Reported Reactions

Drugs › Hepatitis B virus nucleoside analog reverse transcriptase inhibitor

Generic name

Tenofovir disoproxil fumarate: adverse event reports filed with FDA

7,400 reports list it as a suspect or interacting product, 2004–2026. Class: Hepatitis B virus nucleoside analog reverse transcriptase inhibitor. Also reported as Tenofovir Disoproxil Fumarate 300mg, Tenofovir Disoproxil Fumarate Tablet.

7,400
reports as suspect product
0% of all reports · about 330 a year
150
reports, 12 months to June 2026
236 in the 12 months before
97.4%
marked serious by the reporter
88.4% across the class
10.2%
record death among outcomes, as reported
753 reports · not verified by FDA

Between February 2004 and June 2026, 7,400 adverse event reports received by FDA list tenofovir disoproxil fumarate, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,293) are left out of every figure here.

In the 12 months to June 2026, 150 reports listed it, down 36% from 236 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 330 reports a year and 0% of the 20,646,523 reports in the database, and 10.2% 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.

Reporters most often recorded virologic failure (9.7%), pathogen resistance (9.5%) and foetal exposure during pregnancy (9.4%). A report can list several reactions, so shares add to more than 100%; 1,331 different terms appear across these reports. Virologic failure is recorded in 9.7% of these reports, a larger share than in the median hepatitis B virus nucleoside analog reverse transcriptase inhibitor drug (1%).

97.4% of the reports are marked serious by the reporter (88.4% across the class); 10.2% record death among the outcomes and 22.6% record hospitalisation, as reported. 51.2% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (22.2%). 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

04998Jul 2021: 33Aug 2021: 20Sep 2021: 24Oct 2021: 13Nov 2021: 20Dec 2021: 222022Jan 2022: 28Feb 2022: 18Mar 2022: 21Apr 2022: 38May 2022: 43Jun 2022: 54Jul 2022: 18Aug 2022: 50Sep 2022: 48Oct 2022: 30Nov 2022: 26Dec 2022: 502023Jan 2023: 22Feb 2023: 55Mar 2023: 98Apr 2023: 52May 2023: 18Jun 2023: 71Jul 2023: 32Aug 2023: 31Sep 2023: 43Oct 2023: 18Nov 2023: 20Dec 2023: 202024Jan 2024: 7Feb 2024: 28Mar 2024: 17Apr 2024: 28May 2024: 34Jun 2024: 23Jul 2024: 17Aug 2024: 4Sep 2024: 20Oct 2024: 46Nov 2024: 25Dec 2024: 182025Jan 2025: 35Feb 2025: 5Mar 2025: 20Apr 2025: 10May 2025: 22Jun 2025: 14Jul 2025: 19Aug 2025: 10Sep 2025: 10Oct 2025: 3Nov 2025: 13Dec 2025: 42026Jan 2026: 7Feb 2026: 8Mar 2026: 31Apr 2026: 9May 2026: 18Jun 2026: 18

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

04038062004: 5120042005: 582006: 572007: 14120072008: 1162009: 912010: 11320102011: 1872012: 1552013: 15820132014: 3502015: 6982016: 68120162017: 7292018: 8062019: 62820192020: 6182021: 3362022: 42420222023: 4802024: 2672025: 16520252026: 91

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tenofovir disoproxil fumarate reports recording the termmedian drug in hepatitis b virus nucleoside analog reverse transcriptase inhibitor

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine9.4%699
  2. Viral mutation identified9%663
  3. Maternal exposure during pregnancythe mother took the medicine during pregnancy5.1%379
  4. Drug ineffectivethe medicine did not work as expected3.9%286
  5. Treatment failurethe treatment did not work3.6%269
  6. Abortion spontaneousmiscarriage3.5%262
  7. Exposure during pregnancythe medicine was taken during pregnancy3.2%236
  8. Osteoporosisthinning of the bones3.1%232
  9. Deaththe patient died; cause not stated by this term3%220
  10. Drug interactionan interaction between medicines3%219
  11. Immune reconstitution inflammatory syndrome2.9%212
  12. Hepatitis Bhepatitis B infection2.6%191
  13. Treatment noncompliancethe treatment was not taken as directed2.6%190
  14. Renal impairmentreduced kidney function2.5%187
  15. Acute kidney injurysudden loss of kidney function2.1%157
  16. Premature babya baby born early2.1%152
  17. Fanconi syndrome acquired2%147
  18. Diarrhoealoose or frequent stools1.9%138
  19. Alanine aminotransferase increasedraised liver enzyme (ALT)1.9%137
  20. Blood creatinine increasedraised creatinine, a kidney test1.9%137
  21. Nauseafeeling sick1.8%136
  22. Anaemialow red blood cells1.8%134
  23. Condition aggravatedthe condition being treated got worse1.8%131
  24. Pyrexiafever1.8%131
  25. Off label useused for a purpose or in a way not on the label1.6%121
  26. Chronic kidney diseaselong-term kidney disease1.6%120

