Reaction terms by number of reports, 12 months to June 2026
What a report is
A report is not proof that a medicine or a device was the cause of an event.
FDA says:
Adverse event reports submitted to FDA do not undergo extensive validation or verification. Therefore, a causal relationship cannot be established between product and reactions listed in a report. While a suspected relationship may exist, it is not medically validated and should not be the sole source of information for clinical decision making or other assumptions about the safety or efficacy of a product. Additionally, it is important to remember that adverse event reports represent a small percentage of total usage numbers of a product. Common products may have a higher number of adverse events due to the higher total number of people using the product.
Source: openFDA, Drug Adverse Event Overview, section "Responsible use of the data". The site read the page on . The data have the reports that FDA received through .
FDA also says:
There is no certainty that the reported event (adverse event or medication error) was actually due to the product. FDA does not require that a causal relationship between a product and event be proven, and reports do not always contain enough detail to properly evaluate an event. The information in these reports has not been scientifically or otherwise verified as to a cause and effect relationship and cannot be used to estimate the incidence of these events.
Source: openFDA, Drug Adverse Event Overview. The site read the page on .
Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated.
Source: openFDA, Response of the drug event API (meta.disclaimer). The site read the page on .
Not medical advice. This site counts what was reported to FDA. Questions about a medicine or device belong with a pharmacist or clinician.
The answer in sentences
In the 12 months to June 2026, the reaction term in the most drug reports was Off label use: 79,953 reports.
24 of the 50 terms in the table have more reports than in the 12 months before.
FDA received 1,332,454 drug reports in the 12 months to June 2026 and 1,316,941 in the 12 months before.
Data version
Drug data: openFDA FAERS release of 12 Oct 2026. Reports received through 30 Jun 2026.
Device data: openFDA MAUDE release of 14 Oct 2026. Reports received through 30 Sep 2026.
Terms by reports
The table has the 50 reaction terms with the most reports in the 12 months to June 2026, most reports first. A percent change needs 500 reports in the 12 months before.
FDA says:
Many factors can influence whether or not an event will be reported, such as the time a product has been marketed and publicity about an event.
Source: openFDA, Drug Adverse Event Overview. The site read the page on .
The information in these reports cannot be used to estimate the incidence (occurrence rates) of the events reported.
Source: FDA, FDA Adverse Event Monitoring System (AEMS) Public Dashboard. Content current as of . The site read the page on .
| Reaction term (MedDRA) | Plain meaning | Reports, 12 months to June 2026 | Reports, 12 months before | Change | Reports since 2004 |
|---|---|---|---|---|---|
| Off label use | used for a purpose or in a way not on the label | 79,953 | 97,855 | -18.3% | 856,363 |
| Drug ineffective | the medicine did not work as expected | 71,499 | 75,322 | -5.1% | 1,296,884 |
| Product dose omission issue | a dose was missed | 48,930 | 43,183 | +13.3% | 280,968 |
| Nausea | feeling sick | 48,716 | 43,313 | +12.5% | 776,030 |
| Death | the patient died; cause not stated by this term | 48,702 | 51,622 | -5.7% | 847,572 |
| Fatigue | tiredness | 45,513 | 47,113 | -3.4% | 765,038 |
| Diarrhoea | loose or frequent stools | 43,937 | 41,036 | +7.1% | 633,344 |
| Pruritus | itching | 35,233 | 32,841 | +7.3% | 372,191 |
| Headache | head pain | 34,426 | 32,132 | +7.1% | 616,001 |
| Dyspnoea | shortness of breath | 30,572 | 31,743 | -3.7% | 556,535 |
