FDA Adverse Events Reports (FAERS) Summary for NEXIUM
These tables and charts are based on 184,581 total reports for NEXIUM (ESOMEPRAZOLE MAGNESIUM) received by the FDA Adverse Event Reporting System (FAERS) from 2004 through July 30, 2026.
This FAERS total includes 181,744 pharmaceutical company-submitted and non-U.S. FAERS reports and 2,837 U.S. consumer or healthcare provider-submitted
MedWatch reports. Adverse events listed on this page represent serious and sometimes rare adverse events
reported to pharmaceutical companies, and often do not represent typical side
effects for the medication. Find common side effects in the most recent
official drug label.
For a separate summary of the 2,837 U.S. reports
filed via the FDA MedWatch voluntary reporting system, view our FDA MedWatch NEXIUM summary report.
(See notes section below for explanation of FDA’s mandatory and voluntary reporting system.)
Top 20 Adverse Effects Associated with NEXIUM (reported in FAERS Database) Latest Known Outcomes for Reactions Reported for NEXIUM
Based on 102369 reports that included a patient age.
Side Effect # of FDA Reports 1 CHRONIC KIDNEY DISEASE 34663 2 ACUTE KIDNEY INJURY 17838 3 KIDNEY FAILURE 15356 4 DRUG INEFFECTIVE 11527 5 GASTROOESOPHAGEAL REFLUX DISEASE 11205 6 DRUG DOSE OMISSION 11065 7 KIDNEY FAILURE 10095 8 NAUSEA 10031 9 KIIDNEY INJURY 9125 10 PAIN 8448 11 MALAISE 7705 12 DIARRHEA 7691 13 FATIGUE 6941 14 VOMITING 6624 15 OFF LABEL USE 6608 16 HEADACHE 6446 17 SHORTNESS OF BREATH 6364 18 INDIGESTION 6174 19 DIZZINESS 5334 20 FALL 4957 Latest Known Outcome for Reported Reactions Number of Cases 1 Unknown Outcome 87192 2 Patient has not recovered/symtoms have not resolved 43749 3 Patient recovered 25826 4 Patient is recovering/symptoms resolving 12220 5 Patient died 10368 6 Patient has recovered but has consequent health issues 1083 Yearly FDA Adverse Event Reports (Table)
Year Number of Reports 2002 1 2003 2 2004 2019 2005 2708 2006 3410 2007 4076 2008 4575 2009 6239 2010 8006 2011 12973 2012 22648 2013 8084 2014 8453 2015 11349 2016 10715 2017 8242 2018 21337 2019 22386 2020 8058 2021 6283 2022 3889 2023 2547 2024 2441 2025 2956 2026 1184 Reports by Patient Age Group (Table)
Age Group Number of Reports 0-10 896 11-20 1293 21-30 2625 31-40 5809 41-50 13584 51-60 23900 61-70 26607 71-80 18914 81-90 7972 91+ 769
NEXIUM Total Reports
| Male | Female | Unknown | Total |
|---|---|---|---|
| 55983 | 103375 | 25223 | 184,581 |
Top Countries Reporting
| Country | Number of Reports | |
|---|---|---|
| 1 | United States | 105338 |
| 2 | Japan | 9346 |
| 3 | Canada | 3419 |
| 4 | Australia | 1332 |
| 5 | Switzerland | 1331 |
| 6 | Brazil | 577 |
| 7 | Germany | 519 |
| 8 | Italy | 458 |
| 9 | South Korea | 423 |
| 10 | Ireland | 354 |
Outcomes for Reports
Serious: 122999
Not Serious: 61557
Note: A serious outcome means the adverse event resulted in death, a life threatening condition, hospitalization, disability, congenital anomaly, or other serious condition.
| Top Indications | |
| Gastrooesophageal reflux disease | |
| Product used for unknown indication | |
| INDIGESTION | |
| Abdominal pain | |
| Drug therapy | |
Top Companies Reporting
| Haleon PLC | |
| ALEXION PHARMACEUTICALS | |
| Haleon PLC | |
| ALEXION PHARMACEUTICALS | |
FDA Approval Date: 2001-02-20 NEXIUM (ESOMEPRAZOLE MAGNESIUM) Rx Drug: For serious adverse events, report them to the FDA by contacting the drug manufacturer or report directly through the
MedWatch voluntary reporting form.
Events listed on this page represent serious and often rare adverse events
reported to pharmaceutical companies, and do not represent typical side
effects for the medication. Find common side effects on the most recent
official drug label
This report, created by AskaPatient.com, is derived from the cases for NEXIUM reported to the United States Food and Drug Administration (FDA)
FDA Safety Information and Adverse Event Reporting System (FAERS) and
obtained from Open FDA. Data was last
updated with reports received through July 30, 2026.
Adverse Event Reports are submitted to the FAERS database by pharmaceutical companies (mandatory reporting is required by manufacturers, distributors, or importers).
Health care providers such as doctors (voluntary reporting), and patients themselves (voluntary reporting)
report to the FDA directly through the MedWatch program. Those MedWatch
reports are coded and included in the FAERS database. This report mainly
consists of the mandatory reports, because the MedWatch reports are a small
percentage (3 - 5%) of total reports. Link to the MedWatch summary report at
the top of the page for a summary of the directly reported
(voluntary) adverse events for this drug.The number of reports included here might differ
somewhat from the number of reports in the downloadable quarterly FAERS
reports and in the online FAERS dashboard, due to lags in reporting, drug
name differences,
duplicates, and other factors. Open FDA states that it only includes the
most recent version of a case report. It also adds the disclaimer:
"Do not rely on openFDA to make
decisions regarding medical care. While we make every effort to ensure that
data is accurate, you should assume all results are unvalidated."
FDA uses the "MedDRA" classification system to describe reported adverse
reactions. MedDRA is a standardized medical terminology that facilitates
sharing of regulatory information internationally. In some cases, "patient
friendly" terms for the layman designated by MedDRA have been substituted
for medical jargon. Please
contact us
with questions or comments about this report.
Safety-Related FDA Updates
Safety-related Labeling Changes
Have experience (good or bad) with NEXIUM? Rate NEXIUM at Ask a Patient.
Notes
This summary includes ALL reports where the
drug is a "primary OR secondary OR suspected interacting" drug. Typically, reports are filed for the most serious type or "event" and do not represent incidental or minor side effects. The majority
of these reports are mandatory reports submitted by pharmaceutical
companies, who receive complaints from consumers. The reactions, side effects, or "adverse events," represent up to the 20 most
frequently occuring events in the database for a drug related to the event.
This report also features counts of latest known outcomes associated with
reported side effects, but does not provide the specific outcomes for specific
adverse events.
