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Side Effects May Vary Paperback – July 14, 2015
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The first book from Julie Murphy, the #1 New York Times bestselling author of Dumplin'—now a Netflix feature film starring Danielle Macdonald and Jennifer Aniston, with a soundtrack by Dolly Parton!
For fans of John Green and Rainbow Rowell comes this powerful novel about a girl with cancer who creates a take-no-prisoners bucket list that sets off a war at school—only to discover she's gone into remission.
When sixteen-year-old Alice is diagnosed with leukemia, she vows to spend her final months righting wrongs. So she convinces her best friend, Harvey, to help her with a crazy bucket list that's as much about revenge as it is about hope.
But just when Alice's scores are settled, she goes into remission, and now she must face the consequences of all she's said and done.
Contemporary realistic fiction readers who love romantic stories featuring strong heroines will find much to savor in this standout debut.
- Print length352 pages
- LanguageEnglish
- PublisherStorytide
- Publication dateJuly 14, 2015
- Grade level9 - 12
- Reading age14 years and up
- Dimensions5.31 x 0.79 x 8 inches
- ISBN-100062245376
- ISBN-13978-0062245373
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Editorial Reviews
Review
“Honest and unflinching, this is a compelling story of one teen’s struggle with cancer, love, and living. A worthwhile addition.” — School Library Journal
“Readers will turn the last page wanting to know where the next chapter leads.” — Kirkus Reviews
“Alice and Harvey’s relationship is raw, honest, moving, and unapologetic in its depiction of their individual, and collective, pain.” — Booklist
“Julie Murphy weaves together a tender and funny tale of love, friendship, heartache, and redemption. SIDE EFFECTS MAY VARY explodes with brutal honesty, brilliant wit, and unflinching heart.” — John Corey Whaley, winner of the Michael L. Printz Award for WHERE THINGS COME BACK
“Julie Murphy’s SIDE EFFECTS MAY VARY is a funny, heartfelt, honest look at the beauty and the risk of getting a second chance. An inspiring novel about all the things worth living for. I adored this debut!” — Siobhan Vivian, author of The List
“A funny and touching novel about a strong-willed heroine who finds facing death simple, but facing life heart-wrenchingly complicated. A real original.” — Jennifer Echols, author of GOING TOO FAR
“A tale of unlikely romance, impossible obstacles, and mortality, this book is a must-read.” — Teen Vogue
“It’s equal parts fun, cringe-worthy, and totally fearless!” — Seventeen Magazine
“An unexpected twist on the typical cancer story.” — Voice of Youth Advocates (VOYA)
From the Back Cover
When sixteen-year-old Alice is diagnosed with leukemia, her prognosis is grim. To maximize the time she does have, she vows to spend her final months righting wrongs—however she sees fit. She convinces her friend Harvey, who she knows has always had feelings for her, to help her with a crazy bucket list that's as much about revenge (humiliating her ex-boyfriend and getting back at her archnemesis) as it is about hope (doing something unexpectedly kind for a stranger and reliving some childhood memories). But just when Alice's scores are settled, she goes into remission.
Now Alice is forced to face the consequences of all that she's said and done, as well as her true feelings for Harvey. But has she done irreparable damage to the people around her—and to the one person who matters most?
About the Author
Julie Murphy splits her time between North Texas and Kansas with her husband, who loves her, and her cats, who tolerate her. When Julie isn’t writing, she can be found watching movies so bad they're good, hunting for the perfect slice of cheese pizza, or planning her next great travel adventure. She is the author of the middle grade novels Dear Sweet Pea and Camp Sylvania as well as the young adult novels Ramona Blue, Side Effects May Vary, the Faith series, Pumpkin, Puddin’, and Dumplin’ (now a Netflix original film).
Product details
- Publisher : Storytide; Reprint edition (July 14, 2015)
- Language : English
- Paperback : 352 pages
- ISBN-10 : 0062245376
- ISBN-13 : 978-0062245373
- Reading age : 14 years and up
- Grade level : 9 - 12
- Item Weight : 1 pounds
- Dimensions : 5.31 x 0.79 x 8 inches
- Best Sellers Rank: #1,530,563 in Books (See Top 100 in Books)
- Customer Reviews:
About the author

Julie Murphy is the #1 New York Times bestselling author of Dumplin’, Puddin', Ramona Blue, and Side Effects May Vary. She lives in North Texas with her husband who loves her, her dog who adores her, and her cats who tolerate her. When she’s not writing, she can be found reading, traveling, or hunting down the perfect slice of pizza. Before writing full time, she held numerous jobs, such as wedding dress consultant, failed barista, and, ultimately, librarian. Learn more about her at www.juliemurphywrites.com.
