Drugs › Programmed death Receptor-1 blocking antibody
Brand name · Nivolumab
Opdivo: adverse event reports filed with FDA
46,610 reports list it as a suspect or interacting product, 2015–2026. Class: Programmed death Receptor-1 blocking antibody.
- 46,610
- reports as suspect product
- 0.2% of all reports · about 4,055 a year
- 3,753
- reports, 12 months to June 2026
- 3,967 in the 12 months before
- 83.6%
- marked serious by the reporter
- 89.9% across the class
- 28.1%
- record death among outcomes, as reported
- 13,119 reports · not verified by FDA
46,610 adverse event reports received by FDA list the brand name Opdivo (nivolumab) as a suspect or interacting product, from January 2015 to June 2026. A further 1,091 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, 3,753 reports listed it, close to the 3,967 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 4,055 reports a year and 0.2% of the 20,646,523 reports in the database, and 20.6% of the reports for the programmed death Receptor-1 blocking antibody 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 death (17.4%), malignant neoplasm progression (9.7%) and off label use (7.1%). A report can list several reactions, so shares add to more than 100%; 2,224 different terms appear across these reports. Death is recorded in 17.4% of these reports, a larger share than in the median programmed death Receptor-1 blocking antibody drug (6.1%).
83.6% of the reports are marked serious by the reporter (89.9% across the class); 28.1% record death among the outcomes and 31.5% record hospitalisation, as reported. 47.3% of the reports came from physicians, and the largest patient age group is 65 to 74 (22.8%). 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
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
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Opdivo reports recording the termmedian drug in programmed death receptor-1 blocking antibody
- Deaththe patient died; cause not stated by this term17.4%8,093
- Malignant neoplasm progression9.7%4,542
- Off label useused for a purpose or in a way not on the label7.1%3,332
- Intentional product use issuedeliberate use not as intended5%2,325
- Diarrhoealoose or frequent stools4.8%2,224
- Fatiguetiredness3.9%1,834
- Rashskin rash3.6%1,656
- Pyrexiafever3.5%1,653
- Decreased appetitereduced appetite3%1,379
- Nauseafeeling sick2.7%1,271
- Adverse eventan unwanted medical event, type not specified2.2%1,046
- Interstitial lung diseasescarring or inflammation of lung tissue2.2%1,028
- Dyspnoeashortness of breath2%955
- Colitisinflamed bowel2%932
- Malaisegeneral feeling of being unwell2%924
- Pneumonialung infection1.9%906
- Pruritusitching1.9%901
- Hypothyroidismunderactive thyroid1.9%873
- Product use in unapproved indicationused for a purpose not on the label1.9%865
- Weight decreasedweight loss1.8%849
- Astheniaweakness or lack of energy1.6%754
- Vomitingbeing sick1.6%738
- Liver disorder1.6%725
- Arthralgiajoint pain1.5%708
- Adrenal insufficiencythe adrenal glands produce too little hormone1.5%700
- Immune-mediated enterocolitis1.5%695
- Pneumonitis1.5%681
- Hepatic function abnormal1.4%662
- Constipationconstipation1.4%638
- Acute kidney injurysudden loss of kidney function1.2%550
Top 30 of 2,224 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 8 drugs in the programmed death receptor-1 blocking antibody 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
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 225,959 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
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 43.9% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Malignant melanoma | 4,442 | 9.5% |
| Non-small cell lung cancer | 4,000 | 8.6% |
| Gastric cancer | 2,852 | 6.1% |
| Renal cell carcinoma | 2,806 | 6% |
| Metastatic renal cell carcinoma | 2,205 | 4.7% |
| Lung neoplasm malignant | 1,978 | 4.2% |
The indication field is filled in by the reporter and is often blank; shares are of all 46,610 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Opdivo reports |
|---|---|---|
| Yervoy | 14,544 | 31.2% |
| Cabometyx | 2,628 | 5.6% |
| Carboplatin | 1,758 | 3.8% |
| Oxaliplatin | 1,331 | 2.9% |
| Amlodipine | 1,075 | 2.3% |
| Paclitaxel | 958 | 2.1% |
| Levothyroxine | 823 | 1.8% |
| Atorvastatin | 809 | 1.7% |
| Aspirin | 796 | 1.7% |
| Ondansetron | 766 | 1.6% |
Other products listed in reports where Opdivo 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
| Measure | Opdivo | Programmed death Receptor-1 blocking antibody | All reports |
|---|---|---|---|
| Reports as suspect product | 46,610 | 225,959 | 20,646,523 |
| Share of that pool | — | 20.6% | 0.2% |
| Reports, latest 12 months | 3,753 | — | 1,332,454 |
| Marked serious | 83.6% | 89.9% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 281 | 225 | 91 |
| Hospitalisation recorded, per 1,000 reports | 315 | 418 | 213 |
| Consumer-filed share | 25% | 19.7% | 45.8% |
| Top term, share of reports | Death 17.4% | median 6.1% | 4.1% |
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 programmed death receptor-1 blocking antibody class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Keytruda | brand | 63,638 | 8,465 | 84% |
| Nivolumab | generic | 45,823 | 2,581 | 96% |
| Pembrolizumab | generic | 30,990 | 6,212 | 95.7% |
| Atezolizumab | generic | 19,768 | 1,887 | 97.7% |
| Tecentriq | brand | 16,957 | 2,349 | 93.5% |
| Dostarlimab | generic | 1,280 | 475 | 97.5% |
| Jemperli | brand | 893 | 422 | 70.1% |
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 Opdivo reports
How many adverse event reports has FDA received for Opdivo?
46,610 reports list Opdivo as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 3,753 of them arrived in the latest 12 months. Another 1,091 list it only as a concomitant medication.
What reactions are recorded in Opdivo reports?
death (17.4%), malignant neoplasm progression (9.7%), off label use (7.1%), intentional product use issue (5%) and diarrhoea (4.8%). 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 Opdivo was responsible.
How serious are the reports?
83.6% are marked serious by the reporter. Among the outcomes recorded, 28.1% of reports include death and 31.5% 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 (47.3%), consumer or non-health professional (25%) and other health professional (17.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Opdivo rising?
3,753 reports in the 12 months to June 2026, close to the 3,967 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 Opdivo 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 Opdivo?
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 Opdivo as a suspect or interacting product; reports listing it only as a concomitant medication (1,091) 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.