Reported Reactions

Drugs › Parenteral iron replacement

Brand name · Ferric carboxymaltose injection

Injectafer: adverse event reports filed with FDA

2,813 reports list it as a suspect or interacting product, 2014–2026. Class: Parenteral iron replacement.

2,813
reports as suspect product
0% of all reports · about 225 a year
14
reports, 12 months to June 2026
32 in the 12 months before
41.3%
marked serious by the reporter
57.1% across the class
1%
record death among outcomes, as reported
28 reports · not verified by FDA

2,813 adverse event reports received by FDA list the brand name Injectafer (ferric carboxymaltose injection) as a suspect or interacting product, from January 2014 to June 2026. A further 207 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, 14 reports listed it, down 56% from 32 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 225 reports a year and 0% of the 20,646,523 reports in the database, and 17.3% of the reports for the parenteral iron replacement 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 nausea (14%), hypophosphataemia (9.8%) and dyspnoea (8.6%). A report can list several reactions, so shares add to more than 100%; 261 different terms appear across these reports. Nausea is recorded in 14% of these reports, a larger share than in the median parenteral iron replacement drug (11.2%).

41.3% of the reports are marked serious by the reporter (57.1% across the class); 1% record death among the outcomes and 8.3% record hospitalisation, as reported. 44.4% of the reports came from consumers, and the largest patient age group is 18 to 44 (19%). 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

0144288Jul 2021: 28Aug 2021: 16Sep 2021: 288Oct 2021: 17Nov 2021: 6Dec 2021: 42022Jan 2022: 1Feb 2022: 4Mar 2022: 5Apr 2022: 4May 2022: 0Jun 2022: 2Jul 2022: 5Aug 2022: 41Sep 2022: 1Oct 2022: 5Nov 2022: 6Dec 2022: 22023Jan 2023: 3Feb 2023: 4Mar 2023: 3Apr 2023: 1May 2023: 2Jun 2023: 3Jul 2023: 2Aug 2023: 1Sep 2023: 13Oct 2023: 5Nov 2023: 0Dec 2023: 22024Jan 2024: 0Feb 2024: 1Mar 2024: 1Apr 2024: 0May 2024: 2Jun 2024: 1Jul 2024: 1Aug 2024: 6Sep 2024: 1Oct 2024: 6Nov 2024: 0Dec 2024: 72025Jan 2025: 1Feb 2025: 3Mar 2025: 3Apr 2025: 2May 2025: 1Jun 2025: 1Jul 2025: 1Aug 2025: 0Sep 2025: 1Oct 2025: 1Nov 2025: 1Dec 2025: 12026Jan 2026: 1Feb 2026: 0Mar 2026: 2Apr 2026: 4May 2026: 1Jun 2026: 1

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

02985962014: 4020142015: 1652016: 17120162017: 3732018: 42220182019: 5962020: 43820202021: 4422022: 7620222023: 392024: 2620242025: 162026: 92026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Injectafer reports recording the termmedian drug in parenteral iron replacement

  1. Nauseafeeling sick14%393
  2. Dyspnoeashortness of breath8.6%242
  3. Urticariahives7.4%208
  4. Headachehead pain7.1%201
  5. Pruritusitching6.3%176
  6. Dizzinesslight-headedness or unsteadiness5.9%165
  7. Painpain, site not specified5.6%158
  8. Blood phosphorus decreased5.4%153
  9. Flushingsudden reddening or warmth of the skin4.8%136
  10. Rashskin rash4.7%133
  11. Back painback pain4.2%117
  12. Chest discomfortchest discomfort4.1%116
  13. Fatiguetiredness4.1%115
  14. Vomitingbeing sick4%113
  15. Chest painchest pain3.7%105
  16. Product quality issuea problem with the product itself3.4%97
  17. Arthralgiajoint pain3.3%94
  18. Infusion related reactiona reaction during or soon after an infusion3.1%87
  19. Anxietyanxiety3%85
  20. Myalgiamuscle pain2.7%76
  21. Hypersensitivityan allergic-type reaction2.6%74
  22. Skin discolourationa change in skin colour2.6%74
  23. Hypertensionhigh blood pressure2.6%72
  24. Pyrexiafever2.5%70
  25. Malaisegeneral feeling of being unwell2.4%67
  26. Blood pressure increaseda raised blood pressure reading2.3%66
  27. Diarrhoealoose or frequent stools2.2%61
  28. Pain in extremitypain in an arm or leg2.2%61
  29. Feeling abnormalfeeling odd or not right2.1%59

Top 30 of 261 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 9 drugs in the parenteral iron replacement 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%28
Life-threatening3.4%96
Hospitalisation (initial or prolonged)8.3%233
Disability3.8%108
Congenital anomaly0%0
Other serious30.9%868
Not serious58.7%1,651

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 16,234 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 20.2%5
2 to 110.1%3
12 to 171.2%34
18 to 4419%534
45 to 6412.9%363
65 to 744.9%137
75 and over5.4%153
Age not given56.3%1,584

Patient sex

Female70.1%1,972
Male11.4%321
Not given18.5%520

Who reported

Physician11.1%312
Pharmacist9.5%266
Other health professional33.1%932
Lawyer0.4%11
Consumer or non-health professional44.4%1,249
Not given1.5%43

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Iron deficiency anaemia31811.3%
Anaemia1063.8%
Iron deficiency311.1%
Blood iron decreased220.8%
Serum ferritin decreased100.4%
Nephrogenic anaemia50.2%

The indication field is filled in by the reporter and is often blank; shares are of all 2,813 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Injectafer reports
Benadryl491.7%
Ergocalciferol461.6%
Aspirin361.3%
Vitamin B12351.2%
Tylenol301.1%
Vitamin d271%
Ferrous sulfate260.9%
Levothyroxine250.9%
Synthroid240.9%
Omeprazole230.8%

Other products listed in reports where Injectafer 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

MeasureInjectaferParenteral iron replacementAll reports
Reports as suspect product2,81316,23420,646,523
Share of that pool—17.3%0%
Reports, latest 12 months14—1,332,454
Marked serious41.3%57.1%57.4%
Death recorded among outcomes, per 1,000 reports105191
Hospitalisation recorded, per 1,000 reports83188213
Consumer-filed share44.4%24.9%45.8%
Top term, share of reportsNausea 14%median 11.2%3.8%

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 parenteral iron replacement class

DrugName typeReportsLatest 12 monthsMarked serious
Venofer (iron sucrose)generic5,41739073.4%
Auryxiabrand1,6602924.1%
Ferahemebrand1,5412060.9%
Ferric carboxymaltosegeneric1,39522567.6%
Ferrlecitbrand1,1747772.4%
Accruferbrand95156713.8%
Infedbrand66510050.1%
Iron sucrosegeneric61824686.2%

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 Injectafer reports

How many adverse event reports has FDA received for Injectafer?

2,813 reports list Injectafer as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 14 of them arrived in the latest 12 months. Another 207 list it only as a concomitant medication.

What reactions are recorded in Injectafer reports?

nausea (14%), hypophosphataemia (9.8%), dyspnoea (8.6%), urticaria (7.4%) and headache (7.1%). 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 Injectafer was responsible.

How serious are the reports?

41.3% are marked serious by the reporter. Among the outcomes recorded, 1% of reports include death and 8.3% 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?

consumer or non-health professional (44.4%), other health professional (33.1%) and physician (11.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Injectafer rising?

14 reports in the 12 months to June 2026, down 56% from 32 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 Injectafer 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 Injectafer?

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 Injectafer as a suspect or interacting product; reports listing it only as a concomitant medication (207) 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.