Reported Reactions

Drugs › Vinca alkaloid

Generic name

Vincristine sulfate: adverse event reports filed with FDA

26,262 reports list it as a suspect or interacting product, 2004–2026. Class: Vinca alkaloid. Also reported as Vincristine Sulfate Injection Usp, Vincristine Sulfate Injection, Vincristine Sulfate 2mg.

26,262
reports as suspect product
0.1% of all reports · about 1,168 a year
1,392
reports, 12 months to June 2026
2,005 in the 12 months before
96.9%
marked serious by the reporter
97.2% across the class
18.2%
record death among outcomes, as reported
4,792 reports · not verified by FDA

26,262 adverse event reports received by FDA list vincristine sulfate, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 2,974 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, 1,392 reports listed it, down 31% from 2,005 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 1,168 reports a year and 0.1% of the 20,646,523 reports in the database, and 79.2% of the reports for the vinca alkaloid class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded febrile neutropenia (15.8%), pyrexia (6.6%) and neutropenia (6.1%). A report can list several reactions, so shares add to more than 100%; 2,320 different terms appear across these reports. Febrile neutropenia is recorded in 15.8% of these reports, a larger share than in the median vinca alkaloid drug (9.3%).

96.9% of the reports are marked serious by the reporter (97.2% across the class); 18.2% record death among the outcomes and 48.6% record hospitalisation, as reported. 38.7% of the reports came from physicians, and the largest patient age group is 2 to 11 (16.3%). 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

0168336Jul 2021: 148Aug 2021: 166Sep 2021: 206Oct 2021: 217Nov 2021: 185Dec 2021: 2202022Jan 2022: 195Feb 2022: 336Mar 2022: 208Apr 2022: 247May 2022: 160Jun 2022: 180Jul 2022: 147Aug 2022: 288Sep 2022: 142Oct 2022: 155Nov 2022: 163Dec 2022: 2622023Jan 2023: 151Feb 2023: 233Mar 2023: 250Apr 2023: 330May 2023: 261Jun 2023: 215Jul 2023: 207Aug 2023: 196Sep 2023: 165Oct 2023: 201Nov 2023: 185Dec 2023: 1552024Jan 2024: 139Feb 2024: 130Mar 2024: 161Apr 2024: 208May 2024: 183Jun 2024: 123Jul 2024: 255Aug 2024: 175Sep 2024: 148Oct 2024: 301Nov 2024: 133Dec 2024: 1522025Jan 2025: 122Feb 2025: 113Mar 2025: 154Apr 2025: 168May 2025: 122Jun 2025: 162Jul 2025: 166Aug 2025: 137Sep 2025: 146Oct 2025: 96Nov 2025: 113Dec 2025: 922026Jan 2026: 65Feb 2026: 96Mar 2026: 88Apr 2026: 136May 2026: 130Jun 2026: 127

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

01,5713,1422004: 10920042005: 1942006: 2332007: 33620072008: 3712009: 4802010: 58220102011: 6372012: 5882013: 39620132014: 4912015: 6462016: 87120162017: 1,1602018: 1,9372019: 2,31020192020: 3,1422021: 2,4052022: 2,48320222023: 2,5492024: 2,1082025: 1,59120252026: 642

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Vincristine sulfate reports recording the termmedian drug in vinca alkaloid

  1. Febrile neutropeniafever with low white blood cells15.8%4,143
  2. Pyrexiafever6.6%1,728
  3. Neutropenialow neutrophils, a type of white blood cell6.1%1,614
  4. Off label useused for a purpose or in a way not on the label5.9%1,549
  5. Sepsisa severe body-wide response to infection3.9%1,012
  6. Disease progressionthe disease advanced3.5%920
  7. Vomitingbeing sick3.5%915
  8. Pancytopenialow counts of all blood cells3.3%874
  9. Nauseafeeling sick3.2%848
  10. Pneumonialung infection3.2%833
  11. Hypotensionlow blood pressure3.1%816
  12. Thrombocytopenialow platelets2.9%772
  13. Drug ineffectivethe medicine did not work as expected2.9%751
  14. Anaemialow red blood cells2.8%747
  15. Deaththe patient died; cause not stated by this term2.7%714
  16. Abdominal painstomach or belly pain2.6%682
  17. Diarrhoealoose or frequent stools2.6%682
  18. White blood cell count decreasedlow white cell count2.5%661
  19. Interstitial lung diseasescarring or inflammation of lung tissue2.5%646
  20. Product use in unapproved indicationused for a purpose not on the label2.5%646
  21. Septic shockshock arising from infection2.4%634
  22. Neuropathy peripheralnerve damage in hands or feet2.4%625
  23. Platelet count decreasedlow platelet count2.1%557
  24. Infectionan infection, type not specified2%517
  25. Fatiguetiredness1.9%501

