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Ascorbic Acid side effects: what 23,116 FDA adverse event reports show

Ascorbic Acid · 1,211 reaction terms · 164,967 drug–reaction co-reports · data 2026-09-14
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Drug class

Vitamin C

FDA label (Established Pharmacologic Class) · compare the class

Who reports

23,116 reports · 72% serious · 2,611 with death outcome · 63% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Ascorbic acid injection is indicated for the short term (up to 1 week) treatment of scurvy in adult and pediatric patients, age 5 months and older, for whom oral administration is not possible, insufficient or contraindicated. Limitations of Use Ascorbic acid injection is not indicated for the treatment of vitamin C deficiency that is not associated with signs and symptoms of scurvy.

FDA label, Indications and Usage

What it is

Ascorbic acid injection, USP for intravenous use is a colorless to pale yellow, preservative-free, hypertonic, sterile, non-pyrogenic solution of ascorbic acid. Ascorbic acid injection must be.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Reporting / coding artifact 5Lab value / disease marker 8Not in label — unassessed 27
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,171 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Appendicolith111375.9
301.2–469.0ROR 377.7 · calibrated p 2e-12 ✓
253.4 EB05 216.2 · IC025 +6.6
3/3 methods agree
vs other Vitamin Cs: PRR 2.1 (1.7–2.6)
Not in label — unassessedserious n=111 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Sleep disorder therapy41256.3
181.2–362.6ROR 256.8 · calibrated p 1e-10 ✓
182.6 EB05 140.3 · IC025 +5.4
3/3 methods agree
vs other Vitamin Cs: PRR 1.3 (0.9–1.9)
Reporting / coding artifactserious n=41 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Grip strength51256.1
187.7–349.6ROR 256.7 · calibrated p 1e-10 ✓
185.5 EB05 146.6 · IC025 +5.6
3/3 methods agree
vs other Vitamin Cs: PRR 3.3 (2.3–4.8)
Not in label — unassessedserious n=51 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Antacid therapy24225.8
144.3–353.3ROR 226.1 · calibrated p 9e-10 ✓
158.0 EB05 111.8 · IC025 +4.6
3/3 methods agree
vs other Vitamin Cs: PRR 3.6 (2.1–6.2)
Reporting / coding artifactserious n=24 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Presbyacusis51178.1
131.9–240.5ROR 178.5 · calibrated p 2e-9 ✓
140.9 EB05 111.4 · IC025 +5.5
3/3 methods agree
vs other Vitamin Cs: only this drug
Not in label — unassessedserious n=51 · ♀ 100% (drug 63%)no trial arm names this drug
Analgesic therapy43147.8
107.1–204.1ROR 148.1 · calibrated p 1e-8 ✓
120.3 EB05 93.1 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.4 (1.0–2.0)
Reporting / coding artifactserious n=43 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Drug therapy40129.6
93.0–180.5ROR 129.8 · calibrated p 3e-8 ✓
107.6 EB05 82.4 · IC025 +5.0
3/3 methods agree
vs other Vitamin Cs: PRR 1.4 (1.0–2.0)
Reporting / coding artifactserious n=40 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Deep vein thrombosis postoperative245129.5
113.3–148.0ROR 130.9 · calibrated p 2e-8 ✓
112.3 EB05 101.0 · IC025 +6.3
3/3 methods agree
vs other Vitamin Cs: PRR 1.4 (1.2–1.6)
Not in label — unassessedserious n=245 · ♀ 100% (drug 63%) · 92% clinicianno trial arm names this drug
Swollen joint count30125.9
85.9–184.5ROR 126.1 · calibrated p 6e-8 ✓
103.4 EB05 75.9 · IC025 +4.7
3/3 methods agree
vs other Vitamin Cs: PRR 1.6 (1.1–2.5)
Not in label — unassessedserious n=30 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Lupus vulgaris133114.1
95.3–136.6ROR 114.8 · calibrated p 5e-8 ✓
99.9 EB05 86.4 · IC025 +5.9
3/3 methods agree
vs other Vitamin Cs: PRR 1.3 (1.0–1.5)
Not in label — unassessedserious n=133 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
