Reported Reactions

Drugs › Hydrolytic lysosomal glucocerebroside-specific enzyme

Brand name · Imiglucerase

Cerezyme: adverse event reports filed with FDA

4,348 reports list it as a suspect or interacting product, 2004–2026. Class: Hydrolytic lysosomal glucocerebroside-specific enzyme.

4,348
reports as suspect product
0% of all reports · about 193 a year
198
reports, 12 months to June 2026
198 in the 12 months before
70%
marked serious by the reporter
74.5% across the class
18%
record death among outcomes, as reported
781 reports · not verified by FDA

Between January 2004 and June 2026, 4,348 adverse event reports received by FDA list the brand name Cerezyme (imiglucerase) as a suspect or interacting product. Reports that mention it only as a concomitant medication (92) are left out of every figure here.

In the 12 months to June 2026, 198 reports listed it, close to the 198 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 193 reports a year and 0% of the 20,646,523 reports in the database, and 68.3% of the reports for the hydrolytic lysosomal glucocerebroside-specific enzyme class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded pyrexia (4.2%), death (3.6%) and fall (3.6%). A report can list several reactions, so shares add to more than 100%; 594 different terms appear across these reports. Pyrexia is recorded in 4.2% of these reports, about the same share as in the median hydrolytic lysosomal glucocerebroside-specific enzyme drug (4.2%).

70% of the reports are marked serious by the reporter (74.5% across the class); 18% record death among the outcomes and 31.1% record hospitalisation, as reported. 45.3% of the reports came from physicians, and the largest patient age group is 18 to 44 (20.8%). 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

01734Jul 2021: 7Aug 2021: 10Sep 2021: 17Oct 2021: 13Nov 2021: 14Dec 2021: 152022Jan 2022: 14Feb 2022: 23Mar 2022: 18Apr 2022: 15May 2022: 10Jun 2022: 14Jul 2022: 12Aug 2022: 9Sep 2022: 16Oct 2022: 23Nov 2022: 27Dec 2022: 182023Jan 2023: 21Feb 2023: 29Mar 2023: 15Apr 2023: 15May 2023: 23Jun 2023: 12Jul 2023: 13Aug 2023: 14Sep 2023: 9Oct 2023: 15Nov 2023: 10Dec 2023: 102024Jan 2024: 19Feb 2024: 12Mar 2024: 14Apr 2024: 13May 2024: 17Jun 2024: 7Jul 2024: 10Aug 2024: 15Sep 2024: 16Oct 2024: 12Nov 2024: 20Dec 2024: 192025Jan 2025: 17Feb 2025: 10Mar 2025: 17Apr 2025: 16May 2025: 25Jun 2025: 21Jul 2025: 17Aug 2025: 16Sep 2025: 18Oct 2025: 15Nov 2025: 20Dec 2025: 122026Jan 2026: 10Feb 2026: 8Mar 2026: 8Apr 2026: 26May 2026: 34Jun 2026: 14

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

01703402004: 10120042005: 1052006: 1222007: 16420072008: 1702009: 2312010: 22020102011: 2562012: 1692013: 22320132014: 3402015: 2602016: 21620162017: 2662018: 1732019: 17720192020: 1212021: 1712022: 19920222023: 1862024: 1742025: 20420252026: 100

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cerezyme reports recording the termmedian drug in hydrolytic lysosomal glucocerebroside-specific enzyme