Top 30 of 2,320 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 3 drugs in the vinca alkaloid 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

Death18.2%4,792
Life-threatening9.3%2,440
Hospitalisation (initial or prolonged)48.6%12,769
Disability1.6%408
Congenital anomaly0.2%51
Other serious53.2%13,962
Not serious3.1%814

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 33,176 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 22.7%718
2 to 1116.3%4,279
12 to 177.7%2,012
18 to 4413.1%3,436
45 to 6416.1%4,216
65 to 749.6%2,530
75 and over5.4%1,416
Age not given29.1%7,655

Patient sex

Female36.2%9,494
Male45.1%11,844
Not given18.7%4,924

Who reported

Physician38.7%10,171
Pharmacist6.7%1,749
Other health professional37.7%9,897
Lawyer0%7
Consumer or non-health professional6.3%1,648
Not given10.6%2,790

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 30.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diffuse large b-cell lymphoma3,55213.5%
Acute lymphocytic leukaemia3,21012.2%
Non-hodgkin's lymphoma9753.7%
B-cell lymphoma9723.7%
Chemotherapy4841.8%
Hodgkin's disease3921.5%

The indication field is filled in by the reporter and is often blank; shares are of all 26,262 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Vincristine sulfate reports
Cyclophosphamide16,17261.6%
Doxorubicin hydrochloride10,34539.4%
Prednisone9,73937.1%
Rituximab8,95334.1%
Methotrexate7,36128%
Cytarabine7,29427.8%
Dexamethasone6,03123%
Etoposide5,46420.8%
Doxorubicin3,22112.3%
Mercaptopurine2,92411.1%

Other products listed in reports where Vincristine sulfate 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

MeasureVincristine sulfateVinca alkaloidAll reports
Reports as suspect product26,26233,17620,646,523
Share of that pool—79.2%0.1%
Reports, latest 12 months1,392—1,332,454
Marked serious96.9%97.2%57.4%
Death recorded among outcomes, per 1,000 reports18218491
Hospitalisation recorded, per 1,000 reports486456213
Consumer-filed share6.3%6.5%45.8%
Top term, share of reportsFebrile neutropenia 15.8%median 9.3%0.3%

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 vinca alkaloid class

DrugName typeReportsLatest 12 monthsMarked serious
Vinorelbinegeneric5,30724798.4%
Vinblastine sulfategeneric1,6079697.3%

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 Vincristine sulfate reports

How many adverse event reports has FDA received for Vincristine sulfate?

26,262 reports list Vincristine sulfate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,392 of them arrived in the latest 12 months. Another 2,974 list it only as a concomitant medication.

What reactions are recorded in Vincristine sulfate reports?

febrile neutropenia (15.8%), pyrexia (6.6%), neutropenia (6.1%), off label use (5.9%) and sepsis (3.9%). 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 Vincristine sulfate was responsible.

How serious are the reports?

96.9% are marked serious by the reporter. Among the outcomes recorded, 18.2% of reports include death and 48.6% 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?

physician (38.7%), other health professional (37.7%) and not given (10.6%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Vincristine sulfate rising?

1,392 reports in the 12 months to June 2026, down 31% from 2,005 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 Vincristine sulfate 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 Vincristine sulfate?

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 Vincristine sulfate as a suspect or interacting product; reports listing it only as a concomitant medication (2,974) 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.