C-reactive protein9099.8
80.3–124.1ROR 100.2 · calibrated p 2e-7 ✓
88.3 EB05 74.0 · IC025 +5.6
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (0.8–1.3)
Lab value / disease markerserious n=90 · ♀ 100% (drug 63%) · 90% clinicianno trial arm names this drug
Bacteroides infection2492.5
60.8–140.8ROR 92.6 · calibrated p 6e-7 ✓
78.8 EB05 55.7 · IC025 +4.3
3/3 methods agree
vs other Vitamin Cs: only this drug
Not in label — unassessedserious n=24 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Anticoagulant therapy2589.8
59.5–135.4ROR 89.8 · calibrated p 7e-7 ✓
77.0 EB05 54.9 · IC025 +4.3
3/3 methods agree
vs other Vitamin Cs: PRR 3.7 (2.2–6.2)
Reporting / coding artifactserious n=25 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Facet joint syndrome27887.7
77.6–99.1ROR 88.7 · calibrated p 3e-7 ✓
79.5 EB05 72.0 · IC025 +5.9
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.1–1.4)
Not in label — unassessedserious n=278 · ♀ 100% (drug 63%)no trial arm names this drug
Vaginal flatulence2684.2
56.3–125.9ROR 84.3 · calibrated p 1e-6 ✓
73.1 EB05 52.4 · IC025 +4.3
3/3 methods agree
vs other Vitamin Cs: PRR 1.9 (1.2–3.0)
Not in label — unassessedserious n=26 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
X-ray abnormal15183.8
71.0–98.9ROR 84.3 · calibrated p 5e-7 ✓
76.0 EB05 66.3 · IC025 +5.7
3/3 methods agree
vs other Vitamin Cs: PRR 1.4 (1.2–1.7)
Lab value / disease markerserious n=151 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Anti-cyclic citrullinated peptide antibody5479.8
60.4–105.4ROR 80.0 · calibrated p 9e-7 ✓
71.6 EB05 56.9 · IC025 +5.0
3/3 methods agree
vs other Vitamin Cs: PRR 0.9 (0.7–1.3)
Lab value / disease markerserious n=54 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Swollen joint count increased25279.7
70.1–90.6ROR 80.6 · calibrated p 6e-7 ✓
72.9 EB05 65.6 · IC025 +5.8
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (0.9–1.2)
Lab value / disease markerserious n=252 · ♀ 100% (drug 63%) · 96% clinicianno trial arm names this drug
Subcutaneous drug absorption impaired4275.7
55.3–103.7ROR 75.8 · calibrated p 2e-6 ✓
67.8 EB05 52.3 · IC025 +4.8
3/3 methods agree
vs other Vitamin Cs: PRR 1.3 (0.9–1.8)
Not in label — unassessedserious n=42 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Adjustment disorder with depressed mood15575.5
64.1–88.9ROR 76.0 · calibrated p 1e-6 ✓
69.1 EB05 60.5 · IC025 +5.6
3/3 methods agree
vs other Vitamin Cs: PRR 1.5 (1.2–1.8)
Not in label — unassessedserious n=154 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Pleural thickening5274.9
56.4–99.3ROR 75.0 · calibrated p 1e-6 ✓
67.5 EB05 53.5 · IC025 +4.9
3/3 methods agree
vs other Vitamin Cs: only this drug
Not in label — unassessedserious n=52 · ♀ 100% (drug 63%)no trial arm names this drug
Rheumatic fever33174.3
66.5–83.1ROR 75.4 · calibrated p 9e-7 ✓
68.4 EB05 62.5 · IC025 +5.8
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.9–1.1)
Not in label — unassessedserious n=331 · ♀ 100% (drug 63%) · 91% clinicianno trial arm names this drug
Dislocation of vertebra13859.9
50.5–71.2ROR 60.3 · calibrated p 5e-6 ✓
55.8 EB05 48.4 · IC025 +5.3
3/3 methods agree
vs other Vitamin Cs: PRR 1.3 (1.1–1.6)
Not in label — unassessedserious n=138 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Duodenal ulcer perforation44658.6
53.3–64.5ROR 59.8 · calibrated p 4e-6 ✓
55.0 EB05 50.8 · IC025 +5.5
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.1–1.3)
Not in label — unassessedserious PRR 44.3 · ♀ 100% (drug 63%) · 92% clinicianno trial arm names this drug
Blood magnesium increased5356.5
42.8–74.5ROR 56.6 · calibrated p 9e-6 ✓
52.2 EB05 41.5 · IC025 +4.7
3/3 methods agree
vs other Vitamin Cs: only this drug
Lab value / disease markerserious n=53 · ♀ 100% (drug 63%)no trial arm names this drug