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Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.
Learn more how customers reviews work on AmazonCustomers say
Customers find the book well-written with strong and clear voices, and appreciate its honest and emotional content, with one customer noting how it explores psychological aspects of the cancer journey. Moreover, the concept receives positive feedback, with customers saying they learn life lessons from it. However, the story receives mixed reactions, with some loving the plot while others find the ending terrible. Additionally, the character development receives criticism, with several customers finding the characters difficult to like.
AI-generated from the text of customer reviews
Customers praise the writing quality of the book, noting it is an easy read with fully-developed characters and strong, clear voices.
"...And Harvey. Oh, sweet, sweet Harvey. I love this boy. To pieces. He is so stunningly different than a lot of guys in YA...." Read more
"...Another great part of this books is the way the author told the story...." Read more
"...The voices are strong and clear. The plot progresses logically and cleanly...." Read more
"...Alice was really well written. She's very unlikable and sooooooo frustrating...." Read more
Customers appreciate the concept of the book, finding it magnificent and beautiful, with several noting that the protagonist learns valuable life lessons throughout the story.
"...The pure brilliance of this book to me is not only the stunning concept, but how amazingly its executed...." Read more
"...Let me just say; I could NOT put it down! It’s just a beautiful story & it has its moments that make you actually feel for the character(s) in the..." Read more
"...It is well written, and I am sure that there are great themes and lessons to be learned from this story...." Read more
"I picked this book because I thought it was a great concept to write about, and it wouldn't be like John Green's "The Fault In Our..." Read more
Customers find the book emotionally engaging, with one customer noting how their feelings shift and change throughout the narrative, while others describe it as sad.
"...to the here and now, combining the stories and constantly feeling my emotions shift and change. The voice is distinct and easy to fall into...." Read more
"...like your walking the hallways with the characters and experiencing heartache with them...." Read more
"...It was interesting to analyze my feelings as I read Alice's story...." Read more
"...book is centered on teens, the way the book was laid out and the range of emotions, twists and turns, and underlying story is unique...." Read more
Customers appreciate the honesty of the book.
"...Alice and Harvey's relationship was heartfelt and real. It was complicated. It had ups and downs...." Read more
"...I thought that could be a great read and incredibly honest. But the fact is it's not just about getting the last word...." Read more
"frustrating and raw and honest and real...." Read more
Customers find the book humorous.
"It was a really well written book that made me laugh, I was constantly enthralled in the book and didn't want to stop reading...." Read more
"Hilarious premise, tense story..." Read more
"Absolutely, delightfully, sad and funny and perfect...." Read more
Customers have mixed opinions about the story quality of the book, with some loving the plot and combining multiple narratives, while others find the ending terrible.
"...For all the ways he's possibly weak, he's got this huge strength, and a breaking point of his own. He challenges Alice, and he challenges himself...." Read more
"...angst and drama with Alice's leukemia, this was a nice scene filled with friendship and nostalgia. However, this doesn't leave Alice in the right...." Read more
"...some humor, but not as much as I was originally expecting, and a WHOLE lot of drama that really didn't make me want to finish the book...." Read more
"...The voices are strong and clear. The plot progresses logically and cleanly...." Read more
Customers have mixed feelings about the characters in the book, with several finding them difficult to like.
"...After this, Alice becomes a very flawed character. We knew that she used Harvey the whole time she had cancer...." Read more
"...Fault In Our Stars." When the book began, I disliked the main characters so much that I had to put the book down for several days and..." Read more
"...I felt the world and setting and characters were soooo alive!! I would try many of other books because of this, giving her a second or third shot...." Read more
"...the " last word" was extremely selfish and her whole character was drenched in toxicity and a terrible personality...." Read more
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Top reviews from the United States
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- Reviewed in the United States on June 21, 2014Reviewing a book that captures a huge part of your heart and mind, that hits all your right buttons, that speaks on so many levels to you, is sometimes impossible to do. How do you really convey everything amazing about this book, without being able to give needed details due to spoilers? That's where I'm at with this one. I feel like I should say, I know Julie. But that in no way influences my intense love of this book. Honestly, I'd almost wish we weren't friends so maybe people would believe me that much more when I say this is one of those books you must read. No matter what. (But I love Julie, thus the almost).
