Drugs › beta2-Adrenergic agonist
Brand name · Albuterol sulfate
Ventolin Hfa: adverse event reports filed with FDA
22,690 reports list it as a suspect or interacting product, 2004–2026. Class: beta2-Adrenergic agonist.
- 22,690
- reports as suspect product
- 0.1% of all reports · about 1,028 a year
- 446
- reports, 12 months to June 2026
- 462 in the 12 months before
- 20.2%
- marked serious by the reporter
- 40.5% across the class
- 2.5%
- record death among outcomes, as reported
- 575 reports · not verified by FDA
22,690 adverse event reports received by FDA list the brand name Ventolin Hfa (albuterol sulfate) as a suspect or interacting product, from June 2004 to June 2026. A further 16,036 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, 446 reports listed it, close to the 462 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 1,028 reports a year and 0.1% of the 20,646,523 reports in the database, and 24.7% of the reports for the beta2-Adrenergic agonist class. How many people take it is not in the data, so a count is not a rate of occurrence.
The MedDRA terms listed most often are wrong technique in product usage process (28.2%), device use error (20.7%) and dyspnoea (12.6%). A report can list several reactions, so shares add to more than 100%; 1,042 different terms appear across these reports. Wrong technique in product usage process is recorded in 28.2% of these reports, a larger share than in the median beta2-Adrenergic agonist drug (1.5%).
20.2% of the reports are marked serious by the reporter (40.5% across the class); 2.5% record death among the outcomes and 11.4% record hospitalisation, as reported. 96% of the reports came from consumers, and the largest patient age group is 45 to 64 (9.3%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Ventolin Hfa reports recording the termmedian drug in beta2-adrenergic agonist
- Wrong technique in product usage processthe product was used in the wrong way28.2%6,405
- Device use errora mistake in using the device20.7%4,695
- Dyspnoeashortness of breath12.6%2,850
- Wrong technique in device usage process11.5%2,603
- Drug ineffectivethe medicine did not work as expected8.6%1,945
- Product cleaning inadequate7.8%1,761
- Product quality issuea problem with the product itself6.1%1,385
- Asthmaasthma5.2%1,173
- Drug dose omissiona dose was missed5%1,132
- Product complaint4.5%1,010
- Coughcough4.1%925
- Underdoseless than the intended dose3.6%816
- Malaisegeneral feeling of being unwell3.3%742
- Expired product administeredthe product was used past its expiry date3.1%706
- Product use issuea problem in how the product was used3.1%702
- Pneumonialung infection2.8%632
- Wheezingwheezing2.7%607
- Product use in unapproved indicationused for a purpose not on the label2.7%602
- Product dose omissiona dose was missed2.6%594
- Product storage errorthe product was stored wrongly2.6%592
- Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease2.3%527
- Product dose omission issuea dose was missed2.2%509
- Overdosea dose above the recommended amount2%459
- Medication errora mistake in prescribing, dispensing or taking a medicine1.9%428
- Hospitalisationadmission to hospital1.7%393
- Nasopharyngitisa cold1.6%367
- Bronchitischest infection1.6%364
- Off label useused for a purpose or in a way not on the label1.4%311
- Deaththe patient died; cause not stated by this term1.3%290
- Falla fall1.3%288
Top 30 of 1,042 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 7 drugs in the beta2-adrenergic agonist 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
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 91,817 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97.8% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Asthma | 3,293 | 14.5% |
| Chronic obstructive pulmonary disease | 1,984 | 8.7% |
| Dyspnoea | 744 | 3.3% |
| Bronchitis | 282 | 1.2% |
| Wheezing | 278 | 1.2% |
| Emphysema | 172 | 0.8% |
The indication field is filled in by the reporter and is often blank; shares are of all 22,690 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Ventolin Hfa reports |
|---|---|---|
| Advair Diskus | 1,937 | 8.5% |
| Advair Hfa | 912 | 4% |
| Breo Ellipta | 645 | 2.8% |
| Tiotropium bromide | 565 | 2.5% |
| Prednisone | 516 | 2.3% |
| Symbicort | 373 | 1.6% |
| Albuterol sulfate | 356 | 1.6% |
| Aspirin | 339 | 1.5% |
| Flovent | 336 | 1.5% |
| Albuterol | 334 | 1.5% |
Other products listed in reports where Ventolin Hfa 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
| Measure | Ventolin Hfa | beta2-Adrenergic agonist | All reports |
|---|---|---|---|
| Reports as suspect product | 22,690 | 91,817 | 20,646,523 |
| Share of that pool | — | 24.7% | 0.1% |
| Reports, latest 12 months | 446 | — | 1,332,454 |
| Marked serious | 20.2% | 40.5% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 25 | 46 | 91 |
| Hospitalisation recorded, per 1,000 reports | 114 | 192 | 213 |
| Consumer-filed share | 96% | 73.9% | 45.8% |
| Top term, share of reports | Wrong technique in product usage process 28.2% | median 1.5% | 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 beta2-adrenergic agonist class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Albuterol sulfate | generic | 44,777 | 4,209 | 36.7% |
| Albuterol | generic | 17,807 | 2,401 | 72.9% |
| Salmeterol xinafoate | generic | 2,557 | 48 | 53.5% |
| Formoterol fumarate | generic | 1,639 | 81 | 96.9% |
| ProAir RespiClick | brand | 1,611 | 5 | 9.1% |
| Levalbuterol tartrate | generic | 736 | 205 | 5.6% |
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 Ventolin Hfa reports
How many adverse event reports has FDA received for Ventolin Hfa?
22,690 reports list Ventolin Hfa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 446 of them arrived in the latest 12 months. Another 16,036 list it only as a concomitant medication.
What reactions are recorded in Ventolin Hfa reports?
wrong technique in product usage process (28.2%), device use error (20.7%), dyspnoea (12.6%), wrong technique in device usage process (11.5%) and drug ineffective (8.6%). 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 Ventolin Hfa was responsible.
How serious are the reports?
20.2% are marked serious by the reporter. Among the outcomes recorded, 2.5% of reports include death and 11.4% 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 (96%), other health professional (1.6%) and physician (1.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Ventolin Hfa rising?
446 reports in the 12 months to June 2026, close to the 462 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 Ventolin Hfa 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 Ventolin Hfa?
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 Ventolin Hfa as a suspect or interacting product; reports listing it only as a concomitant medication (16,036) 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.