Pleural fibrosis6056.0
43.2–72.7ROR 56.2 · calibrated p 9e-6 ✓
52.0 EB05 41.8 · IC025 +4.8
3/3 methods agree
vs other Vitamin Cs: only this drug
Not in label — unassessedserious n=60 · ♀ 100% (drug 63%)no trial arm names this drug
Crystal nephropathy3455.8
39.4–78.8ROR 55.8 · calibrated p 1e-5 ✓
51.1 EB05 38.3 · IC025 +4.3
3/3 methods agree
vs other Vitamin Cs: only this drug
Not in label — unassessedserious n=34 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Intramedullary rod insertion12055.5
46.2–66.7ROR 55.8 · calibrated p 8e-6 ✓
51.9 EB05 44.6 · IC025 +5.1
3/3 methods agree
vs other Vitamin Cs: PRR 7.7 (5.7–10.3)
Not in label — unassessedserious n=120 · ♀ 100% (drug 63%)no trial arm names this drug
Sensitisation4455.2
40.8–74.9ROR 55.3 · calibrated p 1e-5 ✓
51.0 EB05 39.6 · IC025 +4.5
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.7–1.3)
Not in label — unassessedserious n=44 · ♀ 100% (drug 63%)no trial arm names this drug
Retinitis9252.9
42.8–65.2ROR 53.1 · calibrated p 1e-5 ✓
49.5 EB05 41.6 · IC025 +5.0
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (0.9–1.5)
Not in label — unassessedserious n=91 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Ejection fraction3252.5
36.8–75.0ROR 52.6 · calibrated p 2e-5 ✓
48.3 EB05 35.8 · IC025 +4.2
3/3 methods agree
vs other Vitamin Cs: PRR 0.9 (0.6–1.3)
Not in label — unassessedserious n=32 · ♀ 100% (drug 63%)no trial arm names this drug
Peripheral venous disease21150.6
44.0–58.0ROR 51.0 · calibrated p 1e-5 ✓
47.7 EB05 42.5 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.9–1.2)
Not in label — unassessedserious n=211 · ♀ 100% (drug 63%)no trial arm names this drug
Rheumatoid factor positive28947.8
42.5–53.8ROR 48.4 · calibrated p 2e-5 ✓
45.3 EB05 41.1 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (1.0–1.3)
Lab value / disease markerserious n=289 · ♀ 100% (drug 63%) · 95% clinicianno trial arm names this drug
Temperature regulation disorder10746.7
38.4–56.6ROR 46.9 · calibrated p 2e-5 ✓
44.1 EB05 37.5 · IC025 +4.9
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (0.9–1.4)
Not in label — unassessedserious n=107 · ♀ 100% (drug 63%)no trial arm names this drug
C-reactive protein abnormal31146.2
41.3–51.8ROR 46.9 · calibrated p 2e-5 ✓
43.9 EB05 40.0 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.1–1.4)
Lab value / disease markerserious n=311 · ♀ 100% (drug 63%) · 91% clinicianno trial arm names this drug
Anti-cyclic citrullinated peptide antibody positive33745.1
40.5–50.3ROR 45.8 · calibrated p 2e-5 ✓
42.9 EB05 39.2 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (0.9–1.2)
Lab value / disease markerserious PRR 34.7 · ♀ 100% (drug 63%) · 91% clinicianno trial arm names this drug
Muscle injury38544.6
40.3–49.4ROR 45.3 · calibrated p 3e-5 ✓
42.4 EB05 39.0 · IC025 +5.2
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.0–1.3)
Not in label — unassessedserious PRR 37.1 · ♀ 100% (drug 63%) · 91% clinicianno trial arm names this drug
Sleep disorder due to general medical condition, insomnia type28642.1
37.4–47.4ROR 42.6 · calibrated p 4e-5 ✓
40.2 EB05 36.4 · IC025 +5.0
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.1–1.4)
Not in label — unassessedserious n=286 · ♀ 100% (drug 63%) · 94% clinicianno trial arm names this drug
Folliculitis45842.0
38.3–46.1ROR 42.9 · calibrated p 4e-5 ✓
40.1 EB05 37.1 · IC025 +5.1
3/3 methods agree
vs other Vitamin Cs: PRR 1.3 (1.1–1.4)
Not in label — unassessedserious PRR 38.0 · ♀ 100% (drug 63%) · 92% clinicianno trial arm names this drug
Open reduction of fracture5040.8
30.8–54.2ROR 40.9 · calibrated p 6e-5 ✓
38.6 EB05 30.4 · IC025 +4.4
3/3 methods agree
vs other Vitamin Cs: PRR 6.2 (4.0–9.4)
Not in label — unassessedserious n=50 · ♀ 100% (drug 63%)no trial arm names this drug

