Reported Reactions

Drugs › Expectorant

Brand name · Acetaminophen

Tylenol: adverse event reports filed with FDA

30,726 reports list it as a suspect or interacting product, 2004–2026. Class: Expectorant. Also reported as Tylenol 3, Tylenol /00020001/, Tylenol Er.

30,726
reports as suspect product
0.2% of all reports · about 1,366 a year
5,536
reports, 12 months to June 2026
2,088 in the 12 months before
39.8%
marked serious by the reporter
33.2% across the class
5.1%
record death among outcomes, as reported
1,566 reports · not verified by FDA

30,726 adverse event reports received by FDA list the brand name Tylenol (acetaminophen) as a suspect or interacting product, from January 2004 to June 2026. A further 139,536 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 5,536 reports listed it, up 165% from 2,088 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 1,366 reports a year and 0.2% of the 20,646,523 reports in the database, and 59.8% of the reports for the expectorant class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (22.7%), exposure during pregnancy (11.5%) and product use in unapproved indication (6.4%). A report can list several reactions, so shares add to more than 100%; 1,854 different terms appear across these reports. Drug ineffective is recorded in 22.7% of these reports, about the same share as in the median expectorant drug (18.8%).

39.8% of the reports are marked serious by the reporter (33.2% across the class); 5.1% record death among the outcomes and 12.3% record hospitalisation, as reported. 76.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (10.1%). 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

01,0252,049Jul 2021: 117Aug 2021: 233Sep 2021: 175Oct 2021: 332Nov 2021: 283Dec 2021: 3222022Jan 2022: 201Feb 2022: 118Mar 2022: 160Apr 2022: 104May 2022: 171Jun 2022: 224Jul 2022: 212Aug 2022: 140Sep 2022: 100Oct 2022: 118Nov 2022: 143Dec 2022: 1552023Jan 2023: 133Feb 2023: 126Mar 2023: 143Apr 2023: 127May 2023: 190Jun 2023: 187Jul 2023: 169Aug 2023: 185Sep 2023: 161Oct 2023: 235Nov 2023: 164Dec 2023: 2172024Jan 2024: 132Feb 2024: 193Mar 2024: 178Apr 2024: 199May 2024: 335Jun 2024: 210Jul 2024: 233Aug 2024: 186Sep 2024: 148Oct 2024: 139Nov 2024: 133Dec 2024: 1962025Jan 2025: 232Feb 2025: 149Mar 2025: 222Apr 2025: 151May 2025: 144Jun 2025: 155Jul 2025: 145Aug 2025: 140Sep 2025: 2,049Oct 2025: 1,940Nov 2025: 116Dec 2025: 1312026Jan 2026: 154Feb 2026: 249Mar 2026: 289Apr 2026: 134May 2026: 99Jun 2026: 90

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

02,7875,5742004: 11720042005: 2242006: 1912007: 25820072008: 2582009: 6022010: 67320102011: 952012: 3252013: 44420132014: 4132015: 1,3602016: 1,43820162017: 1,5812018: 1,9462019: 3,16120192020: 2,0172021: 2,8692022: 1,84620222023: 2,0372024: 2,2822025: 5,57420252026: 1,015

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tylenol reports recording the termmedian drug in expectorant

  1. Drug ineffectivethe medicine did not work as expected22.7%6,989
  2. Exposure during pregnancythe medicine was taken during pregnancy11.5%3,528
  3. Product use in unapproved indicationused for a purpose not on the label6.4%1,965
  4. Off label useused for a purpose or in a way not on the label6.3%1,940
  5. Painpain, site not specified5.5%1,676
  6. Drug hypersensitivityan allergic-type reaction to a medicine5.4%1,670
  7. Headachehead pain5.3%1,631
  8. Nauseafeeling sick4.4%1,367
  9. Overdosea dose above the recommended amount4.2%1,295
  10. Foetal exposure during pregnancythe unborn baby was exposed to the medicine4.2%1,291
  11. Fatiguetiredness4.1%1,253
  12. Product use issuea problem in how the product was used3.7%1,136
  13. Vomitingbeing sick3.6%1,097
  14. Hyperhidrosisexcessive sweating3.3%1,001
  15. Pyrexiafever3.1%960
  16. Incorrect dose administeredthe wrong dose was given3.1%957
  17. Dyspnoeashortness of breath3%933
  18. Diarrhoealoose or frequent stools2.7%831
  19. Hepatic enzyme increasedraised liver enzymes2.6%814
  20. Hypersensitivityan allergic-type reaction2.6%793
  21. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease2.6%789
  22. Rashskin rash2.5%781
  23. Asthmaasthma2.4%744
  24. Malaisegeneral feeling of being unwell2.4%723
  25. Arthralgiajoint pain2.3%714
  26. Dizzinesslight-headedness or unsteadiness2.2%684
  27. Back painback pain2.2%671
  28. Constipationconstipation2.1%650

