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Drug side effects

acetaminophen Side Effects

The reactions most often reported to the FDA for acetaminophen (also sold as Tylenol), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

417,458
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 1998 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of acetaminophen come from 417,458 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 417,458 reports to the FDA Adverse Event Reporting System (FAERS) for acetaminophen (Tylenol): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

417,458

Reports Mentioning Death

58,910

14.1% of reports — not proof the medicine caused the death

Hospitalizations

150,224

36.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
34,487
NAUSEA
29,567
HEADACHE
28,380
PAIN
28,314
DIARRHOEA
23,626
DYSPNOEA
22,688
ARTHRALGIA
22,202
VOMITING
20,745
PYREXIA
19,557
RASH
17,645
DIZZINESS
16,828
ASTHENIA
15,832
PNEUMONIA
15,767
MALAISE
15,530
TOXICITY TO VARIOUS AGENTS
15,385
DEATH
14,892
PRURITUS
14,231
FALL
13,842

Who Reports Side Effects

Gender Distribution

Female 238,266 (65%)
Male 128,912 (35%)
Unknown 692

Age Distribution

0-17 19,393 (7%)
18-44 58,736 (22%)
45-64 84,726 (31%)
65-74 54,278 (20%)
75+ 54,943 (20%)

Reporting Trend by Year

1998 2025

Reactions in Death Reports

Top reactions reported in 58,910 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 14,850
COMPLETED SUICIDE 8,093
TOXICITY TO VARIOUS AGENTS 7,950
FATIGUE 3,857
PNEUMONIA 3,569
DYSPNOEA 3,501
VOMITING 3,339
NAUSEA 3,268
DIARRHOEA 3,160
GENERAL PHYSICAL HEALTH DETERIORATION 2,976
PYREXIA 2,871
PAIN 2,861
ASTHENIA 2,838
HEADACHE 2,678
HYPERTENSION 2,663
ARTHRALGIA 2,510
CONFUSIONAL STATE 2,459
MALAISE 2,455
DECREASED APPETITE 2,404

Reactions in Hospitalization Reports

Top reactions in 150,224 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 12,446
FATIGUE 11,938
PNEUMONIA 11,247
DYSPNOEA 11,212
VOMITING 11,193
PYREXIA 10,991
PAIN 10,516
DIARRHOEA 10,311
HEADACHE 9,240
TOXICITY TO VARIOUS AGENTS 8,965
FALL 8,648
ASTHENIA 8,352
ARTHRALGIA 7,726
MALAISE 7,238
DIZZINESS 6,552
ABDOMINAL PAIN 6,540
HYPOTENSION 6,215
RASH 6,000

Compare acetaminophen vs abatacept →

What the FAERS Data Reveals About acetaminophen Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 417,458 voluntary reports linked to acetaminophen and its brand equivalents (Tylenol), spanning 1998 through 2025. Of those, 58,910 (14.1%) listed death as an outcome and 150,224 (36.0%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 65% were female and 35% male; age distribution skews toward 45-64, with 84,726 reports in that bracket. The single most reported reaction is fatigue with 34,487 submissions, followed by nausea and headache.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.