1,558
  5. Feeling abnormalfeeling odd or not right5.3%1,427
  6. Headachehead pain5.2%1,396
  7. Malaisegeneral feeling of being unwell4.9%1,308
  8. Palpitationsawareness of the heartbeat4.6%1,232
  9. Nauseafeeling sick4.2%1,135
  10. Astheniaweakness or lack of energy4%1,074
  11. Painpain, site not specified3.9%1,057
  12. Dyspnoeashortness of breath3.7%989
  13. Anxietyanxiety3.5%947
  14. Dizzinesslight-headedness or unsteadiness3.5%932
  15. Insomniadifficulty sleeping3.4%919
  16. Deaththe patient died; cause not stated by this term3.2%857
  17. Weight decreasedweight loss3.1%825
  18. Rashskin rash2.9%777
  19. Diarrhoealoose or frequent stools2.9%766
  20. Hypothyroidismunderactive thyroid2.8%764
  21. Adverse drug reactiona harmful or unpleasant reaction reported to a medicine2.8%749
  22. Hypertensionhigh blood pressure2.4%657
  23. Asthmaasthma2.4%634
  24. Falla fall2.4%633
  25. Pruritusitching2.3%629
  26. Coughcough2.3%624
  27. Drug hypersensitivityan allergic-type reaction to a medicine2.3%617
  28. Arthralgiajoint pain2.3%607
  29. Pneumonialung infection2.1%571

Top 30 of 1,798 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 6 drugs in the l-thyroxine 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

Death6.8%1,831
Life-threatening1.4%366
Hospitalisation (initial or prolonged)11.3%3,023
Disability1.3%362
Congenital anomaly0.3%69
Other serious26.7%7,163
Not serious61.9%16,596

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 51,210 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%33
2 to 110.2%53
12 to 170.2%58
18 to 444.3%1,158
45 to 6411.9%3,188
65 to 748%2,142
75 and over7.8%2,102
Age not given67.4%18,097

Patient sex

Female81%21,745
Male10.5%2,815
Not given8.5%2,271

Who reported

Physician6.6%1,784
Pharmacist2.4%645
Other health professional7.4%1,981
Lawyer0.1%19
Consumer or non-health professional81.4%21,832
Not given2.1%570

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 89.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypothyroidism7,60328.3%
Thyroid disorder7372.7%
Autoimmune thyroiditis6912.6%
Thyroidectomy4601.7%
Thyroid cancer1060.4%
Hormone replacement therapy1020.4%

The indication field is filled in by the reporter and is often blank; shares are of all 26,831 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Synthroid reports
Levothyroxine1,5835.9%
Aspirin9653.6%
Prednisone8523.2%
Vitamin d7622.8%
Metformin7372.7%
Levothyroxine sodium7152.7%
Ergocalciferol6262.3%
Lisinopril6062.3%
Lipitor6022.2%
Pantoprazole4701.8%

Other products listed in reports where Synthroid 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

MeasureSynthroidl-ThyroxineAll reports
Reports as suspect product26,83151,21020,646,523
Share of that pool—52.4%0.1%
Reports, latest 12 months1,910—1,332,454
Marked serious38.1%48.4%57.4%
Death recorded among outcomes, per 1,000 reports686291
Hospitalisation recorded, per 1,000 reports113172213
Consumer-filed share81.4%69%45.8%
Top term, share of reportsFatigue 10.2%median 12.5%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."

Other drugs in the l-thyroxine class

DrugName typeReportsLatest 12 monthsMarked serious
Levothyroxine sodiumgeneric14,3721,01366.1%
Euthyroxbrand3,59613389.6%
Levoxylbrand3,3827027.7%
Tirosintbrand2,27620517%
NP Thyroidbrand7533066.8%

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 Synthroid reports

How many adverse event reports has FDA received for Synthroid?

26,831 reports list Synthroid as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,910 of them arrived in the latest 12 months. Another 156,961 list it only as a concomitant medication.

What reactions are recorded in Synthroid reports?

fatigue (10.2%), drug ineffective (9.7%), alopecia (7%), weight increased (5.8%) and feeling abnormal (5.3%). 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 Synthroid was responsible.

How serious are the reports?

38.1% are marked serious by the reporter. Among the outcomes recorded, 6.8% of reports include death and 11.3% 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 (81.4%), other health professional (7.4%) and physician (6.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Synthroid rising?

1,910 reports in the 12 months to June 2026, up 68% from 1,140 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 Synthroid 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 Synthroid?

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 Synthroid as a suspect or interacting product; reports listing it only as a concomitant medication (156,961) 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.