Reported Reactions

Drugs

Brand name · Fecal microbiota spores, live-brpk

Vowst: adverse event reports filed with FDA

1,162 reports list it as a suspect or interacting product, 2023–2026.

1,162
reports as suspect product
0% of all reports · about 377 a year
591
reports, 12 months to June 2026
346 in the 12 months before
40.4%
marked serious by the reporter
57.4% across all reports
1.1%
record death among outcomes, as reported
13 reports · not verified by FDA

1,162 adverse event reports received by FDA list the brand name Vowst (fecal microbiota spores, live-brpk) as a suspect or interacting product, from June 2023 to June 2026. A further 1 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, 591 reports listed it, up 71% from 346 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 377 reports a year and 0% of the 20,646,523 reports in the database. 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 diarrhoea (47.2%), clostridium difficile infection (28.1%) and clostridium test positive (12.5%). A report can list several reactions, so shares add to more than 100%; 144 different terms appear across these reports. Diarrhoea is recorded in 47.2% of these reports, against 3.1% of all reports in the database.

40.4% of the reports are marked serious by the reporter; 1.1% record death among the outcomes and 8.3% record hospitalisation, as reported. 43% of the reports came from other health professionals, and the largest patient age group is 75 and over (8.7%). 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

053105Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 2Jul 2023: 6Aug 2023: 13Sep 2023: 7Oct 2023: 10Nov 2023: 50Dec 2023: 32024Jan 2024: 48Feb 2024: 5Mar 2024: 7Apr 2024: 13May 2024: 52Jun 2024: 9Jul 2024: 10Aug 2024: 61Sep 2024: 7Oct 2024: 8Nov 2024: 54Dec 2024: 112025Jan 2025: 8Feb 2025: 57Mar 2025: 18Apr 2025: 13May 2025: 88Jun 2025: 11Jul 2025: 20Aug 2025: 70Sep 2025: 15Oct 2025: 30Nov 2025: 105Dec 2025: 142026Jan 2026: 31Feb 2026: 95Mar 2026: 42Apr 2026: 31May 2026: 101Jun 2026: 37

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

02254492023: 9120232024: 28520242025: 44920252026: 3372026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Vowst reports recording the termall reports in the database

  1. Diarrhoealoose or frequent stools47.2%549
  2. Clostridium test positive12.5%145
  3. Abdominal painstomach or belly pain9.1%106
  4. Nauseafeeling sick7.7%90
  5. Constipationconstipation6.9%80
  6. Drug ineffectivethe medicine did not work as expected6.9%80
  7. Abdominal distensiona bloated abdomen6.4%74
  8. Fatiguetiredness6.2%72
  9. Vomitingbeing sick5.8%67
  10. Flatulencewind5.2%61
  11. Chillschills or shivering4.5%52
  12. Urinary tract infectionbladder or urinary infection3.4%40
  13. Abdominal pain upperupper stomach pain3.1%36
  14. Astheniaweakness or lack of energy3%35
  15. Pyrexiafever3%35
  16. Decreased appetitereduced appetite2.5%29
  17. Mucous stools2.2%25
  18. Abdominal discomfortstomach discomfort2.1%24
  19. Clostridium difficile colitisa bowel infection with C. difficile2.1%24
  20. Inappropriate schedule of product administrationthe product was taken at the wrong times2%23
  21. Dehydrationdehydration1.8%21
  22. Headachehead pain1.7%20
  23. Painpain, site not specified1.5%17
  24. Malaisegeneral feeling of being unwell1.4%16
  25. Weight decreasedweight loss1.4%16
  26. Dizzinesslight-headedness or unsteadiness1.1%13

Top 30 of 144 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 share of all reports in the database; 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

Death1.1%13
Life-threatening0.2%2
Hospitalisation (initial or prolonged)8.3%97
Disability0.2%2
Congenital anomaly0%0
Other serious37.6%437
Not serious59.6%692

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 20,646,523 reports. 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 442.5%29
45 to 643%35
65 to 746.8%79
75 and over8.7%101
Age not given79%918

Patient sex

Female0.4%5
Male0.3%4
Not given99.2%1,153

Who reported

Physician11.7%136
Pharmacist7.1%82
Other health professional43%500
Lawyer0%0
Consumer or non-health professional38.1%443
Not given0.1%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Clostridium difficile infection1,05290.5%
Clostridium difficile colitis978.3%
Clostridium colitis30.3%
Irritable bowel syndrome20.2%

The indication field is filled in by the reporter and is often blank; shares are of all 1,162 reports.

In context

MeasureVowstAll reports
Reports as suspect product1,16220,646,523
Share of that pool—0%
Reports, latest 12 months5911,332,454
Marked serious40.4%57.4%
Death recorded among outcomes, per 1,000 reports1191
Hospitalisation recorded, per 1,000 reports83213
Consumer-filed share38.1%45.8%
Top term, share of reportsDiarrhoea 47.2%3.1%

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."

Questions about Vowst reports

How many adverse event reports has FDA received for Vowst?

1,162 reports list Vowst as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 591 of them arrived in the latest 12 months. Another 1 list it only as a concomitant medication.

What reactions are recorded in Vowst reports?

diarrhoea (47.2%), clostridium difficile infection (28.1%), clostridium test positive (12.5%), abdominal pain (9.1%) and nausea (7.7%). 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 Vowst was responsible.

How serious are the reports?

40.4% are marked serious by the reporter. Among the outcomes recorded, 1.1% of reports include death and 8.3% 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?

other health professional (43%), consumer or non-health professional (38.1%) and physician (11.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Vowst rising?

591 reports in the 12 months to June 2026, up 71% from 346 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 Vowst 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 Vowst?

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 Vowst as a suspect or interacting product; reports listing it only as a concomitant medication (1) 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.