Reported Reactions

Drugs › Tumor necrosis factor blocker

Brand name · Certolizumab pegol

Cimzia: adverse event reports filed with FDA

87,221 reports list it as a suspect or interacting product, 2006–2026. Class: Tumor necrosis factor blocker. Also reported as Cimzia 200mg.

87,221
reports as suspect product
0.4% of all reports · about 4,399 a year
4,932
reports, 12 months to June 2026
9,297 in the 12 months before
54.9%
marked serious by the reporter
56.2% across the class
5.7%
record death among outcomes, as reported
4,957 reports · not verified by FDA

87,221 adverse event reports received by FDA list the brand name Cimzia (certolizumab pegol) as a suspect or interacting product, from September 2006 to June 2026. A further 5,810 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, 4,932 reports listed it, down 47% from 9,297 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 4,399 reports a year and 0.4% of the 20,646,523 reports in the database, and 8.2% 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 MedDRA terms listed most often are drug ineffective (25.4%), rheumatoid arthritis (18.3%) and pain (15.3%). A report can list several reactions, so shares add to more than 100%; 2,471 different terms appear across these reports. Drug ineffective is recorded in 25.4% of these reports, a larger share than in the median tumor necrosis factor blocker drug (15.4%).

54.9% of the reports are marked serious by the reporter (56.2% across the class); 5.7% record death among the outcomes and 16.1% record hospitalisation, as reported. 54.4% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (19.9%). 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

02,4104,820Jul 2021: 378Aug 2021: 366Sep 2021: 486Oct 2021: 416Nov 2021: 455Dec 2021: 5962022Jan 2022: 394Feb 2022: 236Mar 2022: 342Apr 2022: 381May 2022: 4,286Jun 2022: 397Jul 2022: 244Aug 2022: 428Sep 2022: 335Oct 2022: 313Nov 2022: 294Dec 2022: 3472023Jan 2023: 236Feb 2023: 281Mar 2023: 252Apr 2023: 262May 2023: 3,754Jun 2023: 182Jul 2023: 272Aug 2023: 371Sep 2023: 326Oct 2023: 340Nov 2023: 253Dec 2023: 3202024Jan 2024: 347Feb 2024: 378Mar 2024: 347Apr 2024: 354May 2024: 4,820Jun 2024: 415Jul 2024: 417Aug 2024: 322Sep 2024: 428Oct 2024: 482Nov 2024: 435Dec 2024: 4842025Jan 2025: 390Feb 2025: 398Mar 2025: 443Apr 2025: 321May 2025: 4,646Jun 2025: 531Jul 2025: 481Aug 2025: 363Sep 2025: 395Oct 2025: 312Nov 2025: 314Dec 2025: 3292026Jan 2026: 233Feb 2026: 266Mar 2026: 703Apr 2026: 568May 2026: 491Jun 2026: 477

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

04,9959,9892006: 120062007: 22008: 242009: 2,19620092010: 3,4202011: 3,1742012: 1,28320122013: 1,4722014: 1,3942015: 2,35820152016: 4,2122017: 2,5212018: 3,19920182019: 9,9892020: 8,4002021: 7,83920212022: 7,9972023: 6,8492024: 9,22920242025: 8,9232026: 2,738

