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folic acid Side Effects

Also known as: Folvite

Analysis of 241,433 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

241,433

Death-Related

22,144

9.2% of reports

Hospitalizations

87,188

36.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
24,765
FATIGUE
23,332
PAIN
23,054
ARTHRALGIA
19,495
RHEUMATOID ARTHRITIS
17,528
OFF LABEL USE
17,321
NAUSEA
15,633
HEADACHE
14,211
DIARRHOEA
14,142
RASH
13,595
DYSPNOEA
13,157
ALOPECIA
11,667
ABDOMINAL DISCOMFORT
11,665
JOINT SWELLING
11,529
CONDITION AGGRAVATED
11,126
VOMITING
10,810
PNEUMONIA
10,795
PYREXIA
10,612
PAIN IN EXTREMITY
10,574
SYSTEMIC LUPUS ERYTHEMATOSUS
9,863

Who Reports Side Effects

Gender Distribution

Female 152,545 (68%)
Male 70,365 (32%)
Unknown 340

Age Distribution

0-17 5,548 (3%)
18-44 31,217 (20%)
45-64 61,818 (39%)
65-74 35,410 (22%)
75+ 25,879 (16%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 22,144 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 5,981
PNEUMONIA 2,632
OFF LABEL USE 2,622
GENERAL PHYSICAL HEALTH DETERIORATION 2,540
FATIGUE 2,504
DIARRHOEA 2,332
VOMITING 2,210
DYSPNOEA 2,194
RHEUMATOID ARTHRITIS 2,150
RASH 2,134
HYPERTENSION 2,133
SYSTEMIC LUPUS ERYTHEMATOSUS 2,117
TYPE 2 DIABETES MELLITUS 2,082
PAIN 2,077
HYPOAESTHESIA 2,027
GLOSSODYNIA 2,014
INFUSION RELATED REACTION 2,006
DUODENAL ULCER PERFORATION 1,998
ARTHRALGIA 1,997
FIBROMYALGIA 1,992

Reactions in Hospitalization Reports

Top reactions in 87,188 reports where hospitalization was an outcome.

Reaction Reports
FATIGUE 7,987
PNEUMONIA 7,501
PAIN 7,490
DYSPNOEA 7,236
ARTHRALGIA 6,934
DIARRHOEA 6,899
OFF LABEL USE 6,816
NAUSEA 6,613
PYREXIA 6,481
DRUG INEFFECTIVE 6,171
VOMITING 6,128
FALL 5,610
RHEUMATOID ARTHRITIS 5,556
HEADACHE 5,140
ASTHENIA 5,132
RASH 5,102
CONDITION AGGRAVATED 4,886
MALAISE 4,867
DIZZINESS 4,620
GENERAL PHYSICAL HEALTH DETERIORATION 4,163

Nearby — Related Medications

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What the FAERS Data Reveals About folic acid Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 241,433 voluntary reports linked to folic acid and its brand equivalents (Folvite), spanning 2003 through 2025. Of those, 22,144 (9.2%) listed death as an outcome and 87,188 (36.1%) 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, 68% were female and 32% male; age distribution skews toward 45-64, with 61,818 reports in that bracket. The single most reported reaction is drug ineffective with 24,765 submissions, followed by fatigue and pain.

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.