Reported Reactions

Drugs

Brand name · Calcium carbonate

Tums Ultra: adverse event reports filed with FDA

615 reports list it as a suspect or interacting product, 2005–2026.

615
reports as suspect product
0% of all reports · about 29 a year
207
reports, 12 months to June 2026
201 in the 12 months before
82.9%
marked serious by the reporter
57.4% across all reports
54.1%
record death among outcomes, as reported
333 reports · not verified by FDA

Between May 2005 and June 2026, 615 adverse event reports received by FDA list the brand name Tums Ultra (calcium carbonate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (381) are left out of every figure here.

In the 12 months to June 2026, 207 reports listed it, close to the 201 of 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 29 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 rheumatoid arthritis (32.8%), vomiting (30.7%) and fatigue (29.9%). A report can list several reactions, so shares add to more than 100%; 381 different terms appear across these reports. Rheumatoid arthritis is recorded in 32.8% of these reports, against 0.5% of all reports in the database.

82.9% of the reports are marked serious by the reporter; 54.1% record death among the outcomes and 60.7% record hospitalisation, as reported. 63.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (48.3%). 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

02448Jul 2021: 0Aug 2021: 3Sep 2021: 0Oct 2021: 7Nov 2021: 2Dec 2021: 12022Jan 2022: 0Feb 2022: 0Mar 2022: 1Apr 2022: 2May 2022: 3Jun 2022: 1Jul 2022: 0Aug 2022: 1Sep 2022: 0Oct 2022: 1Nov 2022: 0Dec 2022: 12023Jan 2023: 3Feb 2023: 0Mar 2023: 0Apr 2023: 2May 2023: 5Jun 2023: 0Jul 2023: 1Aug 2023: 4Sep 2023: 5Oct 2023: 0Nov 2023: 2Dec 2023: 02024Jan 2024: 8Feb 2024: 3Mar 2024: 3Apr 2024: 15May 2024: 44Jun 2024: 28Jul 2024: 22Aug 2024: 15Sep 2024: 9Oct 2024: 16Nov 2024: 40Dec 2024: 152025Jan 2025: 16Feb 2025: 10Mar 2025: 26Apr 2025: 7May 2025: 2Jun 2025: 23Jul 2025: 48Aug 2025: 11Sep 2025: 17Oct 2025: 12Nov 2025: 24Dec 2025: 162026Jan 2026: 7Feb 2026: 11Mar 2026: 3Apr 2026: 10May 2026: 18Jun 2026: 30

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

01092182005: 220052014: 22015: 420152016: 22017: 1720172018: 102019: 920192020: 32021: 2520212022: 102023: 2220232024: 2182025: 21220252026: 79

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tums Ultra reports recording the termall reports in the database

  1. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease32.8%202
  2. Vomitingbeing sick30.7%189
  3. Fatiguetiredness29.9%184
  4. Systemic lupus erythematosuslupus, an autoimmune disease29.9%184
  5. Painpain, site not specified29.8%183
  6. Wound29.6%182
  7. Off label useused for a purpose or in a way not on the label28.6%176
  8. Swellingswelling28.6%176
  9. Type 2 diabetes mellitustype 2 diabetes27.5%169
  10. Confusional stateconfusion27.3%168
  11. Synovitis27.3%168
  12. Pemphigus27.2%167
  13. Rashskin rash26.8%165
  14. Pericarditisinflammation of the sac around the heart26.7%164
  15. Drug ineffectivethe medicine did not work as expected26.2%161
  16. Weight increasedweight gain26.2%161
  17. Nauseafeeling sick26%160
  18. Malaisegeneral feeling of being unwell25.7%158
  19. Wheezingwheezing25.5%157
  20. Joint swellinga swollen joint25.2%155
  21. Nasopharyngitisa cold25%154
  22. Rheumatic fever25%154
  23. General physical health deteriorationgeneral decline in health24.7%152
  24. Hypertensionhigh blood pressure24.4%150
  25. Hypoaesthesianumbness24.4%150
  26. Liver injury24.4%150

Top 30 of 381 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

Death54.1%333
Life-threatening62.3%383
Hospitalisation (initial or prolonged)60.7%373
Disability58.4%359
Congenital anomaly30.2%186
Other serious81.1%499
Not serious17.1%105

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 20.2%1
2 to 110.5%3
12 to 170%0
18 to 4448.3%297
45 to 648.9%55
65 to 748.8%54
75 and over7.6%47
Age not given25.7%158

Patient sex

Female81.1%499
Male6.3%39
Not given12.5%77

Who reported

Physician8.3%51
Pharmacist0.2%1
Other health professional63.7%392
Lawyer0%0
Consumer or non-health professional27.6%170
Not given0.2%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 25.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Dyspepsia254.1%
Rheumatoid arthritis142.3%
Gastrooesophageal reflux disease132.1%
Mineral supplementation61%
Abdominal pain upper30.5%
Abdominal discomfort20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 615 reports.

In context

MeasureTums UltraAll reports
Reports as suspect product61520,646,523
Share of that pool—0%
Reports, latest 12 months2071,332,454
Marked serious82.9%57.4%
Death recorded among outcomes, per 1,000 reports54191
Hospitalisation recorded, per 1,000 reports607213
Consumer-filed share27.6%45.8%
Top term, share of reportsRheumatoid arthritis 32.8%0.5%

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 Tums Ultra reports

How many adverse event reports has FDA received for Tums Ultra?

615 reports list Tums Ultra as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 207 of them arrived in the latest 12 months. Another 381 list it only as a concomitant medication.

What reactions are recorded in Tums Ultra reports?

rheumatoid arthritis (32.8%), vomiting (30.7%), fatigue (29.9%), systemic lupus erythematosus (29.9%) and pain (29.8%). 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 Tums Ultra was responsible.

How serious are the reports?

82.9% are marked serious by the reporter. Among the outcomes recorded, 54.1% of reports include death and 60.7% 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 (63.7%), consumer or non-health professional (27.6%) and physician (8.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tums Ultra rising?

207 reports in the 12 months to June 2026, close to the 201 of 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 Tums Ultra 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 Tums Ultra?

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 Tums Ultra as a suspect or interacting product; reports listing it only as a concomitant medication (381) 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.