Reported Reactions

Drugs › Phosphodiesterase 5 inhibitor

Brand name · Sildenafil citrate

Viagra: adverse event reports filed with FDA

28,349 reports list it as a suspect or interacting product, 2004–2026. Class: Phosphodiesterase 5 inhibitor. Also reported as Viagra /01367501/.

28,349
reports as suspect product
0.1% of all reports · about 1,260 a year
44
reports, 12 months to June 2026
62 in the 12 months before
46%
marked serious by the reporter
60.1% across the class
4%
record death among outcomes, as reported
1,125 reports · not verified by FDA

Between January 2004 and June 2026, 28,349 adverse event reports received by FDA list the brand name Viagra (sildenafil citrate) as a suspect or interacting product. Reports that mention it only as a concomitant medication (9,513) are left out of every figure here.

In the 12 months to June 2026, 44 reports listed it, down 29% from 62 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 1,260 reports a year and 0.1% of the 20,646,523 reports in the database, and 30.5% of the reports for the phosphodiesterase 5 inhibitor 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 (30.1%), erection increased (10.5%) and headache (5.1%). A report can list several reactions, so shares add to more than 100%; 1,273 different terms appear across these reports. Drug ineffective is recorded in 30.1% of these reports, a larger share than in the median phosphodiesterase 5 inhibitor drug (11.4%).

46% of the reports are marked serious by the reporter (60.1% across the class); 4% record death among the outcomes and 6.3% record hospitalisation, as reported. 71.5% of the reports came from consumers, and the largest patient age group is 45 to 64 (22.2%). 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

02345Jul 2021: 19Aug 2021: 11Sep 2021: 16Oct 2021: 23Nov 2021: 18Dec 2021: 172022Jan 2022: 17Feb 2022: 14Mar 2022: 22Apr 2022: 45May 2022: 31Jun 2022: 11Jul 2022: 18Aug 2022: 26Sep 2022: 24Oct 2022: 7Nov 2022: 3Dec 2022: 102023Jan 2023: 13Feb 2023: 7Mar 2023: 8Apr 2023: 7May 2023: 5Jun 2023: 6Jul 2023: 6Aug 2023: 13Sep 2023: 3Oct 2023: 9Nov 2023: 7Dec 2023: 52024Jan 2024: 13Feb 2024: 11Mar 2024: 9Apr 2024: 7May 2024: 7Jun 2024: 7Jul 2024: 4Aug 2024: 4Sep 2024: 4Oct 2024: 7Nov 2024: 8Dec 2024: 72025Jan 2025: 8Feb 2025: 3Mar 2025: 3Apr 2025: 6May 2025: 2Jun 2025: 6Jul 2025: 6Aug 2025: 6Sep 2025: 5Oct 2025: 5Nov 2025: 2Dec 2025: 22026Jan 2026: 1Feb 2026: 3Mar 2026: 8Apr 2026: 1May 2026: 2Jun 2026: 3

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

01,6973,3932004: 39020042005: 8802006: 9972007: 61120072008: 4992009: 3672010: 3,39320102011: 1,3252012: 2,2062013: 2,32020132014: 2,6642015: 2,9952016: 2,75720162017: 2,2032018: 1,2592019: 1,86920192020: 9212021: 2162022: 22820222023: 892024: 882025: 5420252026: 18

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Viagra reports recording the termmedian drug in phosphodiesterase 5 inhibitor

