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sertraline Side Effects

Also known as: Zoloft

Analysis of 112,198 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

112,198

Death-Related

11,431

10.2% of reports

Hospitalizations

38,447

34.3% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
6,804
NAUSEA
6,466
FATIGUE
5,891
DIARRHOEA
5,216
HEADACHE
4,927
DIZZINESS
4,599
OFF LABEL USE
4,584
ANXIETY
4,553
DRUG INTERACTION
4,192
VOMITING
4,142
DEPRESSION
3,819
FALL
3,693
DYSPNOEA
3,679
TOXICITY TO VARIOUS AGENTS
3,369
PAIN
3,248
INSOMNIA
3,217
MALAISE
3,139
CONDITION AGGRAVATED
2,953
ASTHENIA
2,948
TREMOR
2,820

Who Reports Side Effects

Gender Distribution

Female 65,301 (64%)
Male 35,754 (35%)
Unknown 284

Age Distribution

0-17 5,992 (7%)
18-44 25,942 (32%)
45-64 25,254 (31%)
65-74 12,444 (15%)
75+ 12,511 (15%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 11,431 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 2,644
COMPLETED SUICIDE 2,450
TOXICITY TO VARIOUS AGENTS 1,769
DRUG ABUSE 829
CARDIO-RESPIRATORY ARREST 632
CARDIAC ARREST 619
DRUG INTERACTION 472
PNEUMONIA 467
OVERDOSE 425
FALL 422
DYSPNOEA 409
RESPIRATORY ARREST 349
SEPSIS 336
VOMITING 319
DIARRHOEA 295
NAUSEA 290
OFF LABEL USE 288
FATIGUE 285
ASTHENIA 270
SOMNOLENCE 263

Reactions in Hospitalization Reports

Top reactions in 38,447 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 2,263
DRUG INTERACTION 2,192
VOMITING 2,181
FALL 2,166
INTENTIONAL OVERDOSE 2,008
PNEUMONIA 1,748
DRUG INEFFECTIVE 1,672
OFF LABEL USE 1,670
DYSPNOEA 1,667
FATIGUE 1,634
TOXICITY TO VARIOUS AGENTS 1,605
DIARRHOEA 1,604
CONFUSIONAL STATE 1,471
DIZZINESS 1,467
ANXIETY 1,438
HEADACHE 1,404
SUICIDE ATTEMPT 1,398
ASTHENIA 1,360
CONDITION AGGRAVATED 1,259
DEPRESSION 1,243

Nearby — Related Medications

Compare sertraline vs acamprosate →

What the FAERS Data Reveals About sertraline Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 112,198 voluntary reports linked to sertraline and its brand equivalents (Zoloft), spanning 2004 through 2025. Of those, 11,431 (10.2%) listed death as an outcome and 38,447 (34.3%) 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 35% male; age distribution skews toward 18-44, with 25,942 reports in that bracket. The single most reported reaction is drug ineffective with 6,804 submissions, followed by nausea 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.