Objective: Oxazolidinone antibiotics are mainly used for skin and soft tissue infections,sepsis,bone marrow inflammation and other diseases caused by Gram-positive bacteria. Despite the emergence of oxazolidinones as a preferred treatment for drug-resistant Gram-positive bacterial infections, there remains a scarcity of large-scale, real-world studies assessing their safety profiles. The purpose of this study is to determine the adverse events of oxazolidinone antibiotics in the real world environment by analyzing the data of oxazolidinone antibiotics. Method: A retrospective analysis was conducted using reports of adverse drug events (ADEs) extracted from the WHO-VigiAccess database. The significant associations between oxazolidone antibacterial agents and ADEs were evaluated using an imbalance analysis that incorporated reported odds ratios (ROR) and proportional reporting rates (PRR). Result: The investigation unveiled 35,750 linezolid-related adverse event (AE) reports and 608 tedizolid-related AE from the WHO-VigiAccess database.The analysis of the top 30 reported preferred terms (PTs) involving both drugs revealed several key adverse reactions, including thrombocytopenia, anemia, pancytopenia, decreased platelet count, neutropenia, peripheral neuropathy, serotonin syndrome, blurred vision, pruritus, dyspnea, nausea, vomiting, rash, diarrhea, dizziness, and headache. These findings are consistent with reports on adverse reactions associated with drugs used in the treatment of mitochondrial diseases, as detailed in recent studies.These adverse reactions encompassed 27 system organ classifications (SoCs), with a primary focus on blood and lymphatic system disorders, nervous system disorders, and general disorders or administration site conditions. Conclusion: This study provides a detailed report on the levels of SOC and specific PT associated with oxazolidinone antibiotics, highlighting the need for vigilance regarding serious adverse events caused by these drugs. Furthermore, attention should be paid to the hematological and nervous system toxicity associated with oxazolidinone drugs. Our findings offer valuable insights into optimizing the use of oxazolidinone antibacterial drugs and minimizing potential side effects. It is expected to promote the safe use of oxazolidinone antibacterial drugs in the clinical environment.