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diphenhydramine Side Effects

Also known as: Benadryl

Analysis of 60,533 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

60,533

Death-Related

11,360

18.8% of reports

Hospitalizations

19,529

32.3% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

OFF LABEL USE
7,772
HEADACHE
5,138
FATIGUE
5,076
NAUSEA
4,484
PAIN
4,014
DRUG INEFFECTIVE
3,867
SINUSITIS
3,668
TOXICITY TO VARIOUS AGENTS
3,497
DYSPNOEA
3,387
PYREXIA
3,386
INFUSION RELATED REACTION
3,345
PNEUMONIA
3,100
ARTHRALGIA
3,001
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
2,918
COMPLETED SUICIDE
2,811
PRURITUS
2,806
MALAISE
2,803
COUGH
2,748
BLOOD PRESSURE INCREASED
2,724
INTENTIONAL PRODUCT USE ISSUE
2,642

Who Reports Side Effects

Gender Distribution

Female 33,648 (64%)
Male 18,723 (36%)
Unknown 94

Age Distribution

0-17 3,787 (10%)
18-44 10,761 (28%)
45-64 13,785 (36%)
65-74 6,439 (17%)
75+ 3,602 (9%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 11,360 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 2,805
TOXICITY TO VARIOUS AGENTS 2,776
DEATH 2,291
DRUG ABUSE 1,610
CARDIO-RESPIRATORY ARREST 781
CARDIAC ARREST 677
OFF LABEL USE 586
OVERDOSE 550
RESPIRATORY ARREST 472
PNEUMONIA 452
FATIGUE 444
DYSPNOEA 358
PAIN 356
PYREXIA 355
HEADACHE 334
HYPERTENSION 321
NAUSEA 300
INTENTIONAL PRODUCT MISUSE 297
INFUSION RELATED REACTION 289
VOMITING 282

Reactions in Hospitalization Reports

Top reactions in 19,529 reports where hospitalization was an outcome.

Reaction Reports
OFF LABEL USE 2,542
PNEUMONIA 2,033
NAUSEA 1,772
FATIGUE 1,710
PYREXIA 1,663
HEADACHE 1,627
PAIN 1,539
DYSPNOEA 1,534
DRUG INEFFECTIVE 1,302
MALAISE 1,283
VOMITING 1,224
ARTHRALGIA 1,223
FEBRILE NEUTROPENIA 1,211
DIARRHOEA 1,199
WEIGHT DECREASED 1,191
COVID-19 1,159
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION 1,153
FALL 1,148
SINUSITIS 1,098
CONDITION AGGRAVATED 1,061

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What the FAERS Data Reveals About diphenhydramine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 60,533 voluntary reports linked to diphenhydramine and its brand equivalents (Benadryl), spanning 2003 through 2025. Of those, 11,360 (18.8%) listed death as an outcome and 19,529 (32.3%) 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, 64% were female and 36% male; age distribution skews toward 45-64, with 13,785 reports in that bracket. The single most reported reaction is off label use with 7,772 submissions, followed by headache and fatigue.

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.