Reported Reactions

Drugs › Tumor necrosis factor blocker

Generic name

Certolizumab pegol: adverse event reports filed with FDA

27,395 reports list it as a suspect or interacting product, 2008–2026. Class: Tumor necrosis factor blocker.

27,395
reports as suspect product
0.1% of all reports · about 1,515 a year
2,232
reports, 12 months to June 2026
3,735 in the 12 months before
97.2%
marked serious by the reporter
56.2% across the class
11.4%
record death among outcomes, as reported
3,129 reports · not verified by FDA

27,395 adverse event reports received by FDA list certolizumab pegol, a generic name as a suspect or interacting product, from June 2008 to June 2026. A further 744 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 2,232 reports listed it, down 40% from 3,735 in 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 1,515 reports a year and 0.1% of the 20,646,523 reports in the database, and 2.6% of the reports for the tumor necrosis factor blocker 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 drug ineffective (17.2%), rheumatoid arthritis (17%) and off label use (13.2%). A report can list several reactions, so shares add to more than 100%; 2,116 different terms appear across these reports. Drug ineffective is recorded in 17.2% of these reports, about the same share as in the median tumor necrosis factor blocker drug (15.4%).

97.2% of the reports are marked serious by the reporter (56.2% across the class); 11.4% record death among the outcomes and 30% record hospitalisation, as reported. 64.2% of the reports came from consumers, and the largest patient age group is 18 to 44 (20.5%). 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

0205409Jul 2021: 172Aug 2021: 194Sep 2021: 254Oct 2021: 234Nov 2021: 246Dec 2021: 3872022Jan 2022: 293Feb 2022: 221Mar 2022: 234Apr 2022: 265May 2022: 369Jun 2022: 375Jul 2022: 311Aug 2022: 340Sep 2022: 321Oct 2022: 282Nov 2022: 298Dec 2022: 3642023Jan 2023: 392Feb 2023: 260Mar 2023: 230Apr 2023: 285May 2023: 298Jun 2023: 234Jul 2023: 245Aug 2023: 361Sep 2023: 310Oct 2023: 338Nov 2023: 292Dec 2023: 3192024Jan 2024: 314Feb 2024: 281Mar 2024: 322Apr 2024: 314May 2024: 322Jun 2024: 296Jul 2024: 277Aug 2024: 263Sep 2024: 256Oct 2024: 409Nov 2024: 341Dec 2024: 3652025Jan 2025: 293Feb 2025: 325Mar 2025: 316Apr 2025: 287May 2025: 245Jun 2025: 358Jul 2025: 343Aug 2025: 223Sep 2025: 294Oct 2025: 217Nov 2025: 195Dec 2025: 2012026Jan 2026: 151Feb 2026: 141Mar 2026: 97Apr 2026: 130May 2026: 116Jun 2026: 124

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

01,8803,7602008: 120082009: 342010: 64120102011: 3182012: 17420122013: 1272014: 10320142015: 3532016: 1,29820162017: 1,2922018: 1,40320182019: 2,2482020: 1,79120202021: 2,5592022: 3,67320222023: 3,5642024: 3,76020242025: 3,2972026: 7592026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Certolizumab pegol reports recording the termmedian drug in tumor necrosis factor blocker

  1. Drug ineffectivethe medicine did not work as expected17.2%4,723
  2. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease17%4,645
  3. Off label useused for a purpose or in a way not on the label13.2%3,629
  4. Fatiguetiredness11.8%3,232
  5. Painpain, site not specified11.4%3,111
  6. Maternal exposure during pregnancythe mother took the medicine during pregnancy10.7%2,923
  7. Arthralgiajoint pain9.1%2,484
  8. Rashskin rash7.9%2,171
  9. Headachehead pain7.9%2,166
  10. Pneumonialung infection7.6%2,071
  11. Alopeciahair loss7.4%2,016
  12. Abdominal discomfortstomach discomfort7.3%1,991
  13. Arthropathy6.8%1,870
  14. Nauseafeeling sick6.7%1,833
  15. Glossodynia6.6%1,810
  16. Hypersensitivityan allergic-type reaction6.6%1,807
  17. Joint swellinga swollen joint6.6%1,797
  18. Systemic lupus erythematosuslupus, an autoimmune disease6.5%1,777
  19. Product use issuea problem in how the product was used6.3%1,734
  20. Malaisegeneral feeling of being unwell6.2%1,692
  21. Drug intolerancethe medicine was not tolerated6.1%1,674
  22. Pemphigus6.1%1,663
  23. Diarrhoealoose or frequent stools6.1%1,662
  24. Infectionan infection, type not specified6.1%1,662
  25. Lower respiratory tract infectiona chest infection6%1,653
  26. Synovitis5.8%1,586
  27. Musculoskeletal stiffnessstiffness in muscles or joints5.7%1,575

