Reported Reactions

Drugs › Sphingosine 1-phosphate receptor modulator

Generic name

Fingolimod: adverse event reports filed with FDA

4,041 reports list it as a suspect or interacting product, 2010–2026. Class: Sphingosine 1-phosphate receptor modulator.

4,041
reports as suspect product
0% of all reports · about 257 a year
569
reports, 12 months to June 2026
733 in the 12 months before
84.7%
marked serious by the reporter
49.1% across the class
2.8%
record death among outcomes, as reported
113 reports · not verified by FDA

Between October 2010 and June 2026, 4,041 adverse event reports received by FDA list fingolimod, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (379) are left out of every figure here.

In the 12 months to June 2026, 569 reports listed it, down 22% from 733 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 257 reports a year and 0% of the 20,646,523 reports in the database, and 3.9% of the reports for the sphingosine 1-phosphate receptor modulator 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 multiple sclerosis relapse (11.2%), lymphopenia (11%) and multiple sclerosis (6.1%). A report can list several reactions, so shares add to more than 100%; 818 different terms appear across these reports. Multiple sclerosis relapse is recorded in 11.2% of these reports, a larger share than in the median sphingosine 1-phosphate receptor modulator drug (6.7%).

84.7% of the reports are marked serious by the reporter (49.1% across the class); 2.8% record death among the outcomes and 21.3% record hospitalisation, as reported. 50.2% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (32.8%). 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

088176Jul 2021: 54Aug 2021: 38Sep 2021: 41Oct 2021: 34Nov 2021: 51Dec 2021: 682022Jan 2022: 50Feb 2022: 39Mar 2022: 20Apr 2022: 31May 2022: 43Jun 2022: 58Jul 2022: 44Aug 2022: 25Sep 2022: 29Oct 2022: 107Nov 2022: 34Dec 2022: 602023Jan 2023: 176Feb 2023: 37Mar 2023: 70Apr 2023: 108May 2023: 51Jun 2023: 76Jul 2023: 105Aug 2023: 44Sep 2023: 53Oct 2023: 102Nov 2023: 33Dec 2023: 542024Jan 2024: 60Feb 2024: 37Mar 2024: 50Apr 2024: 38May 2024: 65Jun 2024: 30Jul 2024: 51Aug 2024: 76Sep 2024: 58Oct 2024: 54Nov 2024: 45Dec 2024: 422025Jan 2025: 37Feb 2025: 168Mar 2025: 59Apr 2025: 40May 2025: 49Jun 2025: 54Jul 2025: 54Aug 2025: 36Sep 2025: 38Oct 2025: 32Nov 2025: 31Dec 2025: 562026Jan 2026: 42Feb 2026: 135Mar 2026: 32Apr 2026: 56May 2026: 29Jun 2026: 28

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

04559092010: 120102011: 72012: 1720122013: 92014: 3020142015: 112016: 1420162017: 192018: 5220182019: 1292020: 27120202021: 4502022: 54020222023: 9092024: 60620242025: 6542026: 3222026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Fingolimod reports recording the termmedian drug in sphingosine 1-phosphate receptor modulator

  1. Multiple sclerosis relapsea flare of multiple sclerosis11.2%454
  2. Drug ineffectivethe medicine did not work as expected5%201
  3. Fatiguetiredness4.7%190
  4. Covid-19COVID-19 infection3.4%139
  5. Headachehead pain3.4%139
  6. Progressive multifocal leukoencephalopathyPML, a rare brain infection3%123
  7. Off label useused for a purpose or in a way not on the label2.8%114
  8. Dizzinesslight-headedness or unsteadiness2.5%103
  9. Hypoaesthesianumbness2.3%94
  10. Condition aggravatedthe condition being treated got worse2.3%92
  11. Expanded disability status scale score increased2.2%89
  12. Pyrexiafever2.2%88
  13. Gait disturbancedifficulty walking2.1%86
  14. Immune reconstitution inflammatory syndrome1.9%76
  15. Paraesthesiatingling or pins and needles1.9%75
  16. Disease progressionthe disease advanced1.8%74
  17. Nauseafeeling sick1.8%73
  18. Breast cancerbreast cancer1.7%69
  19. Malaisegeneral feeling of being unwell1.7%68
  20. Painpain, site not specified1.7%68
  21. Falla fall1.7%67
  22. Urinary tract infectionbladder or urinary infection1.6%66
  23. Astheniaweakness or lack of energy1.6%65
  24. Foetal exposure during pregnancythe unborn baby was exposed to the medicine1.6%64
  25. Hypertensionhigh blood pressure1.6%64

