Drug side effects
acyclovir Side Effects
The reactions most often reported to the FDA for acyclovir (also sold as Zovirax), with demographics, serious outcomes, and reporting trends.
Data updated 2026-05-15
- 109,698
- FAERS reports
Data from the FDA Adverse Event Reporting System (FAERS), 2003 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 acyclovir come from 109,698 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.
This page analyzes 109,698 reports to the FDA Adverse Event Reporting System (FAERS) for acyclovir (Zovirax): 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
109,698
Reports Mentioning Death
13,944
12.7% of reports — not proof the medicine caused the death
Hospitalizations
40,651
37.1% of reports
Top Indication
Product Used For Unknown Indication
Most Reported Adverse Reactions
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
Reactions in Death Reports
Top reactions reported in 13,944 reports where death was an outcome. These are voluntarily reported and do not establish causation.
| Reaction | Reports |
|---|---|
| DEATH | 4,656 |
| PNEUMONIA | 1,070 |
| SEPSIS | 977 |
| PLASMA CELL MYELOMA | 784 |
| PYREXIA | 728 |
| RESPIRATORY FAILURE | 677 |
| SEPTIC SHOCK | 657 |
| MULTIPLE ORGAN DYSFUNCTION SYNDROME | 536 |
| DISEASE PROGRESSION | 528 |
| FEBRILE NEUTROPENIA | 512 |
| THROMBOCYTOPENIA | 504 |
| DIARRHOEA | 465 |
| RENAL FAILURE | 447 |
| NEUTROPENIA | 431 |
| ANAEMIA | 423 |
| INFECTION | 420 |
| PLATELET COUNT DECREASED | 415 |
| ACUTE KIDNEY INJURY | 396 |
Reactions in Hospitalization Reports
Top reactions in 40,651 reports where hospitalization was an outcome.
| Reaction | Reports |
|---|---|
| PNEUMONIA | 4,416 |
| PYREXIA | 3,261 |
| DIARRHOEA | 2,437 |
| FEBRILE NEUTROPENIA | 2,197 |
| NAUSEA | 2,046 |
| FATIGUE | 2,021 |
| DYSPNOEA | 1,846 |
| ACUTE KIDNEY INJURY | 1,618 |
| ASTHENIA | 1,564 |
| SEPSIS | 1,563 |
| VOMITING | 1,557 |
| FALL | 1,387 |
| ANAEMIA | 1,373 |
| NEUTROPENIA | 1,329 |
| PLATELET COUNT DECREASED | 1,316 |
| THROMBOCYTOPENIA | 1,235 |
| HEADACHE | 1,197 |
| HYPOTENSION | 1,160 |
Nearby, Related Medications
What the FAERS Data Reveals About acyclovir Side Effects
The FDA Adverse Event Reporting System (FAERS) contains 109,698 voluntary reports linked to acyclovir and its brand equivalents (Zovirax), spanning 2003 through 2025. Of those, 13,944 (12.7%) listed death as an outcome and 40,651 (37.1%) 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, 50% were female and 50% male; age distribution skews toward 45-64, with 23,378 reports in that bracket. The single most reported reaction is fatigue with 7,612 submissions, followed by diarrhoea and pneumonia.
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.
Drugs With a Similar FAERS Report Volume
Other medications with a total FDA adverse-event report count closest to acyclovir's 109,698.
Read our methodology - how this data is sourced, computed, and verified.