Reported Reactions

Drugs › Vitamin K antagonist

Generic name

Warfarin: adverse event reports filed with FDA

23,392 reports list it as a suspect or interacting product, 2004–2026. Class: Vitamin K antagonist. Also reported as Warfarin 5mg, Warfarin 2mg, Warfarin 2 5mg.

23,392
reports as suspect product
0.1% of all reports · about 1,040 a year
613
reports, 12 months to June 2026
722 in the 12 months before
91.8%
marked serious by the reporter
88.7% across the class
14.8%
record death among outcomes, as reported
3,462 reports · not verified by FDA

Between January 2004 and June 2026, 23,392 adverse event reports received by FDA list warfarin, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (61,005) are left out of every figure here.

In the 12 months to June 2026, 613 reports listed it, down 15% from 722 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 1,040 reports a year and 0.1% of the 20,646,523 reports in the database, and 54.6% of the reports for the vitamin K antagonist 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 international normalised ratio increased (19.3%), drug interaction (13.6%) and haemorrhage (8.8%). A report can list several reactions, so shares add to more than 100%; 1,966 different terms appear across these reports. International normalised ratio increased is recorded in 19.3% of these reports, about the same share as in the median vitamin K antagonist drug (20.9%).

91.8% of the reports are marked serious by the reporter (88.7% across the class); 14.8% record death among the outcomes and 53.2% record hospitalisation, as reported. 35.7% of the reports came from other health professionals, and the largest patient age group is 75 and over (28.8%). 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

070140Jul 2021: 140Aug 2021: 133Sep 2021: 117Oct 2021: 70Nov 2021: 78Dec 2021: 852022Jan 2022: 79Feb 2022: 71Mar 2022: 107Apr 2022: 121May 2022: 132Jun 2022: 57Jul 2022: 91Aug 2022: 89Sep 2022: 68Oct 2022: 126Nov 2022: 68Dec 2022: 862023Jan 2023: 86Feb 2023: 80Mar 2023: 101Apr 2023: 85May 2023: 89Jun 2023: 82Jul 2023: 56Aug 2023: 68Sep 2023: 55Oct 2023: 78Nov 2023: 37Dec 2023: 622024Jan 2024: 71Feb 2024: 66Mar 2024: 76Apr 2024: 60May 2024: 75Jun 2024: 50Jul 2024: 73Aug 2024: 58Sep 2024: 40Oct 2024: 69Nov 2024: 43Dec 2024: 812025Jan 2025: 60Feb 2025: 91Mar 2025: 40Apr 2025: 62May 2025: 60Jun 2025: 45Jul 2025: 56Aug 2025: 63Sep 2025: 47Oct 2025: 48Nov 2025: 42Dec 2025: 652026Jan 2026: 62Feb 2026: 51Mar 2026: 44Apr 2026: 45May 2026: 41Jun 2026: 49

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

01,3042,6072004: 7220042005: 5132006: 1412007: 8120072008: 302009: 1932010: 31020102011: 2152012: 4532013: 1,38320132014: 1,6252015: 2,2552016: 2,60720162017: 2,1332018: 2,1412019: 2,13220192020: 1,9442021: 1,4572022: 1,09520222023: 8792024: 7622025: 67920252026: 292

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Warfarin reports recording the termmedian drug in vitamin k antagonist

