Reported Reactions

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

061122Jul 2021: 77Aug 2021: 77Sep 2021: 102Oct 2021: 122Nov 2021: 101Dec 2021: 902022Jan 2022: 59Feb 2022: 60Mar 2022: 47Apr 2022: 37May 2022: 46Jun 2022: 51Jul 2022: 51Aug 2022: 52Sep 2022: 58Oct 2022: 49Nov 2022: 48Dec 2022: 712023Jan 2023: 56Feb 2023: 47Mar 2023: 65Apr 2023: 37May 2023: 40Jun 2023: 28Jul 2023: 15Aug 2023: 29Sep 2023: 37Oct 2023: 48Nov 2023: 42Dec 2023: 572024Jan 2024: 31Feb 2024: 41Mar 2024: 42Apr 2024: 38May 2024: 46Jun 2024: 33Jul 2024: 29Aug 2024: 52Sep 2024: 49Oct 2024: 36Nov 2024: 34Dec 2024: 432025Jan 2025: 54Feb 2025: 48Mar 2025: 31Apr 2025: 31May 2025: 25Jun 2025: 30Jul 2025: 27Aug 2025: 39Sep 2025: 43Oct 2025: 72Nov 2025: 41Dec 2025: 342026Jan 2026: 26Feb 2026: 30Mar 2026: 25Apr 2026: 28May 2026: 43Jun 2026: 38

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

01,9833,9652004: 320042005: 152006: 82007: 1120072008: 242009: 352010: 3220102011: 1322012: 762013: 19520132014: 7662015: 2,9402016: 3,28620162017: 3,9652018: 3,1872019: 2,79020192020: 1,7622021: 1,1942022: 62920222023: 5012024: 4742025: 47520252026: 190

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

  1. Wrong technique in product usage processthe product was used in the wrong way28.2%6,405
  2. Device use errora mistake in using the device20.7%4,695
  3. Dyspnoeashortness of breath12.6%2,850
  4. Drug ineffectivethe medicine did not work as expected8.6%1,945
  5. Product cleaning inadequate7.8%1,761
  6. Product quality issuea problem with the product itself6.1%1,385
  7. Asthmaasthma5.2%1,173
  8. Drug dose omissiona dose was missed5%1,132
  9. Coughcough4.1%925
  10. Underdoseless than the intended dose3.6%816
  11. Malaisegeneral feeling of being unwell3.3%742
  12. Expired product administeredthe product was used past its expiry date3.1%706
  13. Product use issuea problem in how the product was used3.1%702
  14. Pneumonialung infection2.8%632
  15. Wheezingwheezing2.7%607
  16. Product use in unapproved indicationused for a purpose not on the label2.7%602
  17. Product dose omissiona dose was missed2.6%594
  18. Product storage errorthe product was stored wrongly2.6%592
  19. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease2.3%527
  20. Product dose omission issuea dose was missed2.2%509
  21. Overdosea dose above the recommended amount2%459
  22. Medication errora mistake in prescribing, dispensing or taking a medicine1.9%428
  23. Hospitalisationadmission to hospital1.7%393
  24. Nasopharyngitisa cold1.6%367
  25. Bronchitischest infection1.6%364
  26. Off label useused for a purpose or in a way not on the label1.4%311
  27. Deaththe patient died; cause not stated by this term1.3%290
  28. 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

Death2.5%575
Life-threatening0.4%95
Hospitalisation (initial or prolonged)11.4%2,586
Disability0.2%53
Congenital anomaly0%11
Other serious15.1%3,436
Not serious79.8%18,114

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

Under 20.1%17
2 to 110.5%118
12 to 170.4%92
18 to 442.4%535
45 to 649.3%2,109
65 to 746.2%1,408
75 and over4.8%1,090
Age not given76.3%17,321

Patient sex

Female63.8%14,486
Male33.3%7,547
Not given2.9%657

Who reported

Physician1.3%304
Pharmacist0.7%154
Other health professional1.6%355
Lawyer0%3
Consumer or non-health professional96%21,790
Not given0.4%84

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)ReportsShare
Asthma3,29314.5%
Chronic obstructive pulmonary disease1,9848.7%
Dyspnoea7443.3%
Bronchitis2821.2%
Wheezing2781.2%
Emphysema1720.8%

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)ReportsShare of Ventolin Hfa reports
Advair Diskus1,9378.5%
Advair Hfa9124%
Breo Ellipta6452.8%
Tiotropium bromide5652.5%
Prednisone5162.3%
Symbicort3731.6%
Albuterol sulfate3561.6%
Aspirin3391.5%
Flovent3361.5%
Albuterol3341.5%

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

MeasureVentolin Hfabeta2-Adrenergic agonistAll reports
Reports as suspect product22,69091,81720,646,523
Share of that pool—24.7%0.1%
Reports, latest 12 months446—1,332,454
Marked serious20.2%40.5%57.4%
Death recorded among outcomes, per 1,000 reports254691
Hospitalisation recorded, per 1,000 reports114192213
Consumer-filed share96%73.9%45.8%
Top term, share of reportsWrong 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

DrugName typeReportsLatest 12 monthsMarked serious
Albuterol sulfategeneric44,7774,20936.7%
Albuterolgeneric17,8072,40172.9%
Salmeterol xinafoategeneric2,5574853.5%
Formoterol fumarategeneric1,6398196.9%
ProAir RespiClickbrand1,61159.1%
Levalbuterol tartrategeneric7362055.6%

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.