But this book. I connected so hard to Alice. I love this prickly girl who flat out gets revenge on people because she thinks she's dying, and she's angry, and hey she won't be around to handle the fall out. No, she's not a nice person in a lot of ways. But she goes through so much growth. I love the girl she becomes, the change in how she views the world. And, oh, god, the sweetness and connection between her and Harvey. I can see why readers might not like Alice. She does some awful things. But I rooted hard for her. And if I'm being totally honest, I saw part of myself in her. I think whether people want to admit it or not, everyone at least imagines what it'd be like to do what you want, regardless of the consequences. Then there's Alice, who really does it. I admire that. Even if it's in part because she won't have to handle the fallout. But I also just admire how take life by the horns she is, how determined she is. There is an immense strength in this girl, and I can't help but love her.
And Harvey. Oh, sweet, sweet Harvey. I love this boy. To pieces. He is so stunningly different than a lot of guys in YA. At the start, he and Alice haven't talked in way too long, despite the friendship that used to be between them. There is such palpable pain there, and it drew me right in. Then comes Alice's diagnosis, and he's back in her life. He knows she's using him, but he doesn't care. And maybe to some that makes him weak, but to me, it just melted me for this boy, this person who cares about someone so much they take the time they can get, do what they can to help that person in what is likely their final months. Yes, she treats him really crappy at times, and yet, I could never hate her for it, or hate him for taking it. Something about these two, both apart and together, enamored me and broke me. For all the ways he's possibly weak, he's got this huge strength, and a breaking point of his own. He challenges Alice, and he challenges himself. And these two just... break me. There's no other word for it. Harvey is amazing. He's that solid thing you can fall back on, yet he's also that thing that will let you fall when it's best for you int he end.
The pure brilliance of this book to me is not only the stunning concept, but how amazingly its executed. Told in dual POV between Harvey and Alice, but also in a nonlinear fashion, with the past mixed into the present on both sides. It's a style that I sometimes can't wrap my head around trying to do, and Julie does it so, so, so well. I followed the overall storyline so well, adding these pieces of the past to the here and now, combining the stories and constantly feeling my emotions shift and change. The voice is distinct and easy to fall into. Everything about this book sang to me. From the not so easy to swallow choices Alice makes to the raw yet sweet friendship and romance to the roller coaster of emotions throughout.
I'm calling it now. This is my best book of 2014.
- Reviewed in the United States on September 27, 2015Alice and Harvey have been friends since childhood. They did everything together. When Harvey was made fun of at school, Alice would beat the person up. Literally throw punches and hurt the person for hurting Harvey. As they grow up, Harvey realizes that he likes Alice more than a friend. In fact, He is in love with her.
Both their worlds are thrown upside down when Alice gets sick. She is diagnosed with terminal cancer. She won't live much longer. Alice's battle with Leukemia is very truthful. Harvey describes her appearance in full detail. Alice deteriorates quickly, and Harvey is by her side the entire side. They have begun a slightly romantic relationship. Occasional kisses. Harvey knew it was a mistake to get even closer to Alice while she got sicker and sicker, but he couldn't say no to her, and this is Harvey's greatest flaw. Alice stops her chemotherapy rather quickly, because it is making her life to miserable.
As Alice continues her struggle, the whole death thing hits her. She realizes that there are things she needs to do before she dies, and she gets started right away. She get's Harvey to help her and she goes on a "Paper Towns" style revenge quest. But it's not only revenge she is going for. There are a few nicer deeds thrown in the mix.
Alice starts with Luke. Her ex-boyfriend. Luke was pretty terrible to Alice. He cheated on her with Alice's worst high school enemy Celeste. Celeste and Alice have had a rivalry since childhood ballet classes. Alice had the form of a ballerina, and always beat out the slightly curvier Celeste.
To get revenge on Luke, Alice get's ahold of a photograph. It is a snapshot of Luke kissing another boy from school. Luke's face is clearly visible in the shot. Alice tells Luke to come to the gym to before she showed the whole school the picture. This may not seem like a horrible situation. But trust me, it gets worse. Luke runs into the gym from weight lifting class. All he has on is a towel. Turns out, there is an assembly going on, so Luke is shimmying up a ladder is a towel. And oh so slowly that towel falls off. Alice didn't have to even post the picture for Luke to embarrass himself in front of the whole school.
