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Each year, FDA receives about 400,000 reports of adverse events that people experienced around the same time period in which they were taking a drug. An adverse event report does not establish a causal relationship between the drug and a particular event. Adverse events may range in seriousness from fairly minor events, such as skin rashes, to those which are potentially grave or life-threatening.
Drug safety analysts at FDA study these reports to determine four things:
To study these reports, a review team is assigned to conduct a detailed analysis of the data.
If a drug appears on the AERS-based quarterly report, it means that FDA has begun an analysis to determine whether there is a safety problem. However, depending on the level of analysis completed, it may be too early to know whether there is a safety problem, and FDA’s analysis may ultimately conclude that there is no safety problem.
As FDA completes its analysis of drugs on the list, if a safety problem is found, the agency will take action to protect consumers. Such actions can include requiring the manufacturer to change the drug’s labeling to alert patients to a possible side effect that they may experience after taking the drug or requiring a risk evaluation and mitigation strategy (REMS). In some cases drugs that are associated with serious safety problems may be removed from the market.