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Ergocalciferol side effects: what 382,305 FDA adverse event reports show

Ergocalciferol · Vitamin D · 1,180 reaction terms · 1,874,570 drug–reaction co-reports · data 2026-09-14
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Drug class

Provitamin D2 Compound

FDA label (Established Pharmacologic Class)

Brand names

Vitamin D

openFDA label

Who reports

382,305 reports · 58% serious · 22,811 with death outcome · 71% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Ergocalciferol Capsules, USP are indicated for use in the treatment of hypoparathyroidism, refractory rickets, also known as vitamin D resistant rickets, and familial hypophosphatemia.

FDA label, Indications and Usage

What it is

Vitamin D2 is a vitamin D supplement and has been isolated from alfalfa. It has a role as a rodenticide, a bone density conservation agent, a nutraceutical and a plant metabolite.

PubChem CID 5280793 (ChEBI)

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

Lab value / disease marker 7No label text to screen 33
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). 1,140 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
Lupus vulgaris64564.6
57.6–72.5ROR 64.7 · calibrated p 3e-6 ✓
29.7 EB05 27.8 · IC025 +4.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=645 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Deep vein thrombosis postoperative1,04662.4
57.1–68.2ROR 62.6 · calibrated p 3e-6 ✓
29.2 EB05 27.8 · IC025 +4.7
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,046 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody31548.6
41.7–56.6ROR 48.7 · calibrated p 2e-5 ✓
25.8 EB05 23.5 · IC025 +4.5
3/3 methods agree
Lab value / disease markerserious n=315 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
C-reactive protein42147.1
41.3–53.6ROR 47.1 · calibrated p 2e-5 ✓
25.4 EB05 23.4 · IC025 +4.5
3/3 methods agree
Lab value / disease markerserious n=421 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Rheumatic fever1,81538.6
36.3–41.0ROR 38.8 · calibrated p 6e-5 ✓
22.8 EB05 21.9 · IC025 +4.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,815 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Mycotic allergy33636.0
31.3–41.3ROR 36.0 · calibrated p 1e-4 ✓
21.8 EB05 19.9 · IC025 +4.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=327 · ♀ 0% (drug 71%)not reported in cached trials
Swollen joint count increased1,20434.1
31.7–36.6ROR 34.2 · calibrated p 1e-4 ✓
21.1 EB05 20.2 · IC025 +4.3
3/3 methods agree
Lab value / disease markerserious n=1,204 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Adjustment disorder with depressed mood75432.4
29.6–35.5ROR 32.4 · calibrated p 2e-4 ✓
20.5 EB05 19.3 · IC025 +4.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=739 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Facet joint syndrome1,12330.0
27.9–32.2ROR 30.1 · calibrated p 3e-4 ✓
19.5 EB05 18.6 · IC025 +4.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,122 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
X-ray abnormal59527.1
24.5–29.9ROR 27.1 · calibrated p 5e-4 ✓
18.3 EB05 17.1 · IC025 +4.0
3/3 methods agree
Lab value / disease markerserious n=594 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Dislocation of vertebra73826.9
24.6–29.4ROR 26.9 · calibrated p 5e-4 ✓
18.2 EB05 17.1 · IC025 +4.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=737 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Rheumatoid factor positive1,90726.7
25.3–28.2ROR 26.9 · calibrated p 5e-4 ✓
18.1 EB05 17.4 · IC025 +4.1
3/3 methods agree
Lab value / disease markerserious n=1,905 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive2,15223.5
22.3–24.7ROR 23.6 · calibrated p 9e-4 ✓
16.6 EB05 16.0 · IC025 +4.0
3/3 methods agree
Lab value / disease markerserious PRR 16.4 · ♀ 100% (drug 71%) · 94% cliniciannot reported in cached trials
Duodenal ulcer perforation2,21723.4
22.3–24.6ROR 23.5 · calibrated p 9e-4 ✓
16.5 EB05 16.0 · IC025 +4.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 16.3 · ♀ 100% (drug 71%) · 94% cliniciannot reported in cached trials
Retinitis50423.4
21.1–26.0ROR 23.4 · calibrated p 1e-3 ✓
16.5 EB05 15.4 · IC025 +3.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=504 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Dust allergy28322.5
19.5–25.8ROR 22.5 · calibrated p 0.001 ✓
16.1 EB05 14.5 · IC025 +3.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=276 · ♀ 0% (drug 71%)not reported in cached trials
Peripheral venous disease1,08920.3
18.9–21.7ROR 20.3 · calibrated p 0.002 ✓
14.9 EB05 14.2 · IC025 +3.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,068 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Chronic kidney disease-mineral and bone disorder28119.1
16.7–21.9ROR 19.1 · calibrated p 0.003 ✓
14.3 EB05 12.9 · IC025 +3.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=281 · ♀ 0% (drug 71%)not reported in cached trials
Obstructive sleep apnoea syndrome34417.7
15.6–20.0ROR 17.7 · calibrated p 0.004 ✓
13.5 EB05 12.3 · IC025 +3.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=330 · ♀ 0% (drug 71%)not reported in cached trials
