← All drugs
Drug · FAERS side-effect profile with label screen

Mycophenolate Mofetil side effects: what 134,957 FDA adverse event reports show

Mycophenolate Mofetil · 1,379 reaction terms · 617,424 drug–reaction co-reports · data 2026-09-14
Share: X Facebook Reddit Email

Drug class

Antimetabolite immunosuppressant

FDA label, Indications wording

Who reports

134,957 reports · 91% serious · 24,236 with death outcome · 50% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Mycophenolate mofetil (MMF) is indicated for the prophylaxis of organ rejection, in adult and pediatric recipients 3 months of age and older of allogeneic kidney , heart or liver transplants , in combination with other immunosuppressants.

FDA label, Indications and Usage

What it is

Mycophenolate mofetil is a carboxylic ester resulting from the formal condensation between the carboxylic acid group of mycophenolic acid and the hydroxy group of 2-(morpholin-4-yl)ethanol.

PubChem CID 5281078 (ChEBI)

Boxed warning

EMBRYOFETAL TOXICITY, MALIGNANCIES and SERIOUS INFECTIONS Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations. Avoid if safer treatment options are available.

FDA 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

Labeled adverse reaction 4Labeled (related wording) 8Likely indication confounding 7Not in label — unassessed 21
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). 1,339 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
Smooth muscle cell neoplasm290371.0
299.8–459.2ROR 371.8 · calibrated p 2e-12 ✓
107.9 EB05 97.9 · IC025 +6.3
3/3 methods agree
Not in label — unassessedserious n=289 · ♀ 82% (drug 50%) · 100% cliniciannot reported in cached trials
Polyomavirus-associated nephropathy1,471271.8
249.6–295.9ROR 274.8 · calibrated p 2e-11 ✓
98.1 EB05 94.0 · IC025 +6.5
3/3 methods agree
Labeled adverse reaction
exact term
serious n=1,471 · ♀ 28% (drug 50%) · 97% cliniciannot reported in cached trials
Trichodysplasia spinulosa233255.2
206.9–314.8ROR 255.6 · calibrated p 7e-11 ✓
95.3 EB05 85.4 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=201 · 100% cliniciannot reported in cached trials
Transplant dysfunction1,030221.5
201.3–243.7ROR 223.2 · calibrated p 2e-10 ✓
90.7 EB05 86.1 · IC025 +6.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=1,030 · 96% cliniciannot reported in cached trials
Malacoplakia227216.0
176.5–264.4ROR 216.4 · calibrated p 3e-10 ✓
89.2 EB05 79.9 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=223 · 100% cliniciannot reported in cached trials
Grip strength134214.8
165.1–279.3ROR 215.0 · calibrated p 4e-10 ✓
88.6 EB05 76.7 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=134 · ♀ 100% (drug 50%) · 100% cliniciannot reported in cached trials
Polyomavirus viraemia555195.6
172.5–221.8ROR 196.4 · calibrated p 5e-10 ✓
85.9 EB05 80.1 · IC025 +6.2
3/3 methods agree
Not in label — unassessedserious n=551 · 97% cliniciannot reported in cached trials
Delayed graft function389191.7
165.1–222.5ROR 192.2 · calibrated p 7e-10 ✓
85.1 EB05 78.2 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=389 · 94% cliniciannot reported in cached trials
C-reactive protein494187.1
164.0–213.4ROR 187.8 · calibrated p 8e-10 ✓
84.2 EB05 78.2 · IC025 +6.1
3/3 methods agree
Labeled adverse reaction
exact term
serious n=494 · ♀ 100% (drug 50%) · 96% cliniciannot reported in cached trials
Phaeohyphomycosis245179.3
149.1–215.7ROR 179.7 · calibrated p 1e-9 ✓
82.4 EB05 74.1 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=245 · ♀ 28% (drug 50%) · 100% cliniciannot reported in cached trials
Heart transplant rejection557178.5
158.0–201.8ROR 179.3 · calibrated p 1e-9 ✓
82.5 EB05 76.9 · IC025 +6.1
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=556NCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE)
Transplant rejection4,103164.3
157.3–171.7ROR 169.5 · calibrated p 2e-9 ✓
79.5 EB05 77.5 · IC025 +6.2
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 50.4 · 93% clinicianNCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE)
Swollen joint count121151.0
117.4–194.2ROR 151.1 · calibrated p 7e-9 ✓
75.4 EB05 64.8 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=121 · ♀ 100% (drug 50%) · 100% cliniciannot reported in cached trials
Parvovirus b19 infection429148.1
129.7–169.1ROR 148.6 · calibrated p 6e-9 ✓
75.3 EB05 69.5 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=382 · 100% cliniciannot reported in cached trials
Deep vein thrombosis postoperative937142.8
130.6–156.1ROR 143.8 · calibrated p 7e-9 ✓