Top 30 of 1,331 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

Death10.2%753
Life-threatening2.5%184
Hospitalisation (initial or prolonged)22.6%1,676
Disability1.6%117
Congenital anomaly7.4%550
Other serious82.5%6,104
Not serious2.6%196

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

Under 22.4%176
2 to 110.3%23
12 to 170.9%65
18 to 4422.2%1,645
45 to 6420.9%1,546
65 to 744.7%350
75 and over1.4%104
Age not given47.2%3,491

Patient sex

Female28.6%2,115
Male39.6%2,930
Not given31.8%2,355

Who reported

Physician28.8%2,134
Pharmacist1.9%142
Other health professional51.2%3,787
Lawyer0.2%14
Consumer or non-health professional13.8%1,020
Not given4.1%303

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 23.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection3,70550.1%
Hepatitis b88812%
Chronic hepatitis b6699%
Antiretroviral therapy2593.5%
Prophylaxis against HIV infection1101.5%
Acquired immunodeficiency syndrome871.2%

The indication field is filled in by the reporter and is often blank; shares are of all 7,400 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tenofovir disoproxil fumarate reports
Lamivudine3,07741.6%
Efavirenz1,73523.4%
Emtricitabine1,23616.7%
Ritonavir95512.9%
Zidovudine86511.7%
Nevirapine74910.1%
Dolutegravir5737.7%
Raltegravir5056.8%
Abacavir4776.4%
Darunavir4686.3%

Other products listed in reports where Tenofovir disoproxil fumarate 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

MeasureTenofovir disoproxil fumarateHepatitis B virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product7,40072,52320,646,523
Share of that pool—10.2%0%
Reports, latest 12 months150—1,332,454
Marked serious97.4%88.4%57.4%
Death recorded among outcomes, per 1,000 reports1028991
Hospitalisation recorded, per 1,000 reports226200213
Consumer-filed share13.8%21.1%45.8%
Top term, share of reportsVirologic failure 9.7%median 1%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 hepatitis b virus nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Vireadbrand22,03319594.5%
Lamivudinegeneric17,96627197.6%
Triumeqbrand4,8238145.7%
Combivirbrand4,3671192.2%
Baracludebrand3,3082577.8%
Epivirbrand3,2081493.1%
Dovatobrand3,05925333.4%
Entecavirgeneric2,79716387.1%
Lamivudine and zidovudinegeneric1,432884.2%
Adefovir dipivoxilgeneric1,156399.2%
Tenofovir alafenamidegeneric97413997.3%

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 Tenofovir disoproxil fumarate reports

How many adverse event reports has FDA received for Tenofovir disoproxil fumarate?

7,400 reports list Tenofovir disoproxil fumarate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 150 of them arrived in the latest 12 months. Another 1,293 list it only as a concomitant medication.

What reactions are recorded in Tenofovir disoproxil fumarate reports?

virologic failure (9.7%), pathogen resistance (9.5%), foetal exposure during pregnancy (9.4%), viral mutation identified (9%) and drug resistance (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 disoproxil fumarate was responsible.

How serious are the reports?

97.4% are marked serious by the reporter. Among the outcomes recorded, 10.2% of reports include death and 22.6% 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 (51.2%), physician (28.8%) and consumer or non-health professional (13.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tenofovir disoproxil fumarate rising?

150 reports in the 12 months to June 2026, down 36% from 236 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 disoproxil fumarate 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 disoproxil fumarate?

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 disoproxil fumarate as a suspect or interacting product; reports listing it only as a concomitant medication (1,293) 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.