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acetaminophen Side Effects

Also known as: Tylenol

Analysis of 417,458 adverse event reports submitted to the FDA from 1998 to 2025.

Total Reports

417,458

Death-Related

58,910

14.1% of reports

Hospitalizations

150,224

36.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
34,487
DRUG INEFFECTIVE
34,367
OFF LABEL USE
32,844
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
OFF LABEL USE 4,372
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
OFF LABEL USE 11,155
PYREXIA 10,991
PAIN 10,516
DIARRHOEA 10,311
HEADACHE 9,240
TOXICITY TO VARIOUS AGENTS 8,965
FALL 8,648
ASTHENIA 8,352
DRUG INEFFECTIVE 8,061
ARTHRALGIA 7,726
MALAISE 7,238
DIZZINESS 6,552
ABDOMINAL PAIN 6,540
HYPOTENSION 6,215
RASH 6,000

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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 drug ineffective and off label use.

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.