Reported Reactions

Drugs › Phosphate binder

Brand name · Sucroferric oxyhydroxide

Velphoro: adverse event reports filed with FDA

2,440 reports list it as a suspect or interacting product, 2014–2026. Class: Phosphate binder.

2,440
reports as suspect product
0% of all reports · about 199 a year
77
reports, 12 months to June 2026
177 in the 12 months before
72.9%
marked serious by the reporter
49.7% across the class
50.2%
record death among outcomes, as reported
1,226 reports · not verified by FDA

2,440 adverse event reports received by FDA list the brand name Velphoro (sucroferric oxyhydroxide) as a suspect or interacting product, from April 2014 to June 2026. A further 467 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, 77 reports listed it, down 56% from 177 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 199 reports a year and 0% of the 20,646,523 reports in the database, and 21.7% of the reports for the phosphate binder 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 (45.7%), diarrhoea (9.6%) and constipation (3.3%). A report can list several reactions, so shares add to more than 100%; 204 different terms appear across these reports. Death is recorded in 45.7% of these reports, a larger share than in the median phosphate binder drug (20.1%).

72.9% of the reports are marked serious by the reporter (49.7% across the class); 50.2% record death among the outcomes and 13% record hospitalisation, as reported. 48.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (11.3%). 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

03876Jul 2021: 6Aug 2021: 4Sep 2021: 9Oct 2021: 7Nov 2021: 10Dec 2021: 92022Jan 2022: 4Feb 2022: 4Mar 2022: 5Apr 2022: 6May 2022: 7Jun 2022: 11Jul 2022: 8Aug 2022: 16Sep 2022: 8Oct 2022: 4Nov 2022: 9Dec 2022: 42023Jan 2023: 5Feb 2023: 7Mar 2023: 5Apr 2023: 4May 2023: 10Jun 2023: 10Jul 2023: 7Aug 2023: 4Sep 2023: 5Oct 2023: 2Nov 2023: 7Dec 2023: 22024Jan 2024: 2Feb 2024: 8Mar 2024: 2Apr 2024: 8May 2024: 11Jun 2024: 3Jul 2024: 6Aug 2024: 6Sep 2024: 10Oct 2024: 4Nov 2024: 6Dec 2024: 762025Jan 2025: 39Feb 2025: 4Mar 2025: 12Apr 2025: 4May 2025: 6Jun 2025: 4Jul 2025: 8Aug 2025: 4Sep 2025: 6Oct 2025: 11Nov 2025: 6Dec 2025: 52026Jan 2026: 4Feb 2026: 4Mar 2026: 5Apr 2026: 4May 2026: 9Jun 2026: 11

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

02965912014: 2420142015: 1242016: 11620162017: 2222018: 23120182019: 4112020: 59120202021: 2792022: 8620222023: 682024: 14220242025: 1092026: 372026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Velphoro reports recording the termmedian drug in phosphate binder

  1. Deaththe patient died; cause not stated by this term45.7%1,114
  2. Diarrhoealoose or frequent stools9.6%235
  3. Constipationconstipation3.3%80
  4. Hospitalisationadmission to hospital3.2%79
  5. Nauseafeeling sick2.9%71
  6. Vomitingbeing sick2.7%66
  7. Product taste abnormalthe product tasted odd2.4%58
  8. Drug intolerancethe medicine was not tolerated2.3%57
  9. Abdominal discomfortstomach discomfort2.1%52
  10. Haemoglobin increased1.6%40
  11. Abdominal painstomach or belly pain1.4%35
  12. Off label useused for a purpose or in a way not on the label1.4%33
  13. Abdominal pain upperupper stomach pain1.3%32
  14. Pruritusitching1.3%31
  15. Treatment noncompliancethe treatment was not taken as directed1.2%30
  16. Gastrointestinal haemorrhagebleeding in the stomach or bowel1.1%28
  17. Cardiac arrestthe heart stopped1.1%26
  18. Overdosea dose above the recommended amount1%24
  19. Rashskin rash1%24
  20. Tooth discolouration1%24
  21. Transferrin saturation increased0.9%22
  22. Condition aggravatedthe condition being treated got worse0.8%20
  23. Covid-19COVID-19 infection0.7%17
  24. Dizzinesslight-headedness or unsteadiness0.7%17
  25. Haemoglobin decreasedlow haemoglobin0.6%14
  26. Hypertensionhigh blood pressure0.6%14
  27. Malaisegeneral feeling of being unwell0.6%14

Top 30 of 204 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 5 drugs in the phosphate binder 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

Death50.2%1,226
Life-threatening0.6%14
Hospitalisation (initial or prolonged)13%318
Disability0.4%9
Congenital anomaly0%0
Other serious13.6%333
Not serious27.1%662

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 11,219 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 20%0
2 to 110%1
12 to 170.2%4
18 to 442.8%68
45 to 6411.3%275
65 to 746.6%161
75 and over5.3%130
Age not given73.8%1,801

Patient sex

Female33.8%824
Male58.4%1,424
Not given7.9%192

Who reported

Physician11.9%291
Pharmacist2.9%71
Other health professional48.2%1,175
Lawyer0%0
Consumer or non-health professional32.3%789
Not given4.7%114

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 80.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hyperphosphataemia56423.1%
Chronic kidney disease1857.6%
Phosphorus metabolism disorder1194.9%
End stage renal disease893.6%
Blood phosphorus increased622.5%
Blood phosphorus552.3%

The indication field is filled in by the reporter and is often blank; shares are of all 2,440 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Velphoro reports
Venofer (iron sucrose)662.7%
Mircera572.3%
Bayaspirin441.8%
Amlodipine431.8%
Calcium carbonate421.7%
Aspirin361.5%
Furosemide361.5%
Carvedilol341.4%
Nexium331.4%
Aranesp321.3%

Other products listed in reports where Velphoro 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

MeasureVelphoroPhosphate binderAll reports
Reports as suspect product2,44011,21920,646,523
Share of that pool—21.7%0%
Reports, latest 12 months77—1,332,454
Marked serious72.9%49.7%57.4%
Death recorded among outcomes, per 1,000 reports50224991
Hospitalisation recorded, per 1,000 reports130186213
Consumer-filed share32.3%26.2%45.8%
Top term, share of reportsDeath 45.7%median 20.1%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 phosphate binder class

DrugName typeReportsLatest 12 monthsMarked serious
Renvelabrand5,2091818.4%
Fosrenolbrand2,1593485.9%
Sevelamer carbonategeneric7664146.5%
Lanthanum carbonategeneric6458997.4%

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 Velphoro reports

How many adverse event reports has FDA received for Velphoro?

2,440 reports list Velphoro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 77 of them arrived in the latest 12 months. Another 467 list it only as a concomitant medication.

What reactions are recorded in Velphoro reports?

death (45.7%), diarrhoea (9.6%), constipation (3.3%), hospitalisation (3.2%) and faeces discoloured (3.2%). 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 Velphoro was responsible.

How serious are the reports?

72.9% are marked serious by the reporter. Among the outcomes recorded, 50.2% of reports include death and 13% 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 (48.2%), consumer or non-health professional (32.3%) and physician (11.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Velphoro rising?

77 reports in the 12 months to June 2026, down 56% from 177 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 Velphoro 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 Velphoro?

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 Velphoro as a suspect or interacting product; reports listing it only as a concomitant medication (467) 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.