Reported Reactions

Drugs › Programmed death Receptor-1 blocking antibody

Generic name

Pembrolizumab: adverse event reports filed with FDA

30,990 reports list it as a suspect or interacting product, 2013–2026. Class: Programmed death Receptor-1 blocking antibody. Also reported as Pembrolizumab 200mg.

30,990
reports as suspect product
0.2% of all reports · about 2,464 a year
6,212
reports, 12 months to June 2026
5,011 in the 12 months before
95.7%
marked serious by the reporter
89.9% across the class
16.7%
record death among outcomes, as reported
5,167 reports · not verified by FDA

30,990 adverse event reports received by FDA list pembrolizumab, a generic name as a suspect or interacting product, from December 2013 to June 2026. A further 4,522 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, 6,212 reports listed it, up 24% from 5,011 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 2,464 reports a year and 0.2% of the 20,646,523 reports in the database, and 13.7% 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 malignant neoplasm progression (8.6%), off label use (5.9%) and diarrhoea (5.7%). A report can list several reactions, so shares add to more than 100%; 2,461 different terms appear across these reports. Malignant neoplasm progression is recorded in 8.6% of these reports, about the same share as in the median programmed death Receptor-1 blocking antibody drug (9.1%).

95.7% of the reports are marked serious by the reporter (89.9% across the class); 16.7% record death among the outcomes and 49% record hospitalisation, as reported. 55.2% of the reports came from physicians, and the largest patient age group is 45 to 64 (34.5%). 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

0335669Jul 2021: 249Aug 2021: 201Sep 2021: 173Oct 2021: 280Nov 2021: 265Dec 2021: 2662022Jan 2022: 264Feb 2022: 249Mar 2022: 289Apr 2022: 279May 2022: 300Jun 2022: 355Jul 2022: 242Aug 2022: 285Sep 2022: 285Oct 2022: 320Nov 2022: 274Dec 2022: 3482023Jan 2023: 332Feb 2023: 304Mar 2023: 320Apr 2023: 291May 2023: 312Jun 2023: 348Jul 2023: 360Aug 2023: 315Sep 2023: 310Oct 2023: 570Nov 2023: 493Dec 2023: 4142024Jan 2024: 328Feb 2024: 342Mar 2024: 432Apr 2024: 325May 2024: 385Jun 2024: 374Jul 2024: 363Aug 2024: 287Sep 2024: 482Oct 2024: 419Nov 2024: 444Dec 2024: 4212025Jan 2025: 344Feb 2025: 346Mar 2025: 420Apr 2025: 476May 2025: 465Jun 2025: 544Jul 2025: 516Aug 2025: 486Sep 2025: 460Oct 2025: 563Nov 2025: 444Dec 2025: 6692026Jan 2026: 470Feb 2026: 453Mar 2026: 543Apr 2026: 524May 2026: 510Jun 2026: 574

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

02,8675,7332013: 120132014: 4952015: 55020152016: 4982017: 66020172018: 1,0212019: 1,76520192020: 2,0902021: 2,64220212022: 3,4902023: 4,36920232024: 4,6022025: 5,73320252026: 3,074

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Pembrolizumab reports recording the termmedian drug in programmed death receptor-1 blocking antibody

  1. Off label useused for a purpose or in a way not on the label5.9%1,836
  2. Diarrhoealoose or frequent stools5.7%1,780
  3. Fatiguetiredness4.5%1,380
  4. Nauseafeeling sick3.9%1,213
  5. Deaththe patient died; cause not stated by this term3.9%1,204
  6. Anaemialow red blood cells3.8%1,166
  7. Drug ineffectivethe medicine did not work as expected3.7%1,142
  8. Pyrexiafever3.6%1,121
  9. Acute kidney injurysudden loss of kidney function3.6%1,110
  10. Pneumonitis3.3%1,030
  11. Neutropenialow neutrophils, a type of white blood cell3.3%1,014
  12. Rashskin rash3%932
  13. Product use in unapproved indicationused for a purpose not on the label3%928
  14. Pneumonialung infection2.8%877
  15. Hypothyroidismunderactive thyroid2.8%873
  16. Astheniaweakness or lack of energy2.8%859
  17. Colitisinflamed bowel2.8%855
  18. Vomitingbeing sick2.7%839
  19. Dyspnoeashortness of breath2.5%790
  20. Thrombocytopenialow platelets2.4%751
  21. Decreased appetitereduced appetite2.4%750
  22. Disease progressionthe disease advanced2.1%656
  23. Neuropathy peripheralnerve damage in hands or feet1.9%601
  24. Febrile neutropeniafever with low white blood cells1.9%597
  25. General physical health deteriorationgeneral decline in health1.8%561
  26. Hypertensionhigh blood pressure1.8%560
  27. Product use issuea problem in how the product was used1.8%547
  28. Pancytopenialow counts of all blood cells1.7%540

Top 30 of 2,461 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

Death16.7%5,167
Life-threatening7.8%2,417
Hospitalisation (initial or prolonged)49%15,197
Disability1.6%492
Congenital anomaly0.1%16
Other serious57.9%17,936
Not serious4.3%1,346

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

Under 20%6
2 to 110.1%17
12 to 170.1%44
18 to 447.7%2,371
45 to 6434.5%10,689
65 to 7426.6%8,248
75 and over14%4,349
Age not given17%5,266

Patient sex

Female43.7%13,547
Male48.5%15,020
Not given7.8%2,423

Who reported

Physician55.2%17,113
Pharmacist5.8%1,799
Other health professional29.1%9,019
Lawyer0%12
Consumer or non-health professional8.9%2,745
Not