Reported Reactions

Drugs › Hepatitis C virus NS3/4A protease inhibitor

Brand name · Sofosbuvir, velpatasvir, and voxilaprevir

Vosevi: adverse event reports filed with FDA

1,054 reports list it as a suspect or interacting product, 2017–2026. Class: Hepatitis C virus NS3/4A protease inhibitor.

1,054
reports as suspect product
0% of all reports · about 118 a year
31
reports, 12 months to June 2026
35 in the 12 months before
36.5%
marked serious by the reporter
27.5% across the class
3.2%
record death among outcomes, as reported
34 reports · not verified by FDA

Between August 2017 and June 2026, 1,054 adverse event reports received by FDA list the brand name Vosevi (sofosbuvir, velpatasvir, and voxilaprevir) as a suspect or interacting product. Reports that mention it only as a concomitant medication (30) are left out of every figure here.

In the 12 months to June 2026, 31 reports listed it, down 11% from 35 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 118 reports a year and 0% of the 20,646,523 reports in the database, and 6.6% of the reports for the hepatitis C virus NS3/4A protease inhibitor 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 fatigue (18.4%), headache (12.6%) and treatment failure (10.7%). A report can list several reactions, so shares add to more than 100%; 157 different terms appear across these reports. Fatigue is recorded in 18.4% of these reports, about the same share as in the median hepatitis C virus NS3/4A protease inhibitor drug (22.4%).

36.5% of the reports are marked serious by the reporter (27.5% across the class); 3.2% record death among the outcomes and 7.1% record hospitalisation, as reported. 31.6% of the reports came from pharmacists, and the largest patient age group is 45 to 64 (48.2%). 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

0611Jul 2021: 8Aug 2021: 9Sep 2021: 6Oct 2021: 2Nov 2021: 5Dec 2021: 42022Jan 2022: 4Feb 2022: 7Mar 2022: 7Apr 2022: 6May 2022: 3Jun 2022: 5Jul 2022: 4Aug 2022: 2Sep 2022: 0Oct 2022: 2Nov 2022: 1Dec 2022: 42023Jan 2023: 6Feb 2023: 4Mar 2023: 2Apr 2023: 11May 2023: 2Jun 2023: 4Jul 2023: 0Aug 2023: 3Sep 2023: 2Oct 2023: 2Nov 2023: 2Dec 2023: 12024Jan 2024: 0Feb 2024: 2Mar 2024: 1Apr 2024: 2May 2024: 0Jun 2024: 1Jul 2024: 2Aug 2024: 3Sep 2024: 1Oct 2024: 0Nov 2024: 3Dec 2024: 32025Jan 2025: 7Feb 2025: 2Mar 2025: 5Apr 2025: 2May 2025: 4Jun 2025: 3Jul 2025: 3Aug 2025: 0Sep 2025: 4Oct 2025: 2Nov 2025: 8Dec 2025: 12026Jan 2026: 1Feb 2026: 3Mar 2026: 0Apr 2026: 2May 2026: 3Jun 2026: 4

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

01783562017: 8020172018: 35620182019: 26920192020: 12520202021: 6820212022: 4520222023: 3920232024: 1820242025: 4120252026: 132026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Vosevi reports recording the termmedian drug in hepatitis c virus ns3/4a protease inhibitor

  1. Fatiguetiredness18.4%194
  2. Headachehead pain12.6%133
  3. Treatment failurethe treatment did not work10.7%113
  4. Drug ineffectivethe medicine did not work as expected10.1%106
  5. Nauseafeeling sick9.6%101
  6. Hepatitis Chepatitis C infection8.5%90
  7. Diarrhoealoose or frequent stools8.1%85
  8. Vomitingbeing sick2.9%31
  9. Insomniadifficulty sleeping2.8%29
  10. Abdominal discomfortstomach discomfort2%21
  11. Product dose omissiona dose was missed1.9%20
  12. Astheniaweakness or lack of energy1.7%18
  13. Decreased appetitereduced appetite1.6%17
  14. Abdominal pain upperupper stomach pain1.5%16
  15. Drug dose omissiona dose was missed1.5%16
  16. Pruritusitching1.4%15
  17. Dyspepsiaindigestion1.3%14
  18. Deaththe patient died; cause not stated by this term1.2%13
  19. Drug interactionan interaction between medicines1.2%13
  20. Dyspnoeashortness of breath1.2%13
  21. Arthralgiajoint pain1.1%12
  22. Product dose omission issuea dose was missed1.1%12
  23. Feeling abnormalfeeling odd or not right1%11
  24. Hepatitis C virus test positive1%11
  25. Abdominal distensiona bloated abdomen0.9%10
  26. Depressionlow mood0.9%10
  27. Genotype drug resistance test positive0.9%10

Top 30 of 157 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 hepatitis c virus ns3/4a protease 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

Death3.2%34
Life-threatening1.2%13
Hospitalisation (initial or prolonged)7.1%75
Disability0.9%10
Congenital anomaly0%0
Other serious30.1%317
Not serious63.5%669

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 15,916 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%0
2 to 110%0
12 to 170%0
18 to 447.6%80
45 to 6448.2%508
65 to 7417.3%182
75 and over1.8%19
Age not given25.1%265

Patient sex

Female28.4%299
Male67.7%714
Not given3.9%41

Who reported

Physician17.2%181
Pharmacist31.6%333
Other health professional26.5%279
Lawyer0%0
Consumer or non-health professional15.7%165
Not given9.1%96

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 87.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hepatitis c27926.5%
Chronic hepatitis c27225.8%
Hepatitis c virus test positive60.6%
Hepatitis viral60.6%
Hepatitis b20.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,054 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Vosevi reports
Ribavirin827.8%
Epclusa474.5%
Lisinopril292.8%
Omeprazole272.6%
Harvoni232.2%
Gabapentin141.3%
Spironolactone141.3%
Metformin131.2%
Amlodipine besylate100.9%
Aspirin100.9%

Other products listed in reports where Vosevi 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

MeasureVoseviHepatitis C virus NS3/4A protease inhibitorAll reports
Reports as suspect product1,05415,91620,646,523
Share of that pool—6.6%0%
Reports, latest 12 months31—1,332,454
Marked serious36.5%27.5%57.4%
Death recorded among outcomes, per 1,000 reports322791
Hospitalisation recorded, per 1,000 reports71118213
Consumer-filed share15.7%28.7%45.8%
Top term, share of reportsFatigue 18.4%median 22.4%3.7%

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 hepatitis c virus ns3/4a protease inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Mavyretbrand10,79022725.3%
Zepatierbrand4,0721031.2%

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 Vosevi reports

How many adverse event reports has FDA received for Vosevi?

1,054 reports list Vosevi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 31 of them arrived in the latest 12 months. Another 30 list it only as a concomitant medication.

What reactions are recorded in Vosevi reports?

fatigue (18.4%), headache (12.6%), treatment failure (10.7%), drug ineffective (10.1%) and nausea (9.6%). 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 Vosevi was responsible.

How serious are the reports?

36.5% are marked serious by the reporter. Among the outcomes recorded, 3.2% of reports include death and 7.1% 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?

pharmacist (31.6%), other health professional (26.5%) and physician (17.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Vosevi rising?

31 reports in the 12 months to June 2026, down 11% from 35 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 Vosevi 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 Vosevi?

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 Vosevi as a suspect or interacting product; reports listing it only as a concomitant medication (30) 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.