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biotin Side Effects

Also known as: Vitamin B7

Analysis of 29,879 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

29,879

Death-Related

911

3.0% of reports

Hospitalizations

5,552

18.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
3,046
NAUSEA
2,251
ALOPECIA
2,193
HEADACHE
2,143
DRUG INEFFECTIVE
1,963
DIARRHOEA
1,893
PAIN
1,703
DIZZINESS
1,583
OFF LABEL USE
1,475
ARTHRALGIA
1,426
DYSPNOEA
1,404
PRURITUS
1,289
FALL
1,186
PAIN IN EXTREMITY
1,074
ASTHENIA
1,068
RASH
1,042
COUGH
977
CONSTIPATION
967
VOMITING
965
INSOMNIA
910

Who Reports Side Effects

Gender Distribution

Female 25,581 (90%)
Male 2,824 (10%)
Unknown 10

Age Distribution

0-17 316 (2%)
18-44 3,334 (17%)
45-64 7,221 (38%)
65-74 4,730 (25%)
75+ 3,518 (18%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 911 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 497
OFF LABEL USE 121
NAUSEA 118
DYSPNOEA 111
VOMITING 108
MULTIPLE ORGAN DYSFUNCTION SYNDROME 107
SEPSIS 107
CONSTIPATION 105
GENERAL PHYSICAL HEALTH DETERIORATION 104
CONDITION AGGRAVATED 100
ABDOMINAL DISTENSION 98
ANAEMIA 98
ABDOMINAL PAIN 97
HYPONATRAEMIA 96
SOMNOLENCE 94
STRESS 92
ASCITES 87
CARDIOGENIC SHOCK 86
VENTRICULAR FIBRILLATION 85
APPENDICITIS 83

Reactions in Hospitalization Reports

Top reactions in 5,552 reports where hospitalization was an outcome.

Reaction Reports
FATIGUE 620
NAUSEA 585
DYSPNOEA 500
FALL 495
DIARRHOEA 483
PNEUMONIA 453
PAIN 421
VOMITING 388
HEADACHE 367
DIZZINESS 344
ASTHENIA 337
DRUG INEFFECTIVE 328
URINARY TRACT INFECTION 321
OFF LABEL USE 310
ARTHRALGIA 306
WEIGHT DECREASED 295
PAIN IN EXTREMITY 285
PYREXIA 278
MALAISE 261
CONSTIPATION 244

Nearby — Related Medications

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What the FAERS Data Reveals About biotin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 29,879 voluntary reports linked to biotin and its brand equivalents (Vitamin B7), spanning 2004 through 2025. Of those, 911 (3.0%) listed death as an outcome and 5,552 (18.6%) 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, 90% were female and 10% male; age distribution skews toward 45-64, with 7,221 reports in that bracket. The single most reported reaction is fatigue with 3,046 submissions, followed by nausea and alopecia.

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.