Reported Reactions

Drugs › Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor

Generic name

Zidovudine: adverse event reports filed with FDA

8,510 reports list it as a suspect or interacting product, 2004–2026. Class: Human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor. Also reported as Zidovudine Tablets, Zidovudine Tablet, Zidovudine Tab 300mg.

8,510
reports as suspect product
0% of all reports · about 378 a year
121
reports, 12 months to June 2026
130 in the 12 months before
95%
marked serious by the reporter
84.3% across the class
14.3%
record death among outcomes, as reported
1,217 reports · not verified by FDA

8,510 adverse event reports received by FDA list zidovudine, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 1,700 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, 121 reports listed it, close to the 130 of 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 378 reports a year and 0% of the 20,646,523 reports in the database, and 10.5% of the reports for the human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded foetal exposure during pregnancy (17.4%), virologic failure (8.6%) and drug resistance (7.5%). A report can list several reactions, so shares add to more than 100%; 1,556 different terms appear across these reports. Foetal exposure during pregnancy is recorded in 17.4% of these reports, a larger share than in the median human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor drug (3.6%).

95% of the reports are marked serious by the reporter (84.3% across the class); 14.3% record death among the outcomes and 17% record hospitalisation, as reported. 57.3% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (19.8%). 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

053105Jul 2021: 31Aug 2021: 22Sep 2021: 26Oct 2021: 16Nov 2021: 19Dec 2021: 142022Jan 2022: 13Feb 2022: 22Mar 2022: 17Apr 2022: 37May 2022: 49Jun 2022: 37Jul 2022: 28Aug 2022: 16Sep 2022: 23Oct 2022: 20Nov 2022: 10Dec 2022: 352023Jan 2023: 24Feb 2023: 34Mar 2023: 40Apr 2023: 30May 2023: 17Jun 2023: 105Jul 2023: 21Aug 2023: 25Sep 2023: 16Oct 2023: 4Nov 2023: 9Dec 2023: 42024Jan 2024: 12Feb 2024: 18Mar 2024: 7Apr 2024: 7May 2024: 18Jun 2024: 22Jul 2024: 11Aug 2024: 6Sep 2024: 3Oct 2024: 12Nov 2024: 11Dec 2024: 182025Jan 2025: 28Feb 2025: 3Mar 2025: 2Apr 2025: 15May 2025: 4Jun 2025: 17Jul 2025: 23Aug 2025: 3Sep 2025: 2Oct 2025: 7Nov 2025: 11Dec 2025: 22026Jan 2026: 1Feb 2026: 4Mar 2026: 5Apr 2026: 28May 2026: 31Jun 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

04999982004: 20520042005: 1992006: 2962007: 34220072008: 3302009: 3762010: 37420102011: 2742012: 2042013: 24020132014: 2992015: 4722016: 99820162017: 7872018: 6582019: 51220192020: 6332021: 3392022: 30720222023: 3292024: 1452025: 11720252026: 73

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Zidovudine reports recording the termmedian drug in human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor

  1. Foetal exposure during pregnancythe unborn baby was exposed to the medicine17.4%1,483
  2. Exposure during pregnancythe medicine was taken during pregnancy6.5%555
  3. Viral mutation identified6.2%531
  4. Anaemialow red blood cells5.9%503
  5. Drug exposure during pregnancythe medicine was taken during pregnancy5.5%470
  6. Treatment failurethe treatment did not work4.9%413
  7. Premature babya baby born early4.8%409
  8. Lipodystrophy acquiredchanges in body fat distribution4.4%378
  9. Maternal exposure during pregnancythe mother took the medicine during pregnancy4.4%376
  10. Deaththe patient died; cause not stated by this term4%339
  11. Vomitingbeing sick3.1%264
  12. HIV infectionHIV infection3.1%262
  13. Treatment noncompliancethe treatment was not taken as directed3.1%262
  14. Drug ineffectivethe medicine did not work as expected3%257
  15. Pyrexiafever3%255
  16. Immune reconstitution syndrome2.8%236
  17. Immune reconstitution inflammatory syndrome2.6%221
  18. Mitochondrial toxicity2.6%218
  19. Diarrhoealoose or frequent stools2.5%210
  20. Drug interactionan interaction between medicines2.4%202
  21. Diplopiadouble vision2.3%196
  22. Alanine aminotransferase increasedraised liver enzyme (ALT)2.2%186
  23. Aspartate aminotransferase increasedraised liver enzyme (AST)1.9%163