| Vomiting | being sick | 30,200 | 28,110 | +7.4% | 461,238 |
| Rash | skin rash | 30,060 | 29,763 | +1.0% | 426,662 |
| Dizziness | light-headedness or unsteadiness | 27,714 | 26,480 | +4.7% | 489,289 |
| Pain | pain, site not specified | 27,198 | 29,225 | -6.9% | 606,385 |
| Arthralgia | joint pain | 26,775 | 26,602 | +0.7% | 408,118 |
| Injection site pain | pain where the injection was given | 26,190 | 25,585 | +2.4% | 299,308 |
| Product use in unapproved indication | used for a purpose not on the label | 25,367 | 27,706 | -8.4% | 241,069 |
| Condition aggravated | the condition being treated got worse | 25,062 | 24,333 | +3.0% | 297,499 |
| Incorrect dose administered | the wrong dose was given | 24,091 | 25,416 | -5.2% | 221,921 |
| Inappropriate schedule of product administration | the product was taken at the wrong times | 21,430 | 21,570 | -0.6% | 174,469 |
| Asthenia | weakness or lack of energy | 19,677 | 21,548 | -8.7% | 369,852 |
| Pneumonia | lung infection | 19,520 | 21,768 | -10.3% | 318,354 |
| Malaise | general feeling of being unwell | 19,272 | 19,991 | -3.6% | 433,298 |
| Fall | a fall | 17,721 | 18,352 | -3.4% | 327,585 |
| Pyrexia | fever | 17,418 | 19,299 | -9.7% | 340,424 |
| Cough | cough | 17,062 | 18,478 | -7.7% | 275,563 |
| Constipation | constipation | 16,994 | 14,697 | +15.6% | 212,934 |
| Decreased appetite | reduced appetite | 15,276 | 14,860 | +2.8% | 228,270 |
| Illness | 14,787 | 15,775 | -6.3% | 99,154 | |
| Weight decreased | weight loss | 14,713 | 14,825 | -0.8% | 274,677 |
| Weight increased | weight gain | 14,300 | 12,661 | +12.9% | 219,001 |
| Product use issue | a problem in how the product was used | 14,236 | 13,776 | +3.3% | 184,493 |
| Dermatitis atopic | 14,220 | 14,000 | +1.6% | 49,297 | |
| Abdominal pain | stomach or belly pain | 14,037 | 12,839 | +9.3% | 228,697 |
| Wrong technique in product usage process | the product was used in the wrong way | 13,472 | 14,685 | -8.3% | 199,312 |
| Abdominal pain upper | upper stomach pain | 13,158 | 11,962 | +10.0% | 202,116 |
| Accidental exposure to product | 12,705 | 12,198 | +4.2% | 98,588 | |
| Anxiety | anxiety | 12,647 | 13,579 | -6.9% | 280,452 |
| Pain in extremity | pain in an arm or leg | 12,507 | 13,407 | -6.7% | 290,578 |
| No adverse event | no adverse event was reported | 12,358 | 25,068 | -50.7% | 175,036 |
| Hospitalisation | admission to hospital | 12,356 | 13,175 | -6.2% | 150,351 |
| Urticaria | hives | 12,316 | 11,567 | +6.5% | 163,751 |
| Toxicity to various agents | poisoning or toxic effect of one or more substances | 12,198 | 11,416 | +6.9% | 165,618 |
| Insomnia | difficulty sleeping | 12,076 | 13,386 | -9.8% | 262,118 |
| Hypertension | high blood pressure | 11,682 | 11,979 | -2.5% | 208,347 |
| Back pain | back pain | 11,296 | 11,652 | -3.1% | 228,810 |
| Erythema | skin redness | 11,146 | 11,419 | -2.4% | 202,210 |
| Acute kidney injury | sudden loss of kidney function | 11,000 | 10,472 | +5.0% | 150,297 |
| Hypotension | low blood pressure | 10,916 | 10,593 | +3.0% | 197,050 |
| Somnolence | drowsiness | 10,902 | 10,796 | +1.0% | 197,624 |
FDA releases FAERS data every quarter, so the newest months are not complete. They grow in later releases.
How the figures were made
A report records several reaction terms, so the counts of the terms add to more than the number of reports. A term is a MedDRA preferred term that the person who codes a report selects.
Terms about suicide and self-harm are left out of the table. Each of them has its own page, with a link to a crisis line.
A count is a count of reports, not of events or of patients, and it is not a rate.
A program makes this page from the openFDA files with fixed sentence rules. See how the site counts reports and the data sources.
In earlier editions
This table is in the edition of October 2026, the first edition. Each month adds an edition that keeps the first rows of the table as they were.