Drugs › Tumor necrosis factor blocker
Brand name · Etanercept
Enbrel: adverse event reports filed with FDA
561,339 reports list it as a suspect or interacting product, 2004–2026. Class: Tumor necrosis factor blocker. Also reported as Enbrel 50mg.
- 561,339
- reports as suspect product
- 2.7% of all reports · about 24,955 a year
- 4,674
- reports, 12 months to June 2026
- 7,072 in the 12 months before
- 33.3%
- marked serious by the reporter
- 56.2% across the class
- 2.4%
- record death among outcomes, as reported
- 13,621 reports · not verified by FDA
Between January 2004 and June 2026, 561,339 adverse event reports received by FDA list the brand name Enbrel (etanercept) as a suspect or interacting product. Reports that mention it only as a concomitant medication (14,780) are left out of every figure here.
In the 12 months to June 2026, 4,674 reports listed it, down 34% from 7,072 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 24,955 reports a year and 2.7% of the 20,646,523 reports in the database, and 52.8% 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 (12.3%), injection site pain (10%) and rheumatoid arthritis (7.8%). A report can list several reactions, so shares add to more than 100%; 5,575 different terms appear across these reports. Drug ineffective is recorded in 12.3% of these reports, a smaller share than in the median tumor necrosis factor blocker drug (15.4%).
33.3% of the reports are marked serious by the reporter (56.2% across the class); 2.4% record death among the outcomes and 10% record hospitalisation, as reported. 41.3% of the reports came from physicians, and the largest patient age group is 45 to 64 (35%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Enbrel reports recording the termmedian drug in tumor necrosis factor blocker
- Drug ineffectivethe medicine did not work as expected12.3%68,980
- Injection site painpain where the injection was given10%56,264
- Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease7.8%43,845
- Arthralgiajoint pain7.5%42,044
- Injection site erythemaredness where the injection was given7.3%40,863
- Painpain, site not specified7.2%40,164
- Fatiguetiredness5%27,964
- Pain in extremitypain in an arm or leg4.3%24,252
- Joint swellinga swollen joint4.2%23,590
- Psoriasispsoriasis, a skin condition4.2%23,575
- Injection site swellingswelling where the injection was given4.1%23,168
- Headachehead pain4.1%22,890
- Injection site pruritusitching where the injection was given3.9%21,990
- Injection site reactiona reaction where the injection was given3.7%20,644
- Off label useused for a purpose or in a way not on the label3.6%20,226
- Nasopharyngitisa cold3.5%19,642
- Condition aggravatedthe condition being treated got worse3.4%19,181
- Rashskin rash3.3%18,745
- Nauseafeeling sick3.1%17,260
- Malaisegeneral feeling of being unwell3%16,956
- Sinusitissinus infection2.8%15,923
- Drug intolerancethe medicine was not tolerated2.7%15,292
- Drug hypersensitivityan allergic-type reaction to a medicine2.5%13,855
- Injection site bruisingbruising where the injection was given2.4%13,562
- Arthropathy2.4%13,480
- Alopeciahair loss2.4%13,253
- Musculoskeletal stiffnessstiffness in muscles or joints2.4%13,218
- Peripheral swellingswelling of the arms or legs2.3%13,128
- Hypersensitivityan allergic-type reaction2.3%13,021
- Contraindicated product administered2.2%12,388
Top 30 of 5,575 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
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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 81.6% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Rheumatoid arthritis | 285,324 | 50.8% |
| Psoriatic arthropathy | 58,929 | 10.5% |
| Psoriasis | 58,514 | 10.4% |
| Ankylosing spondylitis | 24,384 | 4.3% |
| Juvenile idiopathic arthritis | 6,748 | 1.2% |
| Juvenile arthritis | 2,888 | 0.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 561,339 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Enbrel reports |
|---|---|---|
| Methotrexate | 92,179 | 16.4% |
| Humira | 49,232 | 8.8% |
| Prednisone | 35,856 | 6.4% |
| Orencia | 33,493 | 6% |
| Actemra | 29,482 | 5.3% |
| Xeljanz | 28,649 | 5.1% |
| Sulfasalazine | 28,095 | 5% |
| Folic acid | 27,771 | 4.9% |
| Arava | 27,768 | 4.9% |
| Remicade | 25,949 | 4.6% |
Other products listed in reports where Enbrel 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
| Measure | Enbrel | Tumor necrosis factor blocker | All reports |
|---|---|---|---|
| Reports as suspect product | 561,339 | 1,064,042 | 20,646,523 |
| Share of that pool | — | 52.8% | 2.7% |
| Reports, latest 12 months | 4,674 | — | 1,332,454 |
| Marked serious | 33.3% | 56.2% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 24 | 52 | 91 |
| Hospitalisation recorded, per 1,000 reports | 100 | 182 | 213 |
| Consumer-filed share | 37.1% | 32.3% | 45.8% |
| Top term, share of reports | Drug ineffective 12.3% | 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Remicade | brand | 155,227 | 3,304 | 87.4% |
| Cimzia | brand | 87,221 | 4,932 | 54.9% |
| Simponi | brand | 70,407 | 4,803 | 75% |
| Infliximab | generic | 52,582 | 7,092 | 97.3% |
| Adalimumab | generic | 39,338 | 7,362 | 95.7% |
| Certolizumab pegol | generic | 27,395 | 2,232 | 97.2% |
| Inflectra | brand | 25,300 | 863 | 83.4% |
| Etanercept | generic | 18,397 | 1,381 | 96.3% |
| Hyrimoz | brand | 8,482 | 1,970 | 83.9% |
| Golimumab | generic | 7,163 | 929 | 96.8% |
| Simponi Aria | brand | 3,633 | 170 | 31.4% |
| Renflexis | brand | 2,067 | 419 | 86.6% |
| Infliximab-dyyb | generic | 2,027 | 1,394 | 86.3% |
| Amjevita | brand | 1,416 | 334 | 22.5% |
| Hadlima | brand | 1,087 | 428 | 61.9% |
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 Enbrel reports
How many adverse event reports has FDA received for Enbrel?
561,339 reports list Enbrel as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 4,674 of them arrived in the latest 12 months. Another 14,780 list it only as a concomitant medication.
What reactions are recorded in Enbrel reports?
drug ineffective (12.3%), injection site pain (10%), rheumatoid arthritis (7.8%), arthralgia (7.5%) and injection site erythema (7.3%). 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 Enbrel was responsible.
How serious are the reports?
33.3% are marked serious by the reporter. Among the outcomes recorded, 2.4% of reports include death and 10% 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 (41.3%), consumer or non-health professional (37.1%) and other health professional (17.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Enbrel rising?
4,674 reports in the 12 months to June 2026, down 34% from 7,072 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 Enbrel 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 Enbrel?
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 Enbrel as a suspect or interacting product; reports listing it only as a concomitant medication (14,780) 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.