Top 30 of 1,556 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 13 drugs in the human immunodeficiency virus nucleoside analog reverse transcriptase 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

Death14.3%1,217
Life-threatening3.4%286
Hospitalisation (initial or prolonged)17%1,447
Disability1.1%95
Congenital anomaly12.9%1,094
Other serious73.8%6,283
Not serious5%428

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 80,988 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 26.9%587
2 to 113.3%278
12 to 171.7%145
18 to 4419.8%1,683
45 to 6411.7%998
65 to 740.8%65
75 and over0.3%23
Age not given55.6%4,731

Patient sex

Female28.2%2,397
Male32.1%2,733
Not given39.7%3,380

Who reported

Physician18.6%1,587
Pharmacist0.8%65
Other health professional57.3%4,872
Lawyer0%0
Consumer or non-health professional11.8%1,001
Not given11.6%985

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 27.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hiv infection4,45252.3%
Prophylaxis against HIV infection5416.4%
Antiretroviral therapy4825.7%
Antiviral prophylaxis1461.7%
Acquired immunodeficiency syndrome1241.5%
Drug exposure during pregnancy1081.3%

The indication field is filled in by the reporter and is often blank; shares are of all 8,510 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Zidovudine reports
Lamivudine5,55865.3%
Nevirapine3,01035.4%
Efavirenz1,86321.9%
Ritonavir1,62319.1%
Didanosine1,34115.8%
Stavudine1,22014.3%
Abacavir1,11913.1%
Tenofovir disoproxil fumarate8379.8%
Tenofovir7909.3%
Lopinavir7779.1%

Other products listed in reports where Zidovudine 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

MeasureZidovudineHuman immunodeficiency virus nucleoside analog reverse transcriptase inhibitorAll reports
Reports as suspect product8,51080,98820,646,523
Share of that pool—10.5%0%
Reports, latest 12 months121—1,332,454
Marked serious95%84.3%57.4%
Death recorded among outcomes, per 1,000 reports1436691
Hospitalisation recorded, per 1,000 reports170167213
Consumer-filed share11.8%18.9%45.8%
Top term, share of reportsFoetal exposure during pregnancy 17.4%median 3.6%0.4%

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 human immunodeficiency virus nucleoside analog reverse transcriptase inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Truvadabrand38,63884485.7%
Biktarvybrand6,73967754.7%
Complerabrand6,5359586.9%
Emtricitabinegeneric3,8707397.7%
Abacavirgeneric3,86710895.3%
Emtricitabine and tenofovir disoproxil fumarategeneric3,518598%
Descovybrand3,12331846.3%
Retrovirbrand2,0261193.7%
Ziagenbrand1,554790.3%
Odefseybrand1,0353351.9%
Abacavir sulfategeneric8406698%
Emtrivabrand733994.3%

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 Zidovudine reports

How many adverse event reports has FDA received for Zidovudine?

8,510 reports list Zidovudine as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 121 of them arrived in the latest 12 months. Another 1,700 list it only as a concomitant medication.

What reactions are recorded in Zidovudine reports?

foetal exposure during pregnancy (17.4%), virologic failure (8.6%), drug resistance (7.5%), exposure during pregnancy (6.5%) and viral mutation identified (6.2%). 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 Zidovudine was responsible.

How serious are the reports?

95% are marked serious by the reporter. Among the outcomes recorded, 14.3% of reports include death and 17% 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 (57.3%), physician (18.6%) and consumer or non-health professional (11.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Zidovudine rising?

121 reports in the 12 months to June 2026, close to the 130 of 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 Zidovudine 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 Zidovudine?

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 Zidovudine as a suspect or interacting product; reports listing it only as a concomitant medication (1,700) 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.