  1. Pyrexiafever4.2%184
  2. Deaththe patient died; cause not stated by this term3.6%156
  3. Falla fall3.6%156
  4. Pneumonialung infection3.6%155
  5. Fatiguetiredness3.5%151
  6. Exposure during pregnancythe medicine was taken during pregnancy3.2%140
  7. Weight increasedweight gain3.2%137
  8. Dyspnoeashortness of breath2.9%128
  9. Bone painbone pain2.9%125
  10. Disease progressionthe disease advanced2.7%119
  11. Weight decreasedweight loss2.7%118
  12. Malaisegeneral feeling of being unwell2.6%115
  13. Arthralgiajoint pain2.5%110
  14. Convulsion2.3%100
  15. Condition aggravatedthe condition being treated got worse2.3%99
  16. Dizzinesslight-headedness or unsteadiness2.3%98
  17. Painpain, site not specified2.3%98
  18. Headachehead pain2%89
  19. Respiratory failurethe lungs could not supply enough oxygen2%86
  20. Coughcough1.9%82
  21. Vomitingbeing sick1.9%82
  22. Nauseafeeling sick1.8%78
  23. Pain in extremitypain in an arm or leg1.7%74
  24. Product dose omission issuea dose was missed1.7%73
  25. Platelet count decreasedlow platelet count1.6%68
  26. Astheniaweakness or lack of energy1.5%67
  27. Maternal exposure during pregnancythe mother took the medicine during pregnancy1.5%67
  28. Abdominal painstomach or belly pain1.5%65

Top 30 of 594 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 3 drugs in the hydrolytic lysosomal glucocerebroside-specific enzyme 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

Death18%781
Life-threatening2.3%100
Hospitalisation (initial or prolonged)31.1%1,354
Disability2%89
Congenital anomaly0.2%7
Other serious36.2%1,576
Not serious30%1,304

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 6,362 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 23.2%138
2 to 1111.5%498
12 to 175.6%245
18 to 4420.8%906
45 to 6413.9%605
65 to 746%262
75 and over5.8%253
Age not given33.1%1,441

Patient sex

Female51.9%2,257
Male35.8%1,556
Not given12.3%535

Who reported

Physician45.3%1,971
Pharmacist3.1%135
Other health professional18.2%792
Lawyer0%0
Consumer or non-health professional32.2%1,398
Not given1.2%52

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 58.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Gaucher's disease1,97945.5%
Gaucher's disease1,40632.3%
Gaucher's disease type i1513.5%
Gaucher's disease type iii1222.8%
Lipidosis731.7%
Fabry's disease270.6%

The indication field is filled in by the reporter and is often blank; shares are of all 4,348 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cerezyme reports
Sodium chloride45810.5%
Epinephrine3738.6%
Sterile water3147.2%
Diphenhydramine2455.6%
Heparin1433.3%
Acetaminophen1262.9%
Epipen1222.8%
Lidocaine1022.3%
Diphenhydramine hydrochloride922.1%
Ergocalciferol892%

Other products listed in reports where Cerezyme 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

MeasureCerezymeHydrolytic lysosomal glucocerebroside-specific enzymeAll reports
Reports as suspect product4,3486,36220,646,523
Share of that pool—68.3%0%
Reports, latest 12 months198—1,332,454
Marked serious70%74.5%57.4%
Death recorded among outcomes, per 1,000 reports18016691
Hospitalisation recorded, per 1,000 reports311350213
Consumer-filed share32.2%35.3%45.8%
Top term, share of reportsPyrexia 4.2%median 4.2%1.6%

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 hydrolytic lysosomal glucocerebroside-specific enzyme class

DrugName typeReportsLatest 12 monthsMarked serious
Velaglucerase alfageneric1,1899795%
Vprivbrand8252168.6%

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 Cerezyme reports

How many adverse event reports has FDA received for Cerezyme?

4,348 reports list Cerezyme as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 198 of them arrived in the latest 12 months. Another 92 list it only as a concomitant medication.

What reactions are recorded in Cerezyme reports?

pyrexia (4.2%), death (3.6%), fall (3.6%), pneumonia (3.6%) and fatigue (3.5%). 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 Cerezyme was responsible.

How serious are the reports?

70% are marked serious by the reporter. Among the outcomes recorded, 18% of reports include death and 31.1% 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 (45.3%), consumer or non-health professional (32.2%) and other health professional (18.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cerezyme rising?

198 reports in the 12 months to June 2026, close to the 198 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 Cerezyme 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 Cerezyme?

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 Cerezyme as a suspect or interacting product; reports listing it only as a concomitant medication (92) 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.