Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor
Generic name
Tenofovir alafenamide: adverse event reports filed with FDA
974 reports list it as a suspect or interacting product, 2016–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor.
- 974
- reports as suspect product
- 0% of all reports · about 93 a year
- 139
- reports, 12 months to June 2026
- 163 in the 12 months before
- 97.3%
- marked serious by the reporter
- 88.4% across the class
- 15%
- record death among outcomes, as reported
- 146 reports · not verified by FDA
Between January 2016 and June 2026, 974 adverse event reports received by FDA list tenofovir alafenamide, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (319) are left out of every figure here.
In the 12 months to June 2026, 139 reports listed it, down 15% from 163 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 93 reports a year and 0% of the 20,646,523 reports in the database, and 1.3% of the reports for the hepatitis B virus nucleoside analog reverse transcriptase inhibitor 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 death (12.6%), neoplasm malignant (5%) and product dose omission issue (4.9%). A report can list several reactions, so shares add to more than 100%; 227 different terms appear across these reports. Death is recorded in 12.6% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (2.5%).
97.3% of the reports are marked serious by the reporter (88.4% across the class); 15% record death among the outcomes and 27% record hospitalisation, as reported. 43.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (28.2%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Tenofovir alafenamide reports recording the termmedian drug in hepatitis b virus nucleoside analog reverse transcriptase inhibitor
- Deaththe patient died; cause not stated by this term12.6%123
- Neoplasm malignanta cancer, type not specified5%49
- Product dose omission issuea dose was missed4.9%48
- Foetal exposure during pregnancythe unborn baby was exposed to the medicine4.3%42
- Immune reconstitution inflammatory syndrome3.6%35
- Fatiguetiredness3.1%30
- Osteoporosisthinning of the bones3.1%30
- Liver transplant3%29
- Drug interactionan interaction between medicines2.9%28
- Drug resistance2.8%27
- Off label useused for a purpose or in a way not on the label2.7%26
- Diarrhoealoose or frequent stools2.5%24
- Drug ineffectivethe medicine did not work as expected2.4%23
- Pathogen resistance2.4%23
- Decreased appetitereduced appetite2.3%22
- Hepatic cancer2.2%21
- Nauseafeeling sick2.2%21
- Hepatitis Bhepatitis B infection2.1%20
- Pyrexiafever2.1%20
- Treatment noncompliancethe treatment was not taken as directed1.7%17
- Acute kidney injurysudden loss of kidney function1.6%16
- Cerebrovascular accidentstroke1.6%16
- Condition aggravatedthe condition being treated got worse1.6%16
- Product use issuea problem in how the product was used1.5%15
- Renal impairmentreduced kidney function1.5%15
- Alanine aminotransferase increasedraised liver enzyme (ALT)1.4%14
- Chemotherapy1.4%14
- Maternal exposure during pregnancythe mother took the medicine during pregnancy1.3%13
- Myalgiamuscle pain1.3%13
Top 30 of 227 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 12 drugs in the hepatitis b virus nucleoside analog reverse transcriptase inhibitor 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
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 72,523 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 62.3% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Hepatitis b | 253 | 26% |
| Chronic hepatitis b | 144 | 14.8% |
| Hiv infection | 144 | 14.8% |
| Antiretroviral therapy | 17 | 1.7% |
| Hepatitis b reactivation | 5 | 0.5% |
| Hepatitis c | 3 | 0.3% |
The indication field is filled in by the reporter and is often blank; shares are of all 974 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Tenofovir alafenamide reports |
|---|---|---|
| Emtricitabine | 136 | 14% |
| Tenofovir disoproxil fumarate | 78 | 8% |
| Lamivudine | 75 | 7.7% |
| Dolutegravir | 64 | 6.6% |
| Darunavir | 42 | 4.3% |
| Abacavir | 37 | 3.8% |
| Ritonavir | 33 | 3.4% |
| Efavirenz | 26 | 2.7% |
| Entecavir | 23 | 2.4% |
| Raltegravir | 20 | 2.1% |
Other products listed in reports where Tenofovir alafenamide 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
| Measure | Tenofovir alafenamide | Hepatitis B virus nucleoside analog reverse transcriptase inhibitor | All reports |
|---|---|---|---|
| Reports as suspect product | 974 | 72,523 | 20,646,523 |
| Share of that pool | — | 1.3% | 0% |
| Reports, latest 12 months | 139 | — | 1,332,454 |
| Marked serious | 97.3% | 88.4% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 150 | 89 | 91 |
| Hospitalisation recorded, per 1,000 reports | 270 | 200 | 213 |
| Consumer-filed share | 43.7% | 21.1% | 45.8% |
| Top term, share of reports | Death 12.6% | median 2.5% | 4.1% |
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 hepatitis b virus nucleoside analog reverse transcriptase inhibitor class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Viread | brand | 22,033 | 195 | 94.5% |
| Lamivudine | generic | 17,966 | 271 | 97.6% |
| Tenofovir disoproxil fumarate | generic | 7,400 | 150 | 97.4% |
| Triumeq | brand | 4,823 | 81 | 45.7% |
| Combivir | brand | 4,367 | 11 | 92.2% |
| Baraclude | brand | 3,308 | 25 | 77.8% |
| Epivir | brand | 3,208 | 14 | 93.1% |
| Dovato | brand | 3,059 | 253 | 33.4% |
| Entecavir | generic | 2,797 | 163 | 87.1% |
| Lamivudine and zidovudine | generic | 1,432 | 8 | 84.2% |
| Adefovir dipivoxil | generic | 1,156 | 3 | 99.2% |
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 Tenofovir alafenamide reports
How many adverse event reports has FDA received for Tenofovir alafenamide?
974 reports list Tenofovir alafenamide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 139 of them arrived in the latest 12 months. Another 319 list it only as a concomitant medication.
What reactions are recorded in Tenofovir alafenamide reports?
death (12.6%), neoplasm malignant (5%), product dose omission issue (4.9%), foetal exposure during pregnancy (4.3%) and immune reconstitution inflammatory syndrome (3.6%). 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 Tenofovir alafenamide was responsible.
How serious are the reports?
97.3% are marked serious by the reporter. Among the outcomes recorded, 15% of reports include death and 27% 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 (43.7%), other health professional (29.6%) and physician (23.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Tenofovir alafenamide rising?
139 reports in the 12 months to June 2026, down 15% from 163 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 Tenofovir alafenamide 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 Tenofovir alafenamide?
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 Tenofovir alafenamide as a suspect or interacting product; reports listing it only as a concomitant medication (319) 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.