Reported Reactions

Drugs › Erythropoiesis-stimulating agent

Brand name · Methoxy polyethylene glycol-epoetin beta

Mircera: adverse event reports filed with FDA

8,865 reports list it as a suspect or interacting product, 2008–2026. Class: Erythropoiesis-stimulating agent. Also reported as Mircera Injection.

8,865
reports as suspect product
0% of all reports · about 482 a year
281
reports, 12 months to June 2026
722 in the 12 months before
65.8%
marked serious by the reporter
78.3% across the class
25.9%
record death among outcomes, as reported
2,292 reports · not verified by FDA

8,865 adverse event reports received by FDA list the brand name Mircera (methoxy polyethylene glycol-epoetin beta) as a suspect or interacting product, from February 2008 to June 2026. A further 1,121 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, 281 reports listed it, down 61% from 722 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 482 reports a year and 0% of the 20,646,523 reports in the database, and 13.4% of the reports for the erythropoiesis-stimulating agent class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug hypersensitivity (33.5%), death (16.4%) and dyspnoea (12.2%). A report can list several reactions, so shares add to more than 100%; 620 different terms appear across these reports. Drug hypersensitivity is recorded in 33.5% of these reports, a larger share than in the median erythropoiesis-stimulating agent drug (0.5%).

65.8% of the reports are marked serious by the reporter (78.3% across the class); 25.9% record death among the outcomes and 19.9% record hospitalisation, as reported. 61.5% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (26.8%). 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

056111Jul 2021: 32Aug 2021: 40Sep 2021: 39Oct 2021: 28Nov 2021: 33Dec 2021: 472022Jan 2022: 63Feb 2022: 19Mar 2022: 57Apr 2022: 41May 2022: 41Jun 2022: 54Jul 2022: 99Aug 2022: 47Sep 2022: 52Oct 2022: 57Nov 2022: 36Dec 2022: 492023Jan 2023: 71Feb 2023: 61Mar 2023: 63Apr 2023: 56May 2023: 66Jun 2023: 72Jul 2023: 109Aug 2023: 77Sep 2023: 66Oct 2023: 33Nov 2023: 75Dec 2023: 512024Jan 2024: 67Feb 2024: 56Mar 2024: 66Apr 2024: 47May 2024: 71Jun 2024: 55Jul 2024: 111Aug 2024: 68Sep 2024: 76Oct 2024: 68Nov 2024: 87Dec 2024: 312025Jan 2025: 79Feb 2025: 86Mar 2025: 25Apr 2025: 31May 2025: 35Jun 2025: 25Jul 2025: 33Aug 2025: 33Sep 2025: 31Oct 2025: 34Nov 2025: 22Dec 2025: 222026Jan 2026: 8Feb 2026: 21Mar 2026: 21Apr 2026: 24May 2026: 16Jun 2026: 16

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

06631,3252008: 1820082009: 592010: 8820102011: 1672012: 60420122013: 6982014: 24620142015: 4902016: 43020162017: 4762018: 56720182019: 1,3252020: 51320202021: 4042022: 61520222023: 8002024: 80320242025: 4562026: 1062026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Mircera reports recording the termmedian drug in erythropoiesis-stimulating agent

  1. Drug hypersensitivityan allergic-type reaction to a medicine33.5%2,970
  2. Deaththe patient died; cause not stated by this term16.4%1,455
  3. Dyspnoeashortness of breath12.2%1,083
  4. Nauseafeeling sick9%797
  5. Pruritusitching8.5%756
  6. Vomitingbeing sick7.2%637
  7. Flushingsudden reddening or warmth of the skin5.8%511
  8. Haemoglobin decreasedlow haemoglobin5.7%503
  9. Feeling hotfeeling hot3.8%337
  10. No adverse eventno adverse event was reported3.5%308
  11. Dizzinesslight-headedness or unsteadiness3%262
  12. Back painback pain2.9%258
  13. Rashskin rash2.8%250
  14. Hypotensionlow blood pressure2.8%249
  15. Aplasia pure red cell2.7%241
  16. Anaemialow red blood cells2.6%232
  17. Erythemaskin redness2.5%226
  18. Chest painchest pain2.5%221
  19. Headachehead pain2.4%217
  20. Urticariahives2.4%211
  21. Malaisegeneral feeling of being unwell2.3%207
  22. Hyperhidrosisexcessive sweating2.1%185
  23. Blood pressure increaseda raised blood pressure reading2%181
  24. Inappropriate schedule of product administrationthe product was taken at the wrong times2%181
  25. Blood pressure decreaseda low blood pressure reading1.9%166
  26. Loss of consciousnesspassing out1.8%156
  27. Hypertensionhigh blood pressure1.7%154
  28. Painpain, site not specified1.6%145
  29. Chest discomfortchest discomfort1.6%139