For Celeste, Alice goes even farther. Celeste is in the school musical, dancing a ballet solo. When Celeste goes on stage, Harvey helps her distract the people who are supposed to go on stage, so she can. The stage managers try to fix everything, but eventually just let it go. Alice and Celeste dance side by side. As their plan continues, a huge bucket of fake blood is dumped on their heads. This iconic scene from "Carrie" was really intense. Harvey's view of Alice dancing around with fake blood on her was astonishing. It was really unpredicted. I had simply thought Alice would steal Celeste's part in the ballet.
Her other tasks on her bucket list were nicer. They changed the lives of people. She purchased a dog that was about to be put down and gave it to the neighbor girl who couldn't afford it. She also found Harvey's grandfather for him. His father had left when he was a baby. Harvey had always been curious about his father, and Alice gave him the lead he needed. Alice, Harvey and a few other friends also sneak into an amusement park. With all the angst and drama with Alice's leukemia, this was a nice scene filled with friendship and nostalgia. However, this doesn't leave Alice in the right. She is a mean girl. As bad as Celeste. She fuels that fire one hundred percent. At times, even Harvey tells her what a terrible person she is being. Harvey holds Alice on a bit of pedestal, so when he says something like this, we know it's true.
Alice and Harvey's relationship wasn't always easy. Harvey told Alice he loved her, but she couldn't say it back. I think she has a fear of commitment. Her cancer was probably to blame for that. She didn't want to get close to Harvey, because soon she would leave him alone in his misery. I guess I understand her reasoning. They were incredibly close, however. Alice persuaded Harvey to have sex with her because she wanted to before she died. She told him that she would miss Harvey the most. To him, that was equal to an "I Love You".
But with no explanation, Alice's cancer is gone. She's now in remission. Her family is ecstatic, but Alice doesn't know what to feel. She has spent the last year waiting for death. She had accepted that death was always looming around her. Sometimes she yearned for it. For now, that possibility is gone. Alice has another problem with this. Harvey will assume that their relationship will continue normally. However, Alice is still afraid of her feelings about Harvey. She knows that Harvey will want a commitment, and Alice doesn't want to give him that.
Alice's solution is simply to avoid Harvey. Even when she returns to school, she doesn't even look at him. It hurt both of them deeply. They drift apart. When they awkwardly meet at the dance studio or in class, they don't get along. Alice meets Eric. She needs an escape and uses Eric as that. He comes over and they get steamy. And right on cue, in walks our favorite, Harvey. He is devastated. No matter how much Alice avoided him, Harvey thought there was still something between that. He told Alice to choose, and she didn't choose Harvey.
After this, Alice becomes a very flawed character. We knew that she used Harvey the whole time she had cancer. During her bucket list, he did things for Alice that he really didn't want to do. He was a very good person, and the things he was doing for Alice were wrong. She also manipulated him during their so-called relationship.
Harvey is still in love with Alice. Nothing he does can seem to shake her. Deborah is used as a distraction. When Harvey talks to this new girl and forms a sort of relationship. Deborah is nice, but her and Harvey don't really click. They both know this, but continue to see each other.
Celeste and Luke come to taunt Alice in full force. They make a fake memorial for her in the school hallway. The first problem with this is that Alice is still alive! Maybe if she had died, something like this would be acceptable, but not now. Now it's just insulting. The worst part is that it's not a normal memorial. There are terrible words on all the pictures and Alice's eyes are all scratched out. Alice sees this and punches Luke in the face. She may be a bad girl, and have this hard exterior, but this event really hurt her inside.
Alice's family and Harvey and his mom always go on small road trips. This year, they are going to a beach house a few hours away. The car ride is intensely awkward. Alice and Harvey don't talk. Her dad guilts her into talking and singing to the road trip music, by saying how much they need a break. At the beach house, Harvey and Alice share a room and their relationship boils over.
In the middle of the night, after a swim in the ocean, Alice kisses Harvey. They escape into each other for the night. It was a really sweet moment, even thought they both knew it was wrong. What made it even more wrong was that Harvey's girlfriend Deborah showed up at the beach house. the family had invited her along and not told Alice. Alice is devastated. She yells at Harvey and gets screamed at by her mother. Alice uses a secret she has been keeping for years, that her mother had been cheating on her father. She chucks a frying pan into the sliding glass door. Storming out ensures.
Harvey comes to apologize to Alice about keeping Deborah a secret. They had just broken up. Deborah and Harvey both knew that he was still in love with Alice, no matter how horrible she treated him. Harvey admits to Alice that he still loves her. All he needs is for her to say it back. Alice is ready too as well, but something entirely different comes out of her mouth.
She calls Harvey out on everything. Calls him pathetic. Calls him a distraction. After everything that Harvey did for Alice whether is concerned her cancer or not. Alice tells Harvey that she just used him for everything. I wasn't expecting this from Alice. Even though she can be a mean girl, I never thought she would go so low.
Once the families are home, Alice knows Harvey will never forgive her. So she gives him the information she compiled about his father and leads him to see his grandfather. The way Alice did this was by using a dozen letters with instructions on them. It was really cute, and the plan was successful. Alice returns to Harvey and finally admits to him that she loves him.
Yes, I know, it's a bit of a cheesy ending. Cancer gone, and getting the girl. But it was actually really nice. After all the angst throughout the book, I liked that ended up together. No matter how bad of a friend Alice could be, there was always that part of her that loved Harvey, whether she said it or not.
I'm giving this book 4 out of five stars. It was a really great contemporary novel and I am so glad I found it. I also got the Kindle edition for a great price. Alice and Harvey's relationship was heartfelt and real. It was complicated. It had ups and downs. Another great part of this books is the way the author told the story. Chapters alternated between Harvey and Alice's point of view and they were either "before" or "after". Before meaning before Alice went into remission. These chapters are mostly her revenge plan and complicated romance with Harvey. The after chapters have a lot more anger and troubling circumstances. I recommend this delightful book for any contemporary fans!
- Reviewed in the United States on May 2, 2017Alice has a problem. And it's not that her cancer is killing her. It's that her cancer is gone and she's going to live. While she was sick she sought payback on some people she felt had wronged her, aided by her best friend, Harvey. Now she's going to deal with some consequences.
The story is narrated by Alice and Harvey, in chapters that are vary between the past and present. The voices are strong and clear. The plot progresses logically and cleanly. My problem is with these two main characters: Harvey is a doormat, and Alice is hideous. She must be the least sympathetic cancer patient ever. There is absolutely nothing to like about her. I simply could not find any redeeming feature within her at all. And because of that I found it hard to like the book very much either. Which is too bad, because I found the premise intriguing. Three and a half stars.
- Reviewed in the United States on August 7, 2014This book... I have to say I loved it, I want to write novels one day, and I started one already and reading this has really showed me what kind of writer I aspire to be. I love how you feel in the story like your walking the hallways with the characters and experiencing heartache with them. I even love the Acknowledgements which I think every one should read, they tell you more about an author than the actual bio. "The path of dreams is flawed..." I wish I could write a thank you letter to this author but instead I will write a review. Thank you Julie Murphy please write more
Top reviews from other countries
Mohamed DidiReviewed in India on November 14, 20174.0 out of 5 stars Four Stars
No probllem
ShelliReviewed in Canada on December 26, 20205.0 out of 5 stars Arrived in good condition
Gift for granddaughter. She is excited to read it
CaroMamaReviewed in the United Kingdom on January 11, 20205.0 out of 5 stars Love, loss, life
Beautiful writing questioning the big things in life through real, heartfelt characters. Alice has cancer but we are never made to pity her, and I love the exploration of her relationship with childhood friend, Harvey.
Madeline JonesReviewed in Australia on October 15, 20153.0 out of 5 stars Three Stars
A heart-warming story, if a bit average
A. LintonReviewed in the United Kingdom on May 31, 20164.0 out of 5 stars Well written YA adult with unique (if unlikeable) heroine
I really really wanted to sympathise with Alice the heroine (anti-heroine?) of this novel, but even making allowances for the suffering she had endured I found it impossible. The pranks she plays on the other kids who have got on the wrong side of her are horrible - particularly the one on Celeste, it suggests a sick mind as well as a sick body. I also found it really distasteful the way she taunted Celeste about her weight, when it was obvious that she wasn't overweight, just not skinny enough for ballet. To make things worse, it's not only her enemies she torments, the way she treats Harvey, a sweet boy who would do anything for her, is pretty appalling too. To be fair the author doesn't make allowances for Alice or sugarcoat the consequences she faces for actions she thought she would never have to face up to because of her illness. My problem was I found it impossible to root for Alice to end up with Harvey because frankly he deserves a lot better and she would end up making him miserable.
The ending wasn't great for me as it didn't offer enough closure - the book just suddenly stopped, but having said that the writing is pretty sharp and it kept me gripped the whole way through, so I decided to up my rating from 3 to 4 stars. Also have to give her credit for not making Alice the typical sickly sweet cancer sufferer we often find in romantic novels.

