Reported Reactions

Drugs › Tumor necrosis factor blocker

Brand name · Adalimumab-bwwd

Hadlima: adverse event reports filed with FDA

1,087 reports list it as a suspect or interacting product, 2021–2026. Class: Tumor necrosis factor blocker.

1,087
reports as suspect product
0% of all reports · about 221 a year
428
reports, 12 months to June 2026
416 in the 12 months before
61.9%
marked serious by the reporter
56.2% across the class
1.6%
record death among outcomes, as reported
17 reports · not verified by FDA

Between August 2021 and June 2026, 1,087 adverse event reports received by FDA list the brand name Hadlima (adalimumab-bwwd) as a suspect or interacting product. Reports that mention it only as a concomitant medication (122) are left out of every figure here.

In the 12 months to June 2026, 428 reports listed it, close to the 416 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 221 reports a year and 0% of the 20,646,523 reports in the database, and 0.1% 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.

Reporters most often recorded injection site pain (13.2%), off label use (7.6%) and drug ineffective (6.9%). A report can list several reactions, so shares add to more than 100%; 380 different terms appear across these reports. Injection site pain is recorded in 13.2% of these reports, a larger share than in the median tumor necrosis factor blocker drug (0.8%).

61.9% of the reports are marked serious by the reporter (56.2% across the class); 1.6% record death among the outcomes and 21% record hospitalisation, as reported. 62.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (29.4%). 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

099197Jul 2021: 0Aug 2021: 1Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 12022Jan 2022: 2Feb 2022: 4Mar 2022: 4Apr 2022: 6May 2022: 3Jun 2022: 5Jul 2022: 1Aug 2022: 3Sep 2022: 4Oct 2022: 9Nov 2022: 5Dec 2022: 32023Jan 2023: 4Feb 2023: 4Mar 2023: 1Apr 2023: 8May 2023: 7Jun 2023: 9Jul 2023: 4Aug 2023: 9Sep 2023: 9Oct 2023: 5Nov 2023: 5Dec 2023: 22024Jan 2024: 6Feb 2024: 21Mar 2024: 51Apr 2024: 14May 2024: 16Jun 2024: 17Jul 2024: 15Aug 2024: 22Sep 2024: 17Oct 2024: 22Nov 2024: 19Dec 2024: 122025Jan 2025: 23Feb 2025: 25Mar 2025: 197Apr 2025: 24May 2025: 17Jun 2025: 23Jul 2025: 41Aug 2025: 24Sep 2025: 37Oct 2025: 23Nov 2025: 20Dec 2025: 152026Jan 2026: 18Feb 2026: 167Mar 2026: 28Apr 2026: 21May 2026: 16Jun 2026: 18

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

02354692021: 220212022: 4920222023: 6720232024: 23220242025: 46920252026: 2682026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Injection site painpain where the injection was given13.2%143
  2. Off label useused for a purpose or in a way not on the label7.6%83
  3. Drug ineffectivethe medicine did not work as expected6.9%75
  4. Fatiguetiredness6.8%74
  5. Arthralgiajoint pain5.7%62
  6. Product substitution issuea problem after switching products5.7%62
  7. Device issuea problem with the device5.4%59
  8. Painpain, site not specified5.2%57
  9. Wrong technique in product usage processthe product was used in the wrong way4.7%51
  10. Pneumonialung infection4.4%48
  11. Rashskin rash4.4%48
  12. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease4.4%48
  13. Headachehead pain4.3%47
  14. Malaisegeneral feeling of being unwell4.1%45
  15. Incorrect dose administeredthe wrong dose was given4%43
  16. Diarrhoealoose or frequent stools3.8%41
  17. Injection site haemorrhagebleeding where the injection was given3.7%40
  18. Nauseafeeling sick3.7%40
  19. Dyspnoeashortness of breath3.6%39
  20. Injection site bruisingbruising where the injection was given3.6%39
  21. Illness3.3%36
  22. Urinary tract infectionbladder or urinary infection3%33
  23. Pain in extremitypain in an arm or leg2.8%30
  24. Coughcough2.7%29
  25. Infectionan infection, type not specified2.7%29
  26. Product use issuea problem in how the product was used2.7%29
  27. Pruritusitching2.7%29

Top 30 of 380 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

Death1.6%17
Life-threatening1.2%13
Hospitalisation (initial or prolonged)21%228
Disability2.5%27
Congenital anomaly0%0
Other serious46.5%505
Not serious38.1%414

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 20.1%1
2 to 110.2%2
12 to 171.4%15
18 to 4420.7%225
45 to 6429.4%320
65 to 7414%152
75 and over8.6%93
Age not given25.7%279

Patient sex

Female58.7%638
Male30.9%336
Not given10.4%113

Who reported

Physician6.8%74
Pharmacist9.1%99
Other health professional20.5%223
Lawyer0%0
Consumer or non-health professional62.4%678
Not given1.2%13

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 53.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis28125.9%
Crohn's disease17215.8%
Psoriatic arthropathy989%
Ankylosing spondylitis827.5%
Hidradenitis494.5%
Psoriasis474.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,087 reports.

In context

MeasureHadlimaTumor necrosis factor blockerAll reports
Reports as suspect product1,0871,064,04220,646,523
Share of that pool—0.1%0%
Reports, latest 12 months428—1,332,454
Marked serious61.9%56.2%57.4%
Death recorded among outcomes, per 1,000 reports165291
Hospitalisation recorded, per 1,000 reports210182213
Consumer-filed share62.4%32.3%45.8%
Top term, share of reportsInjection site pain 13.2%median 0.8%1.4%

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%
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%

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 Hadlima reports

How many adverse event reports has FDA received for Hadlima?

1,087 reports list Hadlima as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 428 of them arrived in the latest 12 months. Another 122 list it only as a concomitant medication.

What reactions are recorded in Hadlima reports?

injection site pain (13.2%), off label use (7.6%), drug ineffective (6.9%), fatigue (6.8%) and arthralgia (5.7%). 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 Hadlima was responsible.

How serious are the reports?

61.9% are marked serious by the reporter. Among the outcomes recorded, 1.6% of reports include death and 21% 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 (62.4%), other health professional (20.5%) and pharmacist (9.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Hadlima rising?

428 reports in the 12 months to June 2026, close to the 416 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 Hadlima 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 Hadlima?

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 Hadlima as a suspect or interacting product; reports listing it only as a concomitant medication (122) 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.