Top 30 of 620 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 erythropoiesis-stimulating agent 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

Death25.9%2,292
Life-threatening4.6%407
Hospitalisation (initial or prolonged)19.9%1,768
Disability0.5%42
Congenital anomaly0%3
Other serious28.7%2,548
Not serious34.2%3,031

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 66,386 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%4
2 to 110%2
12 to 170.2%21
18 to 4414.6%1,291
45 to 6426.8%2,378
65 to 7415.5%1,374
75 and over16.6%1,471
Age not given26.2%2,324

Patient sex

Female48.2%4,270
Male46.5%4,123
Not given5.3%472

Who reported

Physician19.7%1,748
Pharmacist2.8%245
Other health professional61.5%5,456
Lawyer0%0
Consumer or non-health professional14.5%1,282
Not given1.5%134

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 53.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Nephrogenic anaemia2,78931.5%
Anaemia7618.6%
Chronic kidney disease590.7%
End stage renal disease560.6%
Haemoglobin decreased490.6%
Renal failure chronic320.4%

The indication field is filled in by the reporter and is often blank; shares are of all 8,865 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Mircera reports
Venofer (iron sucrose)1,33915.1%
Calcitriol7478.4%
Diphenhydramine2042.3%
Heparin1681.9%
Amlodipine1661.9%
Vitamin d1611.8%
Furosemide1591.8%
Carvedilol1041.2%
Lasix931%
Aspirin861%

Other products listed in reports where Mircera 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

MeasureMirceraErythropoiesis-stimulating agentAll reports
Reports as suspect product8,86566,38620,646,523
Share of that pool—13.4%0%
Reports, latest 12 months281—1,332,454
Marked serious65.8%78.3%57.4%
Death recorded among outcomes, per 1,000 reports25934091
Hospitalisation recorded, per 1,000 reports199342213
Consumer-filed share14.5%22.3%45.8%
Top term, share of reportsDrug hypersensitivity 33.5%median 0.5%0.9%

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 erythropoiesis-stimulating agent class

DrugName typeReportsLatest 12 monthsMarked serious
Aranespbrand37,27782688.2%
Procritbrand8,2246657%
Epogenbrand4,3172741.8%
Darbepoetin alfageneric3,77029993.6%
Retacritbrand1,42910661%
Epoetin alfageneric9454391.5%
Methoxy polyethylene glycol-epoetin betageneric911199.7%
Erythropoietingeneric6486497.2%

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 Mircera reports

How many adverse event reports has FDA received for Mircera?

8,865 reports list Mircera as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 281 of them arrived in the latest 12 months. Another 1,121 list it only as a concomitant medication.

What reactions are recorded in Mircera reports?

drug hypersensitivity (33.5%), death (16.4%), dyspnoea (12.2%), nausea (9%) and pruritus (8.5%). 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 Mircera was responsible.

How serious are the reports?

65.8% are marked serious by the reporter. Among the outcomes recorded, 25.9% of reports include death and 19.9% 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 (61.5%), physician (19.7%) and consumer or non-health professional (14.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Mircera rising?

281 reports in the 12 months to June 2026, down 61% from 722 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 Mircera 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 Mircera?

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 Mircera as a suspect or interacting product; reports listing it only as a concomitant medication (1,121) 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.