Reported Reactions

Drugs › Azole antifungal

Generic name

Voriconazole: adverse event reports filed with FDA

13,495 reports list it as a suspect or interacting product, 2004–2026. Class: Azole antifungal. Also reported as Voriconazole Oral Suspension, Voriconazole 200mg, Voriconazole Tablets.

13,495
reports as suspect product
0.1% of all reports · about 600 a year
956
reports, 12 months to June 2026
1,207 in the 12 months before
94.7%
marked serious by the reporter
79% across the class
27.4%
record death among outcomes, as reported
3,691 reports · not verified by FDA

13,495 adverse event reports received by FDA list voriconazole, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 8,512 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, 956 reports listed it, down 21% from 1,207 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 600 reports a year and 0.1% of the 20,646,523 reports in the database, and 19.5% of the reports for the azole antifungal 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 drug ineffective (22.4%), drug interaction (14.1%) and off label use (8.4%). A report can list several reactions, so shares add to more than 100%; 1,639 different terms appear across these reports. Drug ineffective is recorded in 22.4% of these reports, a larger share than in the median azole antifungal drug (15%).

94.7% of the reports are marked serious by the reporter (79% across the class); 27.4% record death among the outcomes and 36.5% record hospitalisation, as reported. 55.9% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (28%). 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

081162Jul 2021: 119Aug 2021: 76Sep 2021: 105Oct 2021: 90Nov 2021: 98Dec 2021: 1272022Jan 2022: 117Feb 2022: 99Mar 2022: 112Apr 2022: 145May 2022: 162Jun 2022: 103Jul 2022: 70Aug 2022: 65Sep 2022: 93Oct 2022: 90Nov 2022: 81Dec 2022: 1132023Jan 2023: 95Feb 2023: 87Mar 2023: 130Apr 2023: 93May 2023: 126Jun 2023: 117Jul 2023: 162Aug 2023: 89Sep 2023: 52Oct 2023: 83Nov 2023: 105Dec 2023: 862024Jan 2024: 96Feb 2024: 94Mar 2024: 95Apr 2024: 87May 2024: 123Jun 2024: 148Jul 2024: 134Aug 2024: 83Sep 2024: 75Oct 2024: 137Nov 2024: 82Dec 2024: 612025Jan 2025: 120Feb 2025: 107Mar 2025: 106Apr 2025: 107May 2025: 93Jun 2025: 102Jul 2025: 103Aug 2025: 95Sep 2025: 78Oct 2025: 77Nov 2025: 56Dec 2025: 722026Jan 2026: 70Feb 2026: 67Mar 2026: 93Apr 2026: 80May 2026: 68Jun 2026: 97

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

06451,2902004: 6420042005: 1082006: 522007: 6820072008: 992009: 1792010: 20820102011: 1932012: 1882013: 26420132014: 2652015: 2882016: 45020162017: 8552018: 1,1782019: 1,29020192020: 1,2792021: 1,1852022: 1,25020222023: 1,2252024: 1,2152025: 1,11620252026: 475

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Voriconazole reports recording the termmedian drug in azole antifungal

  1. Drug ineffectivethe medicine did not work as expected22.4%3,021
  2. Drug interactionan interaction between medicines14.1%1,907
  3. Off label useused for a purpose or in a way not on the label8.4%1,135
  4. Condition aggravatedthe condition being treated got worse5%675
  5. Photosensitivity reactionskin reaction to sunlight3.4%454
  6. Pyrexiafever3.3%445
  7. Drug level increaseda raised blood level of the medicine3.2%435
  8. Multiple organ dysfunction syndromeseveral organs failing3.1%423
  9. Treatment failurethe treatment did not work2.9%387
  10. Hallucinationseeing or hearing things that are not there2.8%381
  11. Respiratory failurethe lungs could not supply enough oxygen2.8%373
  12. Hepatotoxicityliver injury2.8%372
  13. Product use in unapproved indicationused for a purpose not on the label2.7%370
  14. Acute kidney injurysudden loss of kidney function2.7%359
  15. Septic shockshock arising from infection2.5%341
  16. Pneumonialung infection2.4%322
  17. Fungal infectiona fungal infection2.3%313
  18. Neutropenialow neutrophils, a type of white blood cell2.3%311
  19. Toxicity to various agentspoisoning or toxic effect of one or more substances2.3%308
  20. Disease progressionthe disease advanced2.3%307
  21. Deaththe patient died; cause not stated by this term2.2%301
  22. Dyspnoeashortness of breath1.9%261
  23. Diarrhoealoose or frequent stools1.9%260
  24. Visual impairmentreduced vision1.9%259

