Reported Reactions

Drugs

Product name as reported

Tenofovir: adverse event reports filed with FDA

5,108 reports list it as a suspect or interacting product, 2004–2026.

5,108
reports as suspect product
0% of all reports · about 227 a year
152
reports, 12 months to June 2026
197 in the 12 months before
97.6%
marked serious by the reporter
57.4% across all reports
15.1%
record death among outcomes, as reported
770 reports · not verified by FDA

Between January 2004 and June 2026, 5,108 adverse event reports received by FDA list the product name "Tenofovir" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (3,270) are left out of every figure here.

In the 12 months to June 2026, 152 reports listed it, down 23% from 197 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 227 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 reactions recorded most often are foetal exposure during pregnancy (10.2%), virologic failure (8.2%) and drug resistance (7%). A report can list several reactions, so shares add to more than 100%; 918 different terms appear across these reports. Foetal exposure during pregnancy is recorded in 10.2% of these reports, against 0.4% of all reports in the database.

97.6% of the reports are marked serious by the reporter; 15.1% record death among the outcomes and 24.5% record hospitalisation, as reported. 64.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (21.8%). 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

04181Jul 2021: 21Aug 2021: 8Sep 2021: 23Oct 2021: 8Nov 2021: 20Dec 2021: 182022Jan 2022: 13Feb 2022: 38Mar 2022: 18Apr 2022: 40May 2022: 15Jun 2022: 81Jul 2022: 12Aug 2022: 14Sep 2022: 15Oct 2022: 14Nov 2022: 13Dec 2022: 182023Jan 2023: 10Feb 2023: 30Mar 2023: 21Apr 2023: 8May 2023: 19Jun 2023: 23Jul 2023: 20Aug 2023: 14Sep 2023: 18Oct 2023: 6Nov 2023: 7Dec 2023: 102024Jan 2024: 11Feb 2024: 13Mar 2024: 21Apr 2024: 10May 2024: 13Jun 2024: 13Jul 2024: 24Aug 2024: 24Sep 2024: 19Oct 2024: 22Nov 2024: 8Dec 2024: 232025Jan 2025: 19Feb 2025: 5Mar 2025: 20Apr 2025: 14May 2025: 10Jun 2025: 9Jul 2025: 19Aug 2025: 8Sep 2025: 18Oct 2025: 12Nov 2025: 9Dec 2025: 92026Jan 2026: 19Feb 2026: 5Mar 2026: 15Apr 2026: 17May 2026: 16Jun 2026: 5

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

03496982004: 9220042005: 1182006: 1342007: 9620072008: 1072009: 1362010: 10220102011: 322012: 672013: 15020132014: 1632015: 1252016: 61320162017: 6982018: 5252019: 46020192020: 3692021: 2122022: 29120222023: 1862024: 2012025: 15220252026: 77

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tenofovir reports recording the termall reports in the database

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine10.2%519
  2. Exposure during pregnancythe medicine was taken during pregnancy5.9%303
  3. Drug interactionan interaction between medicines5.9%299
  4. Deaththe patient died; cause not stated by this term4.4%227
  5. Immune reconstitution inflammatory syndrome4%202
  6. Maternal exposure during pregnancythe mother took the medicine during pregnancy3.4%174
  7. Treatment failurethe treatment did not work3.3%168
  8. Drug ineffectivethe medicine did not work as expected2.9%146
  9. Premature babya baby born early2.8%141
  10. Acute kidney injurysudden loss of kidney function2.5%126
  11. Vomitingbeing sick2.3%120
  12. Anaemialow red blood cells2.3%115
  13. Nauseafeeling sick2.2%113
  14. Treatment noncompliancethe treatment was not taken as directed2.2%112
  15. Pyrexiafever2.2%111
  16. Renal failurekidney failure2.2%111
  17. Diarrhoealoose or frequent stools2.1%106
  18. Lipodystrophy acquiredchanges in body fat distribution2.1%106
  19. Renal impairmentreduced kidney function2%104
  20. Fanconi syndrome1.8%90
  21. Condition aggravatedthe condition being treated got worse1.7%86
  22. Abortion spontaneousmiscarriage1.7%85
  23. Lactic acidosisa build-up of lactic acid in the blood1.7%85
  24. Off label useused for a purpose or in a way not on the label1.6%82

Top 30 of 918 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

Death15.1%770
Life-threatening3.5%180
Hospitalisation (initial or prolonged)24.5%1,254
Disability1.4%71
Congenital anomaly6.6%337
Other serious75.6%3,861
Not serious2.4%124

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 21.6%82
2 to 110.3%14
12 to 170.8%43
18 to 4421.8%1,114
45 to 6418.1%925
65 to 742.7%136
75 and over0.8%43
Age not given53.9%2,751

Patient sex

Female21%1,073
Male33.4%1,705
Not given45.6%2,330

Who reported

Physician19.4%989
Pharmacist2.8%143
Other health professional64.7%3,307
Lawyer0.2%8
Consumer or non-health professional8.1%413
Not given4.9%248

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 26.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection2,79654.7%
Antiretroviral therapy3025.9%
Chronic hepatitis b1773.5%
Hepatitis b1753.4%
Prophylaxis against HIV infection1482.9%
Acquired immunodeficiency syndrome521%

The indication field is filled in by the reporter and is often blank; shares are of all 5,108 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tenofovir reports
Lamivudine1,94238%
Emtricitabine1,56130.6%
Efavirenz1,26824.8%
Ritonavir1,12522%
Zidovudine79715.6%
Nevirapine78115.3%
Abacavir4929.6%
Didanosine4699.2%
Lopinavir4298.4%
Darunavir4007.8%

Other products listed in reports where Tenofovir 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

MeasureTenofovirAll reports
Reports as suspect product5,10820,646,523
Share of that pool—0%
Reports, latest 12 months1521,332,454
Marked serious97.6%57.4%
Death recorded among outcomes, per 1,000 reports15191
Hospitalisation recorded, per 1,000 reports245213
Consumer-filed share8.1%45.8%
Top term, share of reportsFoetal exposure during pregnancy 10.2%0.4%

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 Tenofovir reports

How many adverse event reports has FDA received for Tenofovir?

5,108 reports list Tenofovir as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 152 of them arrived in the latest 12 months. Another 3,270 list it only as a concomitant medication.

What reactions are recorded in Tenofovir reports?

foetal exposure during pregnancy (10.2%), virologic failure (8.2%), drug resistance (7%), exposure during pregnancy (5.9%) and drug interaction (5.9%). 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 was responsible.

How serious are the reports?

97.6% are marked serious by the reporter. Among the outcomes recorded, 15.1% of reports include death and 24.5% 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 (64.7%), physician (19.4%) and consumer or non-health professional (8.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tenofovir rising?

152 reports in the 12 months to June 2026, down 23% from 197 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (3,270) 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.