74.1 EB05 70.2 · IC025 +6.0
3/3 methods agree
Not in label — unassessedserious n=937 · ♀ 100% (drug 50%) · 92% cliniciannot reported in cached trials
Complications of transplanted heart100134.7
103.0–176.3ROR 134.8 · calibrated p 2e-8 ✓
71.0 EB05 60.1 · IC025 +5.4
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=100 · ♀ 0% (drug 50%) · 100% clinicianNCT00300274: 2/268 (0.7%) on Mycophenolate Mofetil (serious AE)
Mycobacterium haemophilum infection117132.9
103.7–170.3ROR 133.0 · calibrated p 2e-8 ✓
70.6 EB05 60.5 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=117 · ♀ 0% (drug 50%) · 100% cliniciannot reported in cached trials
Complications of transplanted kidney1,019131.1
120.6–142.6ROR 132.1 · calibrated p 1e-8 ✓
70.8 EB05 67.3 · IC025 +6.0
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=1,016 · 92% cliniciannot reported in cached trials
Alternaria infection164125.5
102.0–154.3ROR 125.6 · calibrated p 3e-8 ✓
68.7 EB05 60.3 · IC025 +5.6
3/3 methods agree
Not in label — unassessedserious n=162 · ♀ 0% (drug 50%) · 100% cliniciannot reported in cached trials
Lupus vulgaris520120.9
107.7–135.6ROR 121.3 · calibrated p 3e-8 ✓
67.7 EB05 62.9 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=520 · ♀ 100% (drug 50%) · 95% cliniciannot reported in cached trials
Bk virus infection1,455119.7
111.8–128.2ROR 121.0 · calibrated p 3e-8 ✓
67.4 EB05 64.5 · IC025 +6.0
3/3 methods agree
Labeled adverse reaction
exact term
serious n=1,403 · 97% clinicianNCT00300274: 1/279 (0.4%) on Mycophenolate Mofetil (serious AE)
Chronic graft versus host disease in skin372107.5
94.1–122.7ROR 107.8 · calibrated p 7e-8 ✓
63.2 EB05 58.0 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=372 · 93% cliniciannot reported in cached trials
Graft loss295104.7
90.3–121.4ROR 104.9 · calibrated p 9e-8 ✓
62.2 EB05 56.5 · IC025 +5.6
3/3 methods agree
Labeled adverse reaction
exact term
serious n=293 · 100% cliniciannot reported in cached trials
Complications of transplanted lung120100.9
80.1–127.1ROR 101.0 · calibrated p 1e-7 ✓
60.5 EB05 52.0 · IC025 +5.3
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=120 · ♀ 0% (drug 50%) · 100% cliniciannot reported in cached trials
Graft dysfunction114100.9
79.6–127.9ROR 101.0 · calibrated p 2e-7 ✓
60.5 EB05 51.7 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=113 · ♀ 0% (drug 50%) · 100% cliniciannot reported in cached trials
Kidney transplant rejection1,88099.5
93.9–105.4ROR 100.8 · calibrated p 1e-7 ✓
60.5 EB05 58.3 · IC025 +5.8
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=1,876not reported in cached trials
Acute graft versus host disease in intestine53696.1
86.3–107.1ROR 96.5 · calibrated p 2e-7 ✓
59.2 EB05 55.1 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=535 · 100% cliniciannot reported in cached trials
Acute graft versus host disease in skin1,04694.9
87.9–102.5ROR 95.6 · calibrated p 2e-7 ✓
58.8 EB05 55.9 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=1,043 · 96% cliniciannot reported in cached trials
Acute graft versus host disease in liver27394.7
81.4–110.1ROR 94.9 · calibrated p 2e-7 ✓
58.5 EB05 52.9 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=273 · 100% cliniciannot reported in cached trials
Microtia12093.7
74.6–117.6ROR 93.8 · calibrated p 3e-7 ✓
57.9 EB05 49.7 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=119 · ♀ 100% (drug 50%) · 100% cliniciannot reported in cached trials
Pulmonary mucormycosis19292.2
77.1–110.3ROR 92.3 · calibrated p 3e-7 ✓
57.5 EB05 51.0 · IC025 +5.4
3/3 methods agree
Not in label — unassessedserious n=192 · 100% cliniciannot reported in cached trials
Chronic graft versus host disease in liver13391.2
73.6–113.1ROR 91.3 · calibrated p 3e-7 ✓
57.0 EB05 49.3 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=133 · 100% cliniciannot 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
Opportunistic infection8,75310.610.4–10.8signal
Interstitial lung disease2,8914.84.6–5.0signal
Kidney injury10,8503.83.7–3.8signal
Serious infection15,4493.23.1–3.2signal
Liver injury5,5592.92.8–3.0signal
Neutropenia / agranulocytosis4,4412.82.7–2.9signal
Anaemia4,1232.22.1–2.2signal
Thrombocytopenia2,9452.12.0–2.2signal
Rhabdomyolysis / myopathy1,0832.12.0–2.2raised
Pancreatitis1,0092.01.8–2.1raised
Hyperglycaemia / diabetes3,8451.71.7–1.8raised
Hyponatraemia8021.61.4–1.7raised
Gi bleeding1,6101.41.3–1.4raised
Osteonecrosis4791.31.2–1.4raised
Heart failure1,2791.11.1–1.2raised
Venous thromboembolism1,4831.11.0–1.1raised

