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simvastatin Side Effects

Also known as: Zocor

Analysis of 245,754 adverse event reports submitted to the FDA from 2002 to 2025.

Total Reports

245,754

Death-Related

21,913

8.9% of reports

Hospitalizations

94,740

38.6% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
13,574
NAUSEA
12,945
DYSPNOEA
12,431
DIARRHOEA
11,813
DRUG INEFFECTIVE
11,353
DIZZINESS
10,971
FALL
9,198
ASTHENIA
9,141
PAIN
9,097
HEADACHE
8,818
MYALGIA
8,327
VOMITING
8,100
MALAISE
7,604
ARTHRALGIA
7,562
DRUG INTERACTION
7,251
PAIN IN EXTREMITY
6,951
OFF LABEL USE
6,823
ACUTE KIDNEY INJURY
6,481
DEATH
6,340
PNEUMONIA
5,891

Who Reports Side Effects

Gender Distribution

Female 118,888 (51%)
Male 113,309 (49%)
Unknown 597

Age Distribution

0-17 590 (0%)
18-44 6,798 (4%)
45-64 55,353 (32%)
65-74 52,513 (31%)
75+ 55,999 (33%)

Reporting Trend by Year

2002 2025

Reactions in Death Reports

Top reactions reported in 21,913 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 6,325
SEPSIS 1,509
DYSPNOEA 1,384
PNEUMONIA 1,384
RENAL FAILURE 1,320
NAUSEA 1,138
FALL 1,106
MYOCARDIAL INFARCTION 1,052
ASTHENIA 1,039
VOMITING 1,030
ACUTE KIDNEY INJURY 1,017
DIARRHOEA 997
CARDIAC ARREST 995
COMPLETED SUICIDE 901
FATIGUE 895
GENERAL PHYSICAL HEALTH DETERIORATION 867
RESPIRATORY FAILURE 854
ABDOMINAL PAIN 848
ANAEMIA 813
OFF LABEL USE 784

Reactions in Hospitalization Reports

Top reactions in 94,740 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 6,628
FALL 6,061
NAUSEA 5,342
DIARRHOEA 4,933
PNEUMONIA 4,868
ASTHENIA 4,556
FATIGUE 4,543
VOMITING 4,525
DIZZINESS 4,469
DRUG INTERACTION 4,237
RHABDOMYOLYSIS 4,086
ACUTE KIDNEY INJURY 4,048
ANAEMIA 3,973
MYOCARDIAL INFARCTION 3,680
HYPOTENSION 3,599
PAIN 3,548
MALAISE 3,409
PYREXIA 3,296
CHEST PAIN 3,187
DEHYDRATION 3,078

Nearby — Related Medications

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What the FAERS Data Reveals About simvastatin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 245,754 voluntary reports linked to simvastatin and its brand equivalents (Zocor), spanning 2002 through 2025. Of those, 21,913 (8.9%) listed death as an outcome and 94,740 (38.6%) 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, 51% were female and 49% male; age distribution skews toward 75+, with 55,999 reports in that bracket. The single most reported reaction is fatigue with 13,574 submissions, followed by nausea and dyspnoea.

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.