Top 30 of 2,116 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 17 drugs in the tumor necrosis factor blocker 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

Death11.4%3,129
Life-threatening9.2%2,533
Hospitalisation (initial or prolonged)30%8,226
Disability10%2,726
Congenital anomaly4.4%1,211
Other serious82.5%22,599
Not serious2.8%758

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 1,064,042 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 20.8%230
2 to 110%10
12 to 170.1%26
18 to 4420.5%5,616
45 to 6418.2%4,992
65 to 748.4%2,306
75 and over4%1,094
Age not given47.9%13,121

Patient sex

Female71.5%19,582
Male17.4%4,775
Not given11.1%3,038

Who reported

Physician13%3,570
Pharmacist0.9%254
Other health professional21%5,762
Lawyer0%5
Consumer or non-health professional64.2%17,585
Not given0.8%219

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 35.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis12,22144.6%
Psoriatic arthropathy2,94210.7%
Ankylosing spondylitis2,5639.4%
Psoriasis1,5805.8%
Crohn's disease1,1064%
Axial spondyloarthritis3801.4%

The indication field is filled in by the reporter and is often blank; shares are of all 27,395 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Certolizumab pegol reports
Methotrexate5,80021.2%
Prednisone4,78017.4%
Folic acid4,59016.8%
Sulfasalazine4,00214.6%
Enbrel3,68413.4%
Humira3,59913.1%
Cimzia3,55013%
Orencia3,46012.6%
Rituximab3,29812%
Arava3,18611.6%

Other products listed in reports where Certolizumab pegol 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

MeasureCertolizumab pegolTumor necrosis factor blockerAll reports
Reports as suspect product27,3951,064,04220,646,523
Share of that pool—2.6%0.1%
Reports, latest 12 months2,232—1,332,454
Marked serious97.2%56.2%57.4%
Death recorded among outcomes, per 1,000 reports1145291
Hospitalisation recorded, per 1,000 reports300182213
Consumer-filed share64.2%32.3%45.8%
Top term, share of reportsDrug ineffective 17.2%median 15.4%6.3%

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 tumor necrosis factor blocker class

DrugName typeReportsLatest 12 monthsMarked serious
Enbrelbrand561,3394,67433.3%
Remicadebrand155,2273,30487.4%
Cimziabrand87,2214,93254.9%
Simponibrand70,4074,80375%
Infliximabgeneric52,5827,09297.3%
Adalimumabgeneric39,3387,36295.7%
Inflectrabrand25,30086383.4%
Etanerceptgeneric18,3971,38196.3%
Hyrimozbrand8,4821,97083.9%
Golimumabgeneric7,16392996.8%
Simponi Ariabrand3,63317031.4%
Renflexisbrand2,06741986.6%
Infliximab-dyybgeneric2,0271,39486.3%
Amjevitabrand1,41633422.5%
Hadlimabrand1,08742861.9%

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 Certolizumab pegol reports

How many adverse event reports has FDA received for Certolizumab pegol?

27,395 reports list Certolizumab pegol as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 2,232 of them arrived in the latest 12 months. Another 744 list it only as a concomitant medication.

What reactions are recorded in Certolizumab pegol reports?

drug ineffective (17.2%), rheumatoid arthritis (17%), off label use (13.2%), fatigue (11.8%) and pain (11.4%). 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 Certolizumab pegol was responsible.

How serious are the reports?

97.2% are marked serious by the reporter. Among the outcomes recorded, 11.4% of reports include death and 30% 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?

consumer or non-health professional (64.2%), other health professional (21%) and physician (13%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Certolizumab pegol rising?

2,232 reports in the 12 months to June 2026, down 40% from 3,735 in 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 Certolizumab pegol 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 Certolizumab pegol?

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 Certolizumab pegol as a suspect or interacting product; reports listing it only as a concomitant medication (744) 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.