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Drug ineffectivethe medicine did not work as expected25.4%22,162
  2. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease18.3%15,978
  3. Painpain, site not specified15.3%13,361
  4. Fatiguetiredness12.8%11,141
  5. Rashskin rash11.2%9,736
  6. Off label useused for a purpose or in a way not on the label10.7%9,339
  7. Alopeciahair loss10.5%9,133
  8. Arthralgiajoint pain10%8,719
  9. Abdominal discomfortstomach discomfort9.9%8,618
  10. Joint swellinga swollen joint9.8%8,583
  11. Systemic lupus erythematosuslupus, an autoimmune disease9.6%8,398
  12. Pemphigus9.3%8,126
  13. Maternal exposure during pregnancythe mother took the medicine during pregnancy9%7,893
  14. Drug intolerancethe medicine was not tolerated9%7,856
  15. Swellingswelling9%7,814
  16. Glossodynia8.5%7,451
  17. Hypersensitivityan allergic-type reaction8.3%7,278
  18. Arthropathy8.2%7,117
  19. Synovitis7.6%6,627
  20. Wound6.9%6,033
  21. Condition aggravatedthe condition being treated got worse6.8%5,933
  22. Infusion related reactiona reaction during or soon after an infusion6.5%5,651
  23. Headachehead pain6.4%5,577
  24. Hepatic enzyme increasedraised liver enzymes6.4%5,539
  25. Treatment failurethe treatment did not work6.2%5,423
  26. Pruritusitching6.1%5,342
  27. Infectionan infection, type not specified6.1%5,325

Top 30 of 2,471 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

Death5.7%4,957
Life-threatening5.6%4,908
Hospitalisation (initial or prolonged)16.1%14,051
Disability7.8%6,777
Congenital anomaly2.6%2,290
Other serious46.2%40,289
Not serious45.1%39,328

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 20.3%270
2 to 110%15
12 to 170.3%242
18 to 4419.9%17,395
45 to 6418.6%16,240
65 to 744.8%4,165
75 and over1.9%1,668
Age not given54.1%47,226

Patient sex

Female72.6%63,344
Male17.3%15,107
Not given10.1%8,770

Who reported

Physician14.7%12,846
Pharmacist6.9%6,001
Other health professional54.4%47,408
Lawyer0%19
Consumer or non-health professional23%20,045
Not given1%902

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 67% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis34,17839.2%
Crohn's disease7,4958.6%
Psoriatic arthropathy6,0126.9%
Crohn's disease5,3326.1%
Ankylosing spondylitis4,4175.1%
Psoriasis3,9954.6%

The indication field is filled in by the reporter and is often blank; shares are of all 87,221 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cimzia reports
Methotrexate22,13225.4%
Enbrel19,20622%
Humira18,15620.8%
Prednisone17,38419.9%
Orencia16,97219.5%
Actemra16,01218.4%
Simponi14,99917.2%
Arava14,87117%
Sulfasalazine14,23516.3%
Remicade13,80515.8%

Other products listed in reports where Cimzia 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

MeasureCimziaTumor necrosis factor blockerAll reports
Reports as suspect product87,2211,064,04220,646,523
Share of that pool—8.2%0.4%
Reports, latest 12 months4,932—1,332,454
Marked serious54.9%56.2%57.4%
Death recorded among outcomes, per 1,000 reports575291
Hospitalisation recorded, per 1,000 reports161182213
Consumer-filed share23%32.3%45.8%
Top term, share of reportsDrug ineffective 25.4%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%
Simponibrand70,4074,80375%
Infliximabgeneric52,5827,09297.3%
Adalimumabgeneric39,3387,36295.7%
Certolizumab pegolgeneric27,3952,23297.2%
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 Cimzia reports

How many adverse event reports has FDA received for Cimzia?

87,221 reports list Cimzia as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 4,932 of them arrived in the latest 12 months. Another 5,810 list it only as a concomitant medication.

What reactions are recorded in Cimzia reports?

drug ineffective (25.4%), rheumatoid arthritis (18.3%), pain (15.3%), fatigue (12.8%) and rash (11.2%). 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 Cimzia was responsible.

How serious are the reports?

54.9% are marked serious by the reporter. Among the outcomes recorded, 5.7% of reports include death and 16.1% 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?

other health professional (54.4%), consumer or non-health professional (23%) and physician (14.7%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cimzia rising?

4,932 reports in the 12 months to June 2026, down 47% from 9,297 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 Cimzia 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 Cimzia?

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 Cimzia as a suspect or interacting product; reports listing it only as a concomitant medication (5,810) 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.