OpenClaim

Nirmatrelvir Side Effects

The most commonly reported side effects of nirmatrelvir include covid-19, disease recurrence, and dysgeusia, based on 53,393 FDA adverse event reports from 2010 to 2025.

Nirmatrelvir side effects

Percentages show how often each reaction appears relative to total reports for nirmatrelvir.

1
Covid-1942.7%22,822
2
Disease Recurrence37.6%20,089
3
Dysgeusia13.7%7,318
4
Diarrhoea7.5%4,027
5
Nausea4.9%2,642
6
Headache4.1%2,169
7
Cough3.8%2,042
8
Fatigue3.8%2,018
9
Incorrect Dose Administered3.2%1,694
10
Drug Interaction2.7%1,448
11
Vomiting2.6%1,408
12
Nasal Congestion2.6%1,366
13
Malaise2.6%1,364
14
Off Label Use2.5%1,323
15
Oropharyngeal Pain2.3%1,248

These are voluntary reports and do not establish that nirmatrelvir caused these reactions.

Report severity

18.2%Serious9,708 reports
6.1%Hospitalizations3,251 reports
1.0%Fatal550 reports

Seriousness is determined by the reporter, not by OpenClaim.

Nirmatrelvir drug interactions

Other drugs that appear in adverse event reports alongside nirmatrelvir. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Ritonavir94.8%50,594
2
Ocrelizumab0.6%304
3
Simvastatin0.3%170
4
Atorvastatin-calcium0.3%158
5
Dupilumab0.3%153
6
Tacrolimus0.2%119
7
Apixaban0.2%118
8
Prednisone0.2%109
9
Adalimumab0.2%94
10
Rituximab0.2%93
11
Amlodipine0.2%90
12
Dexamethasone0.2%88
13
Mycophenolate0.2%83
14
Lenalidomide0.1%77
15
Acetaminophen0.1%72

Taken alongside

1
Levothyroxine-sodium5.1%2,712
2
Atorvastatin-calcium4.1%2,176
3
Ergocalciferol3.9%2,085
4
Acetaminophen3.4%1,803
5
Ritonavir3.0%1,599
6
Aspirin2.6%1,363
7
Amlodipine2.4%1,301
8
Losartan-potassium2.4%1,300
9
Lisinopril2.4%1,287
10
Omeprazole2.4%1,282
11
Metformin2.3%1,210
12
Rosuvastatin2.2%1,164
13
Metoprolol2.2%1,160
14
Ibuprofen2.1%1,113
15
Fluticasone2.0%1,084

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports nirmatrelvir side effects

58.0% of nirmatrelvir adverse event reports involve female patients and 31.8% involve male patients. The largest age group is adult at 54%. These figures reflect who reports side effects, not underlying risk.

Sex

Female58.0%
Male31.8%
Unknown10.2%

Age group

< 2<0.1%
2–11<0.1%
12–170.4%
18–6454.5%
65+45.0%

What is nirmatrelvir used for

Conditions and purposes for which patients were taking nirmatrelvir when the adverse event was reported.

Adrenocortical Insufficiency AcuteAntibody Test PositiveAnticoagulant TherapyAntiviral ProphylaxisAntiviral TreatmentArrhythmiaArthralgiaAsthmaAsymptomatic Covid-19Attention Deficit Hyperactivity DisorderAutoimmune DisorderBlood CholesterolBlood Pressure MeasurementBody Mass Index AbnormalBody Mass Index Increased

Showing 15 of 147 indications

Nirmatrelvir brand names and reporting trend

Nirmatrelvir is sold under the brand name Paxlovid (copackaged).

Brand names

Paxlovid (copackaged)302

Quarterly reports (20102025)

201020242025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking nirmatrelvir with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.