Top 30 of 1,854 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 10 drugs in the expectorant 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

Death5.1%1,566
Life-threatening1.9%577
Hospitalisation (initial or prolonged)12.3%3,793
Disability1.2%364
Congenital anomaly0.3%90
Other serious29.5%9,069
Not serious60.2%18,506

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 51,345 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 21.7%518
2 to 111.6%506
12 to 171%303
18 to 447.9%2,436
45 to 6410.1%3,115
65 to 744.7%1,442
75 and over5.6%1,732
Age not given67.3%20,674

Patient sex

Female53.6%16,480
Male19.8%6,097
Not given26.5%8,149

Who reported

Physician6.6%2,041
Pharmacist1.3%411
Other health professional13.3%4,075
Lawyer1%300
Consumer or non-health professional76.7%23,552
Not given1.1%347

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 84.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Pain2,3437.6%
Headache2,1046.8%
Migraine7092.3%
Pyrexia6472.1%
Arthralgia5201.7%
Premedication5021.6%

The indication field is filled in by the reporter and is often blank; shares are of all 30,726 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tylenol reports
Ibuprofen1,6685.4%
Acetaminophen1,6045.2%
Gabapentin1,3954.5%
Remicade1,2574.1%
Codeine1,2013.9%
Actemra9963.2%
Prednisone9863.2%
Humira9833.2%
Orencia8812.9%
Rituximab8722.8%

Other products listed in reports where Tylenol 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

MeasureTylenolExpectorantAll reports
Reports as suspect product30,72651,34520,646,523
Share of that pool—59.8%0.2%
Reports, latest 12 months5,536—1,332,454
Marked serious39.8%33.2%57.4%
Death recorded among outcomes, per 1,000 reports515091
Hospitalisation recorded, per 1,000 reports12396213
Consumer-filed share76.7%80.8%45.8%
Top term, share of reportsDrug ineffective 22.7%median 18.8%6.3%

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 expectorant class

DrugName typeReportsLatest 12 monthsMarked serious
Mucinexbrand5,10735119.8%
Delsymbrand3,57914415%
Mucinex Dm Maximum Strengthbrand3,32817711.5%
Mucinex DMbrand2,42211928%
Mucinex Maximum Strengthbrand2,2271877.1%
Dextromethorphan hydrobromidegeneric1,67011675.5%
Guaifenesingeneric1,20810845.6%
Dextromethorphan hydrobromide,guaifenesingeneric57613912.7%
Mucinex Dbrand5022434.1%

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 Tylenol reports

How many adverse event reports has FDA received for Tylenol?

30,726 reports list Tylenol as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 5,536 of them arrived in the latest 12 months. Another 139,536 list it only as a concomitant medication.

What reactions are recorded in Tylenol reports?

drug ineffective (22.7%), exposure during pregnancy (11.5%), product use in unapproved indication (6.4%), off label use (6.3%) and pain (5.5%). 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 Tylenol was responsible.

How serious are the reports?

39.8% are marked serious by the reporter. Among the outcomes recorded, 5.1% of reports include death and 12.3% 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 (76.7%), other health professional (13.3%) and physician (6.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tylenol rising?

5,536 reports in the 12 months to June 2026, up 165% from 2,088 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 Tylenol 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 Tylenol?

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 Tylenol as a suspect or interacting product; reports listing it only as a concomitant medication (139,536) 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.