Reported Reactions

Drugs › Leukocyte growth factor

Brand name · Pegfilgrastim

Neulasta: adverse event reports filed with FDA

80,512 reports list it as a suspect or interacting product, 2004–2026. Class: Leukocyte growth factor.

80,512
reports as suspect product
0.4% of all reports · about 3,579 a year
1,521
reports, 12 months to June 2026
3,128 in the 12 months before
15.8%
marked serious by the reporter
32.6% across the class
3%
record death among outcomes, as reported
2,386 reports · not verified by FDA

80,512 adverse event reports received by FDA list the brand name Neulasta (pegfilgrastim) as a suspect or interacting product, from January 2004 to June 2026. A further 5,978 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, 1,521 reports listed it, down 51% from 3,128 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 3,579 reports a year and 0.4% of the 20,646,523 reports in the database, and 73.7% of the reports for the leukocyte growth factor 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 device adhesion issue (14.4%), wrong technique in product usage process (12.7%) and unintentional medical device removal (11.2%). A report can list several reactions, so shares add to more than 100%; 1,384 different terms appear across these reports. Device adhesion issue is recorded in 14.4% of these reports, with no counterpart in the median leukocyte growth factor drug (0%).

15.8% of the reports are marked serious by the reporter (32.6% across the class); 3% record death among the outcomes and 8.2% record hospitalisation, as reported. 42.8% of the reports came from physicians, and the largest patient age group is 45 to 64 (26.6%). 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

0453905Jul 2021: 874Aug 2021: 905Sep 2021: 719Oct 2021: 614Nov 2021: 705Dec 2021: 6742022Jan 2022: 555Feb 2022: 777Mar 2022: 728Apr 2022: 550May 2022: 577Jun 2022: 718Jul 2022: 505Aug 2022: 628Sep 2022: 560Oct 2022: 476Nov 2022: 517Dec 2022: 5582023Jan 2023: 416Feb 2023: 496Mar 2023: 600Apr 2023: 503May 2023: 626Jun 2023: 531Jul 2023: 493Aug 2023: 495Sep 2023: 490Oct 2023: 527Nov 2023: 462Dec 2023: 3732024Jan 2024: 429Feb 2024: 424Mar 2024: 364Apr 2024: 367May 2024: 314Jun 2024: 328Jul 2024: 509Aug 2024: 361Sep 2024: 346Oct 2024: 357Nov 2024: 231Dec 2024: 2592025Jan 2025: 178Feb 2025: 204Mar 2025: 189Apr 2025: 191May 2025: 148Jun 2025: 155Jul 2025: 165Aug 2025: 156Sep 2025: 171Oct 2025: 127Nov 2025: 108Dec 2025: 1392026Jan 2026: 136Feb 2026: 112Mar 2026: 75Apr 2026: 74May 2026: 150Jun 2026: 108

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

06,21912,4382004: 19320042005: 2162006: 2342007: 43020072008: 6772009: 6792010: 60920102011: 6332012: 6282013: 82220132014: 2,0672015: 1,2132016: 4,55820162017: 7,2322018: 12,4382019: 7,22120192020: 10,4902021: 10,1362022: 7,14920222023: 6,0122024: 4,2892025: 1,93120252026: 655

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Neulasta reports recording the termmedian drug in leukocyte growth factor