Top 30 of 1,639 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 16 drugs in the azole antifungal 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

Death27.4%3,691
Life-threatening9.6%1,296
Hospitalisation (initial or prolonged)36.5%4,926
Disability1.5%203
Congenital anomaly0%3
Other serious66.9%9,031
Not serious5.3%713

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 69,035 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 21.4%194
2 to 116.1%819
12 to 174.6%627
18 to 4417.6%2,375
45 to 6428%3,781
65 to 7417.8%2,397
75 and over9.1%1,229
Age not given15.4%2,073

Patient sex

Female33.3%4,488
Male54.3%7,322
Not given12.5%1,685

Who reported

Physician29%3,919
Pharmacist6.1%824
Other health professional55.9%7,541
Lawyer0%1
Consumer or non-health professional7.2%969
Not given1.8%241

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 26.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Bronchopulmonary aspergillosis1,72012.7%
Aspergillus infection1,57411.7%
Fungal infection8356.2%
Antifungal prophylaxis7685.7%
Antifungal treatment4993.7%
Aspergillosis2441.8%

The indication field is filled in by the reporter and is often blank; shares are of all 13,495 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Voriconazole reports
Amphotericin b2,13015.8%
Tacrolimus1,82913.6%
Prednisone1,43710.6%
Meropenem1,2489.2%
Mycophenolate mofetil1,1628.6%
Vancomycin1,1088.2%
Fluconazole9457%
Caspofungin9246.8%
Posaconazole8746.5%
Prednisolone8386.2%

Other products listed in reports where Voriconazole 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

MeasureVoriconazoleAzole antifungalAll reports
Reports as suspect product13,49569,03520,646,523
Share of that pool—19.5%0.1%
Reports, latest 12 months956—1,332,454
Marked serious94.7%79%57.4%
Death recorded among outcomes, per 1,000 reports27417791
Hospitalisation recorded, per 1,000 reports365317213
Consumer-filed share7.2%23.9%45.8%
Top term, share of reportsDrug ineffective 22.4%median 15%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 azole antifungal class

DrugName typeReportsLatest 12 monthsMarked serious
Fluconazolegeneric17,1751,45890.7%
Vfendbrand6,7527686.5%
Itraconazolegeneric4,55236490.4%
Posaconazolegeneric4,23458991.7%
Ketoconazolegeneric4,04723441.7%
Noxafilbrand3,2303966.7%
Diflucanbrand3,1476569.8%
Clotrimazolegeneric2,75729880.4%
Cresembabrand2,05025457.5%
Sporanoxbrand1,7284387.6%
Tioconazolegeneric1,4691973.1%
Jubliabrand1,2717918%
Miconazole nitrategeneric1,26016622.5%
Nizoralbrand1,21834829.5%
Miconazolegeneric6503072.3%

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 Voriconazole reports

How many adverse event reports has FDA received for Voriconazole?

13,495 reports list Voriconazole as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 956 of them arrived in the latest 12 months. Another 8,512 list it only as a concomitant medication.

What reactions are recorded in Voriconazole reports?

drug ineffective (22.4%), drug interaction (14.1%), off label use (8.4%), condition aggravated (5%) and aspergillus infection (4.5%). 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 Voriconazole was responsible.

How serious are the reports?

94.7% are marked serious by the reporter. Among the outcomes recorded, 27.4% of reports include death and 36.5% 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 (55.9%), physician (29%) and consumer or non-health professional (7.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Voriconazole rising?

956 reports in the 12 months to June 2026, down 21% from 1,207 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 Voriconazole 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 Voriconazole?

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 Voriconazole as a suspect or interacting product; reports listing it only as a concomitant medication (8,512) 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.