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)

 Side Effect# of FDA Reports
1CHRONIC KIDNEY DISEASE34663
2ACUTE KIDNEY INJURY17838
3KIDNEY FAILURE15356
4DRUG INEFFECTIVE11527
5GASTROOESOPHAGEAL REFLUX DISEASE11205
6DRUG DOSE OMISSION11065
7KIDNEY FAILURE10095
8NAUSEA10031
9KIIDNEY INJURY9125
10PAIN8448
11MALAISE7705
12DIARRHEA7691
13FATIGUE6941
14VOMITING6624
15OFF LABEL USE6608
16HEADACHE6446
17SHORTNESS OF BREATH6364
18INDIGESTION6174
19DIZZINESS5334
20FALL4957

Latest Known Outcomes for Reactions Reported for NEXIUM

Latest Known Outcome for Reported ReactionsNumber of Cases
1Unknown Outcome87192
2Patient has not recovered/symtoms have not resolved43749
3Patient recovered25826
4Patient is recovering/symptoms resolving12220
5Patient died10368
6Patient has recovered but has consequent health issues1083

Yearly FDA Adverse Event Reports (Table)

YearNumber of Reports
20021
20032
20042019
20052708
20063410
20074076
20084575
20096239
20108006
201112973
201222648
20138084
20148453
201511349
201610715
20178242
201821337
201922386
20208058
20216283
20223889
20232547
20242441
20252956
20261184

Reports by Patient Age Group (Table)

Age GroupNumber of Reports
0-10896
11-201293
21-302625
31-405809
41-5013584
51-6023900
61-7026607
71-8018914
81-907972
91+769

Based on 102369 reports that included a patient age.

NEXIUM Total Reports

 Male    Female    Unknown    Total  
 55983    103375    25223    184,581  

Top Countries Reporting

 Country  Number of Reports
United States  105338
Japan  9346
Canada  3419
Australia  1332
Switzerland  1331
Brazil  577
Germany  519
Italy  458
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

Safety-Related FDA Updates

FDA Approval Date: 2001-02-20

NEXIUM (ESOMEPRAZOLE MAGNESIUM) Rx Drug:
Safety-related Labeling Changes


Have experience (good or bad) with NEXIUM? Rate NEXIUM at Ask a Patient.

For serious adverse events, report them to the FDA by contacting the drug manufacturer or report directly through the MedWatch voluntary reporting form.

Notes

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.

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.

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.