Hyperparathyroidism secondary60817.1
15.6–18.7ROR 17.1 · calibrated p 0.004 ✓
13.1 EB05 12.3 · IC025 +3.6
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=607not reported in cached trials
C-reactive protein abnormal1,52416.9
15.9–17.9ROR 16.9 · calibrated p 0.004 ✓
13.0 EB05 12.5 · IC025 +3.6
3/3 methods agree
Lab value / disease markerserious n=1,521 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Muscle injury1,81015.3
14.5–16.1ROR 15.3 · calibrated p 0.006 ✓
12.1 EB05 11.6 · IC025 +3.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 12.7 · ♀ 100% (drug 71%) · 91% cliniciannot reported in cached trials
Helicobacter infection2,20714.9
14.2–15.6ROR 15.0 · calibrated p 0.007 ✓
11.9 EB05 11.4 · IC025 +3.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 12.2 · ♀ 100% (drug 71%) · 91% cliniciannot reported in cached trials
Pemphigus2,61514.4
13.8–15.0ROR 14.5 · calibrated p 0.008 ✓
11.5 EB05 11.2 · IC025 +3.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 11.4 · ♀ 100% (drug 71%) · 93% cliniciannot reported in cached trials
Conjunctivitis allergic30514.2
12.5–16.1ROR 14.2 · calibrated p 0.009 ✓
11.4 EB05 10.3 · IC025 +3.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=293 · ♀ 0% (drug 71%)not reported in cached trials
Nephrogenic anaemia95713.9
12.9–14.9ROR 13.9 · calibrated p 0.009 ✓
11.2 EB05 10.6 · IC025 +3.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=957not reported in cached trials
Folliculitis2,04213.3
12.7–14.0ROR 13.4 · calibrated p 0.011 ✓
10.8 EB05 10.4 · IC025 +3.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 12.4 · ♀ 100% (drug 71%) · 92% cliniciannot reported in cached trials
Sleep disorder due to general medical condition, insomnia type1,26613.2
12.4–14.0ROR 13.2 · calibrated p 0.012 ✓
10.8 EB05 10.3 · IC025 +3.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,239 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Hand deformity2,44812.4
11.9–13.0ROR 12.5 · calibrated p 0.014 ✓
10.2 EB05 9.9 · IC025 +3.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 10.9 · ♀ 100% (drug 71%) · 91% cliniciannot reported in cached trials
Bone erosion62611.6
10.6–12.6ROR 11.6 · calibrated p 0.019 ✓
9.7 EB05 9.0 · IC025 +3.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=623 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Synovitis3,04310.9
10.5–11.4ROR 11.0 · calibrated p 0.023 ✓
9.2 EB05 9.0 · IC025 +3.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 9.5 · ♀ 95% (drug 71%) · 90% cliniciannot reported in cached trials
Nasal oedema28810.3
9.1–11.7ROR 10.3 · calibrated p 0.029 ✓
8.7 EB05 7.9 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=270 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Infusion site discharge27410.3
9.0–11.7ROR 10.3 · calibrated p 0.030 ✓
8.7 EB05 7.9 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
♀ 100% (drug 71%) · 100% consumernot reported in cached trials
Breast cancer stage iii1,02610.2
9.6–10.9ROR 10.3 · calibrated p 0.030 ✓
8.7 EB05 8.3 · IC025 +3.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,026 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Lip dry1,3719.7
9.2–10.3ROR 9.8 · calibrated p 0.035 ✓
8.4 EB05 8.0 · IC025 +3.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=1,250 · ♀ 100% (drug 71%)not reported in cached trials
Drug tolerance decreased4289.7
8.8–10.8ROR 9.7 · calibrated p 0.036 ✓
8.3 EB05 7.7 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=379 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Pericarditis2,5389.7
9.3–10.1ROR 9.7 · calibrated p 0.035 ✓
8.3 EB05 8.1 · IC025 +3.0
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.3 · ♀ 100% (drug 71%) · 92% cliniciannot reported in cached trials
Onychomadesis6179.4
8.6–10.2ROR 9.4 · calibrated p 0.040 ✓
8.1 EB05 7.6 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=584 · ♀ 100% (drug 71%) · 100% cliniciannot reported in cached trials
Bursitis1,7729.3
8.8–9.8ROR 9.3 · calibrated p 0.041 ✓
8.0 EB05 7.7 · IC025 +2.9
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious PRR 8.9 · ♀ 95% (drug 71%)not reported in cached trials
Respiratory symptom4099.2
8.3–10.2ROR 9.2 · calibrated p 0.043 ✓
7.9 EB05 7.3 · IC025 +2.8
3/3 methods agree
No label text to screen
label has no adverse-reaction text
serious n=384 · ♀ 0% (drug 71%)not reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Fall / fracture18,6002.82.7–2.8signal
Tendon disorder1,6492.42.3–2.6signal
Depression11,4692.32.2–2.3signal
Serious infection30,0532.22.2–2.2signal
Opportunistic infection4,2031.71.7–1.8raised
Anaemia9,1731.71.7–1.7raised
Interstitial lung disease2,9321.71.6–1.8raised
Liver injury8,4031.51.5–1.6raised
Venous thromboembolism5,9691.51.5–1.6raised
Arrhythmia / qt5,1651.51.4–1.5raised
Gi bleeding4,7521.41.4–1.5raised
Kidney injury11,8471.41.4–1.5raised
Hyperglycaemia / diabetes8,7541.41.4–1.4raised
Hyponatraemia1,8571.31.2–1.3raised
Thrombocytopenia4,8791.21.2–1.3raised
Osteonecrosis1,1451.11.0–1.2raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Ergocalciferol as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (0 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