  1. International normalised ratio increasedblood clotting slower than intended (raised INR)19.3%4,525
  2. Drug interactionan interaction between medicines13.6%3,188
  3. Haemorrhagebleeding8.8%2,069
  4. Gastrointestinal haemorrhagebleeding in the stomach or bowel6%1,399
  5. Anaemialow red blood cells5%1,158
  6. Drug ineffectivethe medicine did not work as expected4.5%1,047
  7. Contusiona bruise4%946
  8. Haemoglobin decreasedlow haemoglobin3.9%907
  9. Falla fall3.7%857
  10. Dyspnoeashortness of breath3.6%835
  11. Epistaxisnosebleed3.4%799
  12. Off label useused for a purpose or in a way not on the label3.2%751
  13. Nauseafeeling sick2.9%677
  14. Haematomaa collection of blood under the skin or in tissue2.8%658
  15. Haematuriablood in the urine2.8%646
  16. Anticoagulation drug level above therapeutic2.7%631
  17. Condition aggravatedthe condition being treated got worse2.7%621
  18. Hypotensionlow blood pressure2.6%611
  19. Fatiguetiredness2.6%608
  20. Somnolencedrowsiness2.6%601
  21. Melaenablack tarry stools2.4%569
  22. Headachehead pain2.4%558
  23. Astheniaweakness or lack of energy2.4%556
  24. Dizzinesslight-headedness or unsteadiness2.3%539

Top 30 of 1,966 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 2 drugs in the vitamin k antagonist 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

Death14.8%3,462
Life-threatening10.4%2,441
Hospitalisation (initial or prolonged)53.2%12,444
Disability2.6%611
Congenital anomaly0.4%105
Other serious48.5%11,349
Not serious8.2%1,926

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 42,833 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%28
2 to 110.4%104
12 to 170.5%127
18 to 446.4%1,498
45 to 6419.7%4,612
65 to 7419.5%4,568
75 and over28.8%6,729
Age not given24.5%5,726

Patient sex

Female34.3%8,012
Male49%11,470
Not given16.7%3,910

Who reported

Physician18.7%4,366
Pharmacist26.1%6,115
Other health professional35.7%8,347
Lawyer0.1%14
Consumer or non-health professional16.1%3,774
Not given3.3%776

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 56.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Atrial fibrillation4,54519.4%
Anticoagulant therapy2,41210.3%
Deep vein thrombosis1,3905.9%
Pulmonary embolism7283.1%
Thrombosis prophylaxis4191.8%
Thrombosis3741.6%

The indication field is filled in by the reporter and is often blank; shares are of all 23,392 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Warfarin reports
Furosemide2,34710%
Aspirin2,3009.8%
Atorvastatin1,2375.3%
Bisoprolol1,1915.1%
Omeprazole1,1224.8%
Prednisone1,0824.6%
Simvastatin1,0634.5%
Digoxin1,0474.5%
Amlodipine8983.8%
Metoprolol8833.8%

Other products listed in reports where Warfarin 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

MeasureWarfarinVitamin K antagonistAll reports
Reports as suspect product23,39242,83320,646,523
Share of that pool—54.6%0.1%
Reports, latest 12 months613—1,332,454
Marked serious91.8%88.7%57.4%
Death recorded among outcomes, per 1,000 reports14812891
Hospitalisation recorded, per 1,000 reports532525213
Consumer-filed share16.1%18.7%45.8%
Top term, share of reportsInternational normalised ratio increased 19.3%median 20.9%0.1%

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."

Other drugs in the vitamin k antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Warfarin sodiumgeneric19,44122984.9%

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 Warfarin reports

How many adverse event reports has FDA received for Warfarin?

23,392 reports list Warfarin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 613 of them arrived in the latest 12 months. Another 61,005 list it only as a concomitant medication.

What reactions are recorded in Warfarin reports?

international normalised ratio increased (19.3%), drug interaction (13.6%), haemorrhage (8.8%), gastrointestinal haemorrhage (6%) and anaemia (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 Warfarin was responsible.

How serious are the reports?

91.8% are marked serious by the reporter. Among the outcomes recorded, 14.8% of reports include death and 53.2% 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 (35.7%), pharmacist (26.1%) and physician (18.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Warfarin rising?

613 reports in the 12 months to June 2026, down 15% from 722 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 Warfarin 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 Warfarin?

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 Warfarin as a suspect or interacting product; reports listing it only as a concomitant medication (61,005) 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.