  1. Drug ineffectivethe medicine did not work as expected30.1%8,527
  2. Erection increased10.5%2,965
  3. Headachehead pain5.1%1,450
  4. Malignant melanomamelanoma, a skin cancer4.4%1,237
  5. Ejaculation disorder2.9%836
  6. Flushingsudden reddening or warmth of the skin2.5%700
  7. Penis disorder2.4%683
  8. Erectile dysfunctiondifficulty getting or keeping an erection2.2%628
  9. Deaththe patient died; cause not stated by this term1.9%552
  10. Vision blurredblurred vision1.8%502
  11. Drug effect decreasedthe medicine had less effect1.8%498
  12. Intentional product misusedeliberate use not as intended1.6%462
  13. Dizzinesslight-headedness or unsteadiness1.6%453
  14. Drug interactionan interaction between medicines1.6%450
  15. Optic ischaemic neuropathy1.6%446
  16. Malaisegeneral feeling of being unwell1.5%433
  17. Blindnessloss of sight1.4%411
  18. Penile pain1.4%394
  19. Malignant melanoma in situ1.4%386
  20. Hypertensionhigh blood pressure1.4%385
  21. Nasal congestiona blocked nose1.3%374
  22. Cyanopsia1.2%347
  23. Off label useused for a purpose or in a way not on the label1.1%325
  24. Suspected counterfeit product1.1%317
  25. Incorrect dose administeredthe wrong dose was given1.1%314
  26. Myocardial infarctionheart attack1.1%307
  27. Feeling abnormalfeeling odd or not right1.1%306

Top 30 of 1,273 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 phosphodiesterase 5 inhibitor 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

Death4%1,125
Life-threatening0.6%159
Hospitalisation (initial or prolonged)6.3%1,773
Disability1.9%532
Congenital anomaly0%9
Other serious40.3%11,428
Not serious54%15,302

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 92,849 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%23
2 to 110.1%29
12 to 170.2%48
18 to 445%1,409
45 to 6422.2%6,299
65 to 749.9%2,820
75 and over4.5%1,276
Age not given58%16,445

Patient sex

Female1.6%442
Male89.2%25,293
Not given9.2%2,614

Who reported

Physician9.6%2,717
Pharmacist2.4%671
Other health professional4.7%1,323
Lawyer6.3%1,786
Consumer or non-health professional71.5%20,268
Not given5.6%1,584

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 88.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Erectile dysfunction10,49837%
Ill-defined disorder8503%
Sexual dysfunction4411.6%
Pulmonary hypertension1610.6%
Penis disorder410.1%
Pulmonary arterial hypertension230.1%

The indication field is filled in by the reporter and is often blank; shares are of all 28,349 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Viagra reports
Cialis1,5525.5%
Lisinopril9393.3%
Lipitor6542.3%
Aspirin6412.3%
Metformin5111.8%
Simvastatin4441.6%
Atenolol3331.2%
Amlodipine3131.1%
Hydrochlorothiazide3131.1%
Omeprazole2961%

Other products listed in reports where Viagra 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

MeasureViagraPhosphodiesterase 5 inhibitorAll reports
Reports as suspect product28,34992,84920,646,523
Share of that pool—30.5%0.1%
Reports, latest 12 months44—1,332,454
Marked serious46%60.1%57.4%
Death recorded among outcomes, per 1,000 reports4012991
Hospitalisation recorded, per 1,000 reports63228213
Consumer-filed share71.5%56.3%45.8%
Top term, share of reportsDrug ineffective 30.1%median 11.4%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 phosphodiesterase 5 inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Cialisbrand15,1668135.6%
Adcircabrand12,21429466.7%
Sildenafilgeneric10,7261,01482.6%
Tadalafilgeneric10,6601,51976.1%
Revatiobrand9,8017783%
Sildenafil citrategeneric5,93328269.1%

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 Viagra reports

How many adverse event reports has FDA received for Viagra?

28,349 reports list Viagra as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 44 of them arrived in the latest 12 months. Another 9,513 list it only as a concomitant medication.

What reactions are recorded in Viagra reports?

drug ineffective (30.1%), erection increased (10.5%), headache (5.1%), malignant melanoma (4.4%) and ejaculation disorder (2.9%). 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 Viagra was responsible.

How serious are the reports?

46% are marked serious by the reporter. Among the outcomes recorded, 4% of reports include death and 6.3% 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 (71.5%), physician (9.6%) and lawyer (6.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Viagra rising?

44 reports in the 12 months to June 2026, down 29% from 62 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 Viagra 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 Viagra?

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 Viagra as a suspect or interacting product; reports listing it only as a concomitant medication (9,513) 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.