  1. Wrong technique in product usage processthe product was used in the wrong way12.7%10,203
  2. Device malfunctionthe device did not work properly8.4%6,764
  3. Device use errora mistake in using the device7.5%6,041
  4. Device issuea problem with the device6.3%5,088
  5. Device occlusionthe device blocked4%3,253
  6. Off label useused for a purpose or in a way not on the label3.3%2,696
  7. Bone painbone pain3.3%2,660
  8. Drug dose omissiona dose was missed2.6%2,089
  9. Deaththe patient died; cause not stated by this term2.3%1,827
  10. Application site haemorrhage1.7%1,389
  11. Device physical property issuea physical problem with the device1.7%1,374
  12. Device leakagethe device leaked1.7%1,344
  13. Febrile neutropeniafever with low white blood cells1.6%1,326
  14. Fatiguetiredness1.6%1,265
  15. Pyrexiafever1.5%1,208
  16. Painpain, site not specified1.4%1,160
  17. Nauseafeeling sick1.4%1,132
  18. Neutropenialow neutrophils, a type of white blood cell1.4%1,089
  19. Hyperhidrosisexcessive sweating1.3%1,042
  20. Underdoseless than the intended dose1.3%1,034
  21. Circumstance or information capable of leading to medication errora situation that could lead to a medication error1.1%881
  22. White blood cell count decreasedlow white cell count1.1%880
  23. Product storage errorthe product was stored wrongly1.1%858

Top 30 of 1,384 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 7 drugs in the leukocyte growth factor 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

Death3%2,386
Life-threatening0.4%345
Hospitalisation (initial or prolonged)8.2%6,571
Disability0.2%129
Congenital anomaly0%1
Other serious8.4%6,748
Not serious84.2%67,751

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 109,309 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%39
2 to 110.2%164
12 to 170.2%169
18 to 447.2%5,815
45 to 6426.6%21,441
65 to 7418.3%14,772
75 and over9.7%7,783
Age not given37.7%30,329

Patient sex

Female54.2%43,653
Male27.2%21,898
Not given18.6%14,961

Who reported

Physician42.8%34,455
Pharmacist17.9%14,408
Other health professional25.5%20,511
Lawyer0%25
Consumer or non-health professional12.9%10,364
Not given0.9%749

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 91% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Neutropenia16,29420.2%
Prophylaxis7,2709%
Chemotherapy2,7803.5%
Breast cancer6480.8%
Breast cancer female5720.7%
Agranulocytosis2340.3%

The indication field is filled in by the reporter and is often blank; shares are of all 80,512 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Neulasta reports
Cyclophosphamide3,0213.8%
Carboplatin1,1801.5%
Taxotere1,1301.4%
Rituximab1,0611.3%
Doxorubicin hydrochloride1,0391.3%
Neupogen1,0291.3%
Dexamethasone9351.2%
Taxol8991.1%
Vincristine8771.1%
Cytoxan8521.1%

Other products listed in reports where Neulasta 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

MeasureNeulastaLeukocyte growth factorAll reports
Reports as suspect product80,512109,30920,646,523
Share of that pool—73.7%0.4%
Reports, latest 12 months1,521—1,332,454
Marked serious15.8%32.6%57.4%
Death recorded among outcomes, per 1,000 reports307391
Hospitalisation recorded, per 1,000 reports82153213
Consumer-filed share12.9%13%45.8%
Top term, share of reportsDevice adhesion issue 14.4%median 0%0.1%

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 leukocyte growth factor class

DrugName typeReportsLatest 12 monthsMarked serious
Filgrastimgeneric10,6011,00494.9%
Neupogenbrand7,1286664.6%
Pegfilgrastimgeneric7,12748989.6%
Zarxiobrand1,7709259.3%
Udenycabrand1,23255017.4%
Leukinebrand9394462.6%

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 Neulasta reports

How many adverse event reports has FDA received for Neulasta?

80,512 reports list Neulasta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,521 of them arrived in the latest 12 months. Another 5,978 list it only as a concomitant medication.

What reactions are recorded in Neulasta reports?

device adhesion issue (14.4%), wrong technique in product usage process (12.7%), unintentional medical device removal (11.2%), device malfunction (8.4%) and device use error (7.5%). 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 Neulasta was responsible.

How serious are the reports?

15.8% are marked serious by the reporter. Among the outcomes recorded, 3% of reports include death and 8.2% 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 (42.8%), other health professional (25.5%) and pharmacist (17.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Neulasta rising?

1,521 reports in the 12 months to June 2026, down 51% from 3,128 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 Neulasta 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 Neulasta?

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 Neulasta as a suspect or interacting product; reports listing it only as a concomitant medication (5,978) 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.