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Mycophenolate Mofetil 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 (4 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
Off label use (used outside approved label)19,5483.6
3.5–3.6ROR 4.0 · calibrated p 0.379
3.5 EB05 3.5 · IC025 +1.8
3/3 methods agree
Reporting / coding artifactage-adj. PRR 3.0 · serious PRR 3.7not reported in cached trials
Drug ineffective (drug did not work)11,2941.3
1.3–1.4ROR 1.4 · calibrated p 0.552
1.3 EB05 1.3 · IC025 +0.4Reporting / coding artifactage-adj. PRR 1.6 · serious PRR 2.2not reported in cached trials
Product use in unapproved indication7,2904.7
4.6–4.9ROR 5.0 · calibrated p 0.239
4.6 EB05 4.5 · IC025 +2.2
3/3 methods agree
Reporting / coding artifactage-adj. PRR 4.4 · serious PRR 6.2 · 94% cliniciannot reported in cached trials
Diarrhoea (diarrhea)6,9791.7
1.7–1.7ROR 1.7 · calibrated p 0.788
1.7 EB05 1.7 · IC025 +0.7Labeled adverse reaction
exact term
age-adj. PRR 1.6 · serious PRR 1.7NCT00300274: 5/268 (1.9%) on Mycophenolate Mofetil (serious AE)
Pyrexia (fever)5,7002.6
2.5–2.7ROR 2.7 · calibrated p 0.750
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.0 · serious PRR 2.0NCT00300274: 1/167 (0.6%) on Mycophenolate Mofetil (serious AE)
Pneumonia (lung infection)5,3332.6
2.5–2.7ROR 2.7 · calibrated p 0.750
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
Labeled — boxed warning
synonym match
age-adj. PRR 2.4 · serious PRR 1.7NCT00300274: 1/279 (0.4%) on Mycophenolate Mofetil (serious AE)
Nausea4,5510.9
0.9–0.9ROR 0.9 · calibrated p 0.238
0.9 EB05 0.9 · IC025 -0.2
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
age-adj. PRR 0.7 · serious PRR 0.9 · ♀ 75% (drug 50%)NCT00300274: 7/268 (2.6%) on Mycophenolate Mofetil (serious AE)
Condition aggravated4,4992.3
2.3–2.4ROR 2.4 · calibrated p 0.866
2.3 EB05 2.3 · IC025 +1.2
3/3 methods agree
Reporting / coding artifactage-adj. PRR 2.1 · serious PRR 2.2not reported in cached trials
Dyspnoea (shortness of breath)4,2301.2
1.1–1.2ROR 1.2 · calibrated p 0.418
1.2 EB05 1.1 · IC025 +0.2Labeled adverse reaction
exact term
age-adj. PRR 1.1 · serious PRR 0.9NCT00300274: 8/268 (3.0%) on Mycophenolate Mofetil (serious AE)
Transplant rejection4,103164.3
157.3–171.7ROR 169.5 · calibrated p 2e-9 ✓
79.5 EB05 77.5 · IC025 +6.2
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 50.4 · 93% clinicianNCT00300274: 26/268 (9.7%) on Mycophenolate Mofetil (serious AE)
Vomiting4,0991.4
1.3–1.4ROR 1.4 · calibrated p 0.557
1.4 EB05 1.3 · IC025 +0.4Labeled adverse reaction
exact term
age-adj. PRR 1.1 · serious PRR 1.2 · ♀ 74% (drug 50%)NCT00300274: 5/268 (1.9%) on Mycophenolate Mofetil (serious AE)
Headache3,9911.0
1.0–1.0ROR 1.0 · calibrated p 0.300
1.0 EB05 1.0 · IC025 -0.1
PRR-only: not supported by EBGM or IC
Labeled adverse reaction
exact term
age-adj. PRR 0.8 · serious PRR 1.1 · ♀ 74% (drug 50%)NCT00300274: 2/279 (0.7%) on Mycophenolate Mofetil (serious AE)
Infection3,8554.2
4.1–4.4ROR 4.3 · calibrated p 0.321
4.2 EB05 4.0 · IC025 +2.0
3/3 methods agree
Labeled — boxed warning
exact term
age-adj. PRR 3.5 · serious PRR 3.2NCT00300274: 1/167 (0.6%) on Mycophenolate Mofetil (serious AE)

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: Mycophenolate Mofetil Hydrochloride ↔ Cytomegalovirus Infection.

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 Mycophenolate Mofetil?

In FDA FAERS, the most frequently co-reported reaction terms for Mycophenolate Mofetil are diarrhoea, pyrexia, pneumonia, cytomegalovirus infection, fatigue, nausea. 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 Mycophenolate Mofetil have an FDA boxed warning?

Yes. The current FDA label carries a boxed warning: EMBRYOFETAL TOXICITY, MALIGNANCIES and SERIOUS INFECTIONS Use during pregnancy is associated with increased risks of first trimester pregnancy loss and congenital malformations. Avoid if safer treatment options are available.

Do FAERS signals prove that Mycophenolate Mofetil 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.