diff --git a/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCase.java b/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCase.java
index c2c51a6f..00ee0dd4 100644
--- a/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCase.java
+++ b/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCase.java
@@ -102,4 +102,7 @@ public class TBConfirmedCase {
 
     @Column(name = "visitCode")
     private Long visitCode;
+
+    @Column(name = "side_effects")
+    private String sideEffects;
 }
diff --git a/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCaseDTO.java b/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCaseDTO.java
index 7a521177..5e2e5ceb 100644
--- a/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCaseDTO.java
+++ b/src/main/java/com/iemr/flw/domain/iemr/TBConfirmedCaseDTO.java
@@ -5,6 +5,7 @@
 
 import java.sql.Timestamp;
 import java.time.LocalDate;
+import java.util.List;
 
 @Data
 public class TBConfirmedCaseDTO {
@@ -30,5 +31,6 @@ public class TBConfirmedCaseDTO {
     private String reasonForDeath ;
     private String reasonForNotCompleting;
     private Boolean counselled;
+    private List<String> sideEffects;
 
 }
diff --git a/src/main/java/com/iemr/flw/service/impl/TBConfirmedCaseServiceImpl.java b/src/main/java/com/iemr/flw/service/impl/TBConfirmedCaseServiceImpl.java
index 836d853a..d5018cf0 100644
--- a/src/main/java/com/iemr/flw/service/impl/TBConfirmedCaseServiceImpl.java
+++ b/src/main/java/com/iemr/flw/service/impl/TBConfirmedCaseServiceImpl.java
@@ -25,6 +25,8 @@
 
 import java.sql.Timestamp;
 import java.time.LocalDate;
+import java.util.ArrayList;
+import java.util.Arrays;
 import java.util.Collections;
 import java.util.HashSet;
 import java.util.List;
@@ -102,6 +104,7 @@ public String save(List<TBConfirmedCaseDTO> request, String authorisation) throw
                     entity.setPlaceOfDeath(dto.getPlaceOfDeath());
                     entity.setReasonForDeath(dto.getReasonForDeath());
                     entity.setReasonForNotCompleting(dto.getReasonForNotCompleting());
+                    if (dto.getSideEffects() != null) entity.setSideEffects(joinSideEffects(dto.getSideEffects()));
                     // Stop TB / Nikshay reporting — same gap as tb_suspected: benRegID is computed
                     // above for the visit lookup but was never persisted onto the entity.
                     entity.setBenRegID(beneficiaryRegID);
@@ -251,7 +254,23 @@ private TBConfirmedCaseDTO toDTO(TBConfirmedCase entity) {
         dto.setReasonForNotCompleting(entity.getReasonForNotCompleting());
         dto.setUpdateDate(entity.getLastModDate());
         dto.setUpdatedBy(entity.getModifiedBy());
+        dto.setSideEffects(splitSideEffects(entity.getSideEffects()));
 
         return dto;
     }
+
+    private String joinSideEffects(List<String> sideEffects) {
+        return sideEffects.stream()
+                .filter(s -> s != null && !s.isBlank())
+                .map(String::trim)
+                .collect(Collectors.joining(","));
+    }
+
+    private List<String> splitSideEffects(String sideEffects) {
+        if (sideEffects == null) return new ArrayList<>();
+        return Arrays.stream(sideEffects.split(","))
+                .map(String::trim)
+                .filter(s -> !s.isEmpty())
+                .collect(Collectors.toList());
+    }
 }