Reported Reactions

Drugs › Vascular endothelial growth factor inhibitor

Brand name · Bevacizumab

Avastin: adverse event reports filed with FDA

60,510 reports list it as a suspect or interacting product, 2004–2026. Class: Vascular endothelial growth factor inhibitor. Also reported as Avastin /01555201/, Avastin /00848101/.

60,510
reports as suspect product
0.3% of all reports · about 2,690 a year
2,198
reports, 12 months to June 2026
2,427 in the 12 months before
87.3%
marked serious by the reporter
87.6% across the class
27.9%
record death among outcomes, as reported
16,904 reports · not verified by FDA

Between January 2004 and June 2026, 60,510 adverse event reports received by FDA list the brand name Avastin (bevacizumab) as a suspect or interacting product. Reports that mention it only as a concomitant medication (5,216) are left out of every figure here.

In the 12 months to June 2026, 2,198 reports listed it, close to the 2,427 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 2,690 reports a year and 0.3% of the 20,646,523 reports in the database, and 34.3% of the reports for the vascular endothelial growth factor inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are death (15.8%), off label use (11.9%) and disease progression (7%). A report can list several reactions, so shares add to more than 100%; 2,895 different terms appear across these reports. Death is recorded in 15.8% of these reports, a larger share than in the median vascular endothelial growth factor inhibitor drug (6.8%).

87.3% of the reports are marked serious by the reporter (87.6% across the class); 27.9% record death among the outcomes and 27% record hospitalisation, as reported. 50.8% of the reports came from physicians, and the largest patient age group is 45 to 64 (23.8%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0258516Jul 2021: 230Aug 2021: 206Sep 2021: 180Oct 2021: 189Nov 2021: 217Dec 2021: 2842022Jan 2022: 166Feb 2022: 195Mar 2022: 239Apr 2022: 472May 2022: 212Jun 2022: 267Jul 2022: 217Aug 2022: 215Sep 2022: 248Oct 2022: 198Nov 2022: 263Dec 2022: 2212023Jan 2023: 155Feb 2023: 226Mar 2023: 305Apr 2023: 516May 2023: 196Jun 2023: 269Jul 2023: 231Aug 2023: 191Sep 2023: 225Oct 2023: 286Nov 2023: 220Dec 2023: 2192024Jan 2024: 156Feb 2024: 184Mar 2024: 239Apr 2024: 482May 2024: 185Jun 2024: 225Jul 2024: 310Aug 2024: 191Sep 2024: 241Oct 2024: 205Nov 2024: 155Dec 2024: 2322025Jan 2025: 175Feb 2025: 197Mar 2025: 177Apr 2025: 205May 2025: 186Jun 2025: 153Jul 2025: 183Aug 2025: 172Sep 2025: 191Oct 2025: 180Nov 2025: 217Dec 2025: 2132026Jan 2026: 144Feb 2026: 158Mar 2026: 190Apr 2026: 218May 2026: 168Jun 2026: 164

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

03,7037,4062004: 57620042005: 9062006: 1,4002007: 1,28420072008: 1,5402009: 1,5342010: 1,61820102011: 1,6712012: 7,4062013: 3,35520132014: 3,1352015: 2,7052016: 2,72220162017: 5,1802018: 3,6162019: 3,22320192020: 2,9062021: 3,6852022: 2,91320222023: 3,0392024: 2,8052025: 2,24920252026: 1,042

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Avastin reports recording the termmedian drug in vascular endothelial growth factor inhibitor