Top 30 of 818 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 6 drugs in the sphingosine 1-phosphate receptor modulator 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

Death2.8%113
Life-threatening4.7%190
Hospitalisation (initial or prolonged)21.3%859
Disability2.5%101
Congenital anomaly1.3%54
Other serious71.1%2,875
Not serious15.3%617

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 103,701 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%14
2 to 110.2%9
12 to 171.2%50
18 to 4430.5%1,233
45 to 6432.8%1,324
65 to 743.4%139
75 and over0.3%11
Age not given31.2%1,261

Patient sex

Female62.4%2,523
Male24.4%987
Not given13.1%531

Who reported

Physician31.5%1,274
Pharmacist4.6%184
Other health professional50.2%2,027
Lawyer0%1
Consumer or non-health professional12.4%501
Not given1.3%54

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 16.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Multiple sclerosis1,52937.8%
Relapsing-remitting multiple sclerosis1,12727.9%
Relapsing multiple sclerosis1383.4%
Multiple sclerosis relapse370.9%
Secondary progressive multiple sclerosis290.7%
Foetal exposure during pregnancy110.3%

The indication field is filled in by the reporter and is often blank; shares are of all 4,041 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Fingolimod reports
Methylprednisolone1614%
Dimethyl fumarate1333.3%
Cholecalciferol1293.2%
Ocrelizumab1273.1%
Baclofen1132.8%
Rituximab1012.5%
Teriflunomide1002.5%
Gilenya992.4%
Glatiramer acetate952.4%
Alemtuzumab922.3%

Other products listed in reports where Fingolimod 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

MeasureFingolimodSphingosine 1-phosphate receptor modulatorAll reports
Reports as suspect product4,041103,70120,646,523
Share of that pool—3.9%0%
Reports, latest 12 months569—1,332,454
Marked serious84.7%49.1%57.4%
Death recorded among outcomes, per 1,000 reports281491
Hospitalisation recorded, per 1,000 reports213129213
Consumer-filed share12.4%59.2%45.8%
Top term, share of reportsMultiple sclerosis relapse 11.2%median 6.7%0.3%

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 sphingosine 1-phosphate receptor modulator class

DrugName typeReportsLatest 12 monthsMarked serious
Gilenyabrand81,23427649.7%
Mayzentbrand8,22225147.1%
Zeposiabrand8,13475126.5%
Velsipitybrand1,53948436.7%
Siponimodgeneric5315396.8%

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 Fingolimod reports

How many adverse event reports has FDA received for Fingolimod?

4,041 reports list Fingolimod as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 569 of them arrived in the latest 12 months. Another 379 list it only as a concomitant medication.

What reactions are recorded in Fingolimod reports?

multiple sclerosis relapse (11.2%), lymphopenia (11%), multiple sclerosis (6.1%), drug ineffective (5%) and fatigue (4.7%). 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 Fingolimod was responsible.

How serious are the reports?

84.7% are marked serious by the reporter. Among the outcomes recorded, 2.8% of reports include death and 21.3% 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 (50.2%), physician (31.5%) and consumer or non-health professional (12.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Fingolimod rising?

569 reports in the 12 months to June 2026, down 22% from 733 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 Fingolimod 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 Fingolimod?

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 Fingolimod as a suspect or interacting product; reports listing it only as a concomitant medication (379) 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.