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)37,9432.8
2.7–2.8ROR 3.0 · calibrated p 0.640
2.7 EB05 2.7 · IC025 +1.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.6 · serious PRR 3.0NCT01320722: 4/46 (8.7%) on Ergocalciferol; 2/51 (3.9%) control
Nausea28,1912.0
2.0–2.0ROR 2.1 · calibrated p 0.984
2.0 EB05 1.9 · IC025 +1.0No label text to screen
label has no adverse-reaction text
age-adj. PRR 1.9 · serious PRR 2.3NCT01320722: 2/46 (4.3%) on Ergocalciferol; 3/51 (5.9%) control
Diarrhoea (diarrhea)27,0962.4
2.3–2.4ROR 2.5 · calibrated p 0.825
2.3 EB05 2.3 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.1 · serious PRR 2.5NCT01320722: 2/46 (4.3%) on Ergocalciferol
Headache25,9862.3
2.3–2.4ROR 2.4 · calibrated p 0.844
2.3 EB05 2.3 · IC025 +1.2
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.3 · serious PRR 2.8NCT01320722: 3/46 (6.5%) on Ergocalciferol; 2/51 (3.9%) control
Drug ineffective (drug did not work)25,6771.1
1.1–1.1ROR 1.1 · calibrated p 0.356
1.1 EB05 1.1 · IC025 +0.1Reporting / coding artifactage-adj. PRR 1.3 · serious PRR 1.7not reported in cached trials
Pain24,2282.2
2.2–2.2ROR 2.3 · calibrated p 0.909
2.2 EB05 2.1 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.5 · serious PRR 2.4NCT01320722: 3/48 (6.2%) on Ergocalciferol; 2/51 (3.9%) control
Off label use (used outside approved label)23,1421.5
1.5–1.5ROR 1.5 · calibrated p 0.645
1.5 EB05 1.4 · IC025 +0.5Reporting / coding artifactage-adj. PRR 1.5 · serious PRR 1.7not reported in cached trials
Dyspnoea (shortness of breath)20,5112.0
2.0–2.1ROR 2.1 · calibrated p 0.989
2.0 EB05 2.0 · IC025 +1.0No label text to screen
label has no adverse-reaction text
age-adj. PRR 1.8 · serious PRR 2.1not reported in cached trials
Arthralgia (joint pain)20,1792.8
2.7–2.8ROR 2.9 · calibrated p 0.676
2.7 EB05 2.6 · IC025 +1.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.6 · serious PRR 3.3not reported in cached trials
Dizziness19,6282.2
2.2–2.2ROR 2.3 · calibrated p 0.915
2.2 EB05 2.1 · IC025 +1.1
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.1 · serious PRR 2.4NCT01320722: 1/46 (2.2%) on Ergocalciferol; 3/51 (5.9%) control
Asthenia (weakness)17,2322.6
2.5–2.6ROR 2.7 · calibrated p 0.748
2.5 EB05 2.5 · IC025 +1.3
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.2 · serious PRR 2.6not reported in cached trials
Fall17,0392.9
2.9–3.0ROR 3.0 · calibrated p 0.627
2.8 EB05 2.8 · IC025 +1.5
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.4 · serious PRR 2.7not reported in cached trials
Vomiting15,8631.9
1.9–1.9ROR 1.9 · calibrated p 0.901
1.9 EB05 1.8 · IC025 +0.9No label text to screen
label has no adverse-reaction text
age-adj. PRR 1.8 · serious PRR 2.1not reported in cached trials
Pain in extremity14,9332.9
2.8–2.9ROR 2.9 · calibrated p 0.644
2.8 EB05 2.7 · IC025 +1.4
3/3 methods agree
No label text to screen
label has no adverse-reaction text
age-adj. PRR 2.7 · serious PRR 3.3not reported in cached trials
Malaise (feeling unwell)14,7671.9
1.8–1.9ROR 1.9 · calibrated p 0.892
1.8 EB05 1.8 · IC025 +0.9No label text to screen
label has no adverse-reaction text
age-adj. PRR 1.9 · serious PRR 2.2not reported in cached trials

Unlabeled candidate signals

Every screened signal with n ≥ 20 was either labeled, an indication term, or an artifact pattern — no unlabeled candidate stood out in the top signals.

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 Ergocalciferol?

In FDA FAERS, the most frequently co-reported reaction terms for Ergocalciferol are fatigue, nausea, diarrhoea, headache, pain, 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 Ergocalciferol have an FDA boxed warning?

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

Do FAERS signals prove that Ergocalciferol 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.