Trial evidence (ClinicalTrials.gov)

ClinicalTrials.gov returned results-bearing trials mentioning Ascorbic Acid only as a background or rescue medication (NCT00135707, NCT00064753); no trial listing it as the tested intervention was cached, so no trial cross-check is shown.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Fatigue (tiredness)2,3372.7
2.6–2.8ROR 2.9 · calibrated p 0.650
2.7 EB05 2.6 · IC025 +1.4
3/3 methods agree
vs other Vitamin Cs: PRR 0.8 (0.7–0.8)
Not in label — unassessedserious PRR 3.2no trial arm names this drug
Pain2,1003.1
3.0–3.2ROR 3.3 · calibrated p 0.533
3.1 EB05 3.0 · IC025 +1.6
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.9–1.0)
Labeled adverse reaction
exact term
serious PRR 3.5 · ♀ 84% (drug 63%)no trial arm names this drug
Nausea1,9982.3
2.2–2.4ROR 2.4 · calibrated p 0.847
2.3 EB05 2.2 · IC025 +1.1
3/3 methods agree
vs other Vitamin Cs: PRR 0.9 (0.9–0.9)
Labeled adverse reaction
exact term
serious PRR 2.9no trial arm names this drug
Diarrhoea (diarrhea)1,8272.6
2.5–2.7ROR 2.7 · calibrated p 0.726
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Vitamin Cs: PRR 0.9 (0.8–0.9)
Not in label — unassessedserious PRR 3.0no trial arm names this drug
Headache1,8082.6
2.5–2.7ROR 2.8 · calibrated p 0.709
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Vitamin Cs: PRR 0.8 (0.8–0.9)
Labeled adverse reaction
exact term
serious PRR 3.5no trial arm names this drug
Drug ineffective (drug did not work)1,7741.2
1.2–1.3ROR 1.2 · calibrated p 0.468
1.2 EB05 1.2 · IC025 +0.2
vs other Vitamin Cs: PRR 0.9 (0.8–0.9)
Reporting / coding artifactserious PRR 2.1no trial arm names this drug
Dyspnoea (shortness of breath)1,6922.7
2.6–2.8ROR 2.9 · calibrated p 0.676
2.7 EB05 2.6 · IC025 +1.4
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.9–1.1)
Not in label — unassessedserious PRR 2.6no trial arm names this drug
Vomiting1,5653.0
2.9–3.2ROR 3.2 · calibrated p 0.570
3.0 EB05 2.9 · IC025 +1.5
3/3 methods agree
vs other Vitamin Cs: PRR 1.2 (1.1–1.2)
Not in label — unassessedserious PRR 3.3no trial arm names this drug
Off label use (used outside approved label)1,5521.6
1.5–1.7ROR 1.7 · calibrated p 0.749
1.6 EB05 1.6 · IC025 +0.6
vs other Vitamin Cs: PRR 0.8 (0.8–0.9)
Reporting / coding artifactserious PRR 2.0no trial arm names this drug
Asthenia (weakness)1,4733.6
3.4–3.7ROR 3.7 · calibrated p 0.430
3.5 EB05 3.4 · IC025 +1.7
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (1.0–1.1)
Not in label — unassessedserious PRR 3.7no trial arm names this drug
Rash1,4143.0
2.8–3.1ROR 3.1 · calibrated p 0.597
3.0 EB05 2.8 · IC025 +1.5
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (1.0–1.1)
Not in label — unassessedserious PRR 4.2 · ♀ 84% (drug 63%)no trial arm names this drug
Dizziness1,3472.5
2.3–2.6ROR 2.5 · calibrated p 0.793
2.5 EB05 2.3 · IC025 +1.2
3/3 methods agree
vs other Vitamin Cs: PRR 0.8 (0.8–0.9)
Labeled adverse reaction
exact term
serious PRR 2.7no trial arm names this drug
Arthralgia (joint pain)1,2882.8
2.7–3.0ROR 2.9 · calibrated p 0.649
2.8 EB05 2.7 · IC025 +1.4
3/3 methods agree
vs other Vitamin Cs: PRR 0.8 (0.8–0.8)
Not in label — unassessedserious PRR 3.4 · ♀ 83% (drug 63%)no trial arm names this drug
Pruritus (itching)1,1602.8
2.6–3.0ROR 2.9 · calibrated p 0.665
2.8 EB05 2.6 · IC025 +1.4
3/3 methods agree
vs other Vitamin Cs: PRR 1.0 (0.9–1.0)
Not in label — unassessedserious PRR 3.9no trial arm names this drug
Pyrexia (fever)1,1443.0
2.8–3.2ROR 3.1 · calibrated p 0.593
3.0 EB05 2.9 · IC025 +1.5
3/3 methods agree
vs other Vitamin Cs: PRR 1.1 (1.1–1.2)
Not in label — unassessedserious PRR 2.8no trial arm names this drug

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Zoledronic acid (bisphosphonates) ↔ Osteonecrosis of the jaw.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Ascorbic Acid?

In FDA FAERS, the most frequently co-reported reaction terms for Ascorbic Acid are fatigue, pain, nausea, diarrhoea, headache, dyspnoea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Ascorbic Acid have an FDA boxed warning?

No. The FDA label retrieved for Ascorbic Acid has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Ascorbic Acid causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.