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baloxavir marboxil Side Effects

Also known as: Xofluza

Analysis of 2,164 adverse event reports submitted to the FDA from 2017 to 2025.

Total Reports

2,164

Death-Related

130

6.0% of reports

Hospitalizations

417

19.3% of reports

Top Indication

Influenza

Most Reported Adverse Reactions

NO ADVERSE EVENT
518
OFF LABEL USE
419
INTENTIONAL PRODUCT USE ISSUE
283
DIARRHOEA
129
VOMITING
120
PNEUMONIA
111
DRUG INEFFECTIVE
86
NAUSEA
70
RASH
61
HEADACHE
58
INFLUENZA
57
COLITIS ISCHAEMIC
56
HYPERPYREXIA
54
PYREXIA
51
URTICARIA
42
COUGH
40
ANAPHYLACTIC REACTION
38
DIZZINESS
38
LOSS OF CONSCIOUSNESS
38
MALAISE
36

Who Reports Side Effects

Gender Distribution

Female 909 (54%)
Male 771 (46%)

Age Distribution

0-17 619 (44%)
18-44 288 (20%)
45-64 243 (17%)
65-74 109 (8%)
75+ 151 (11%)

Reporting Trend by Year

17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 130 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 32
PNEUMONIA 18
INFLUENZA 10
RESPIRATORY FAILURE 9
CARDIO-RESPIRATORY ARREST 7
MULTIPLE ORGAN DYSFUNCTION SYNDROME 7
ACUTE KIDNEY INJURY 6
DRUG INEFFECTIVE 6
OFF LABEL USE 6
ACUTE RESPIRATORY DISTRESS SYNDROME 5
DISSEMINATED INTRAVASCULAR COAGULATION 5
INFECTION 5
SEPSIS 5
CARDIAC FAILURE 4
DECREASED APPETITE 4
PNEUMONIA INFLUENZAL 4
ACUTE RESPIRATORY FAILURE 3
ALANINE AMINOTRANSFERASE INCREASED 3
BRAIN HERNIATION 3
CIRCULATORY COLLAPSE 3

Reactions in Hospitalization Reports

Top reactions in 417 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 52
DIARRHOEA 29
COLITIS ISCHAEMIC 25
VOMITING 24
RHABDOMYOLYSIS 17
OFF LABEL USE 16
ANAPHYLACTIC REACTION 14
PYREXIA 13
ABDOMINAL PAIN 12
DRUG ERUPTION 12
ABNORMAL BEHAVIOUR 11
ACUTE KIDNEY INJURY 11
DECREASED APPETITE 11
DRUG INEFFECTIVE 11
HEPATIC FUNCTION ABNORMAL 11
RASH 11
SEIZURE 11
DYSPNOEA 10
SEPSIS 10
HAEMATOCHEZIA 9

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What the FAERS Data Reveals About baloxavir marboxil Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 2,164 voluntary reports linked to baloxavir marboxil and its brand equivalents (Xofluza), spanning 2017 through 2025. Of those, 130 (6.0%) listed death as an outcome and 417 (19.3%) involved hospitalization. The most common indication reported alongside adverse events was Influenza.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 54% were female and 46% male; age distribution skews toward 0-17, with 619 reports in that bracket. The single most reported reaction is no adverse event with 518 submissions, followed by off label use and intentional product use issue.

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.