  1. Deaththe patient died; cause not stated by this term15.8%9,540
  2. Off label useused for a purpose or in a way not on the label11.9%7,212
  3. Disease progressionthe disease advanced7%4,245
  4. Diarrhoealoose or frequent stools4.7%2,826
  5. Fatiguetiredness4.5%2,700
  6. Nauseafeeling sick4.4%2,669
  7. Hypertensionhigh blood pressure3.6%2,206
  8. Vomitingbeing sick3.3%2,024
  9. No adverse eventno adverse event was reported3.2%1,910
  10. Astheniaweakness or lack of energy3%1,801
  11. Pyrexiafever2.7%1,662
  12. Decreased appetitereduced appetite2.5%1,531
  13. Dyspnoeashortness of breath2.4%1,468
  14. Drug ineffectivethe medicine did not work as expected2.4%1,436
  15. Painpain, site not specified2.2%1,355
  16. Abdominal painstomach or belly pain2.1%1,291
  17. Headachehead pain2.1%1,282
  18. Anaemialow red blood cells2%1,204
  19. Intentional product use issuedeliberate use not as intended1.9%1,177
  20. Constipationconstipation1.8%1,119
  21. Proteinuriaprotein in the urine1.8%1,101
  22. Weight decreasedweight loss1.8%1,065
  23. Neuropathy peripheralnerve damage in hands or feet1.8%1,061
  24. Rashskin rash1.7%1,043
  25. Epistaxisnosebleed1.7%1,042
  26. Malaisegeneral feeling of being unwell1.7%1,034
  27. Neutropenialow neutrophils, a type of white blood cell1.7%1,009
  28. Blood pressure increaseda raised blood pressure reading1.6%998
  29. Platelet count decreasedlow platelet count1.6%984

Top 30 of 2,895 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 10 drugs in the vascular endothelial growth factor inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death27.9%16,904
Life-threatening4.2%2,548
Hospitalisation (initial or prolonged)27%16,313
Disability2.3%1,367
Congenital anomaly0%16
Other serious44.1%26,671
Not serious12.7%7,686

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 176,429 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%41
2 to 110.2%140
12 to 170.2%100
18 to 445%3,055
45 to 6423.8%14,406
65 to 7416.3%9,839
75 and over10.6%6,398
Age not given43.8%26,531

Patient sex

Female45.9%27,777
Male40.3%24,386
Not given13.8%8,347

Who reported

Physician50.8%30,753
Pharmacist7.7%4,638
Other health professional16.4%9,930
Lawyer0.1%64
Consumer or non-health professional23.1%13,959
Not given1.9%1,166

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 39.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hepatocellular carcinoma4,5657.5%
Colon cancer3,8026.3%
Colorectal cancer metastatic3,1285.2%
Ovarian cancer3,0655.1%
Non-small cell lung cancer2,3143.8%
Colorectal cancer2,1343.5%

The indication field is filled in by the reporter and is often blank; shares are of all 60,510 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Avastin reports
Fluorouracil6,56410.8%
Oxaliplatin6,33310.5%
Tecentriq6,31710.4%
Carboplatin5,8309.6%
Paclitaxel4,5387.5%
Xeloda4,1106.8%
Irinotecan2,4254%
Taxol1,9983.3%
Decadron1,9593.2%
Folinic Acid1,7572.9%

Other products listed in reports where Avastin is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureAvastinVascular endothelial growth factor inhibitorAll reports
Reports as suspect product60,510176,42920,646,523
Share of that pool—34.3%0.3%
Reports, latest 12 months2,198—1,332,454
Marked serious87.3%87.6%57.4%
Death recorded among outcomes, per 1,000 reports27923791
Hospitalisation recorded, per 1,000 reports270269213
Consumer-filed share23.1%24.9%45.8%
Top term, share of reportsDeath 15.8%median 6.8%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the vascular endothelial growth factor inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Bevacizumabgeneric54,6116,04996.4%
Eyleabrand25,82696881.5%
Lucentisbrand20,41720382.9%
Ranibizumabgeneric4,86211997.4%
Mvasibrand4,50854227.9%
Afliberceptgeneric2,77222797.3%
Zaltrapbrand1,2272293.3%
Eylea Hdbrand1,09141166.8%
Zirabevbrand6055381%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Avastin reports

How many adverse event reports has FDA received for Avastin?

60,510 reports list Avastin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,198 of them arrived in the latest 12 months. Another 5,216 list it only as a concomitant medication.

What reactions are recorded in Avastin reports?

death (15.8%), off label use (11.9%), disease progression (7%), diarrhoea (4.7%) and fatigue (4.5%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Avastin was responsible.

How serious are the reports?

87.3% are marked serious by the reporter. Among the outcomes recorded, 27.9% of reports include death and 27% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

physician (50.8%), consumer or non-health professional (23.1%) and other health professional (16.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Avastin rising?

2,198 reports in the 12 months to June 2026, close to the 2,427 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Avastin was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Avastin?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Avastin as a suspect or interacting product; reports listing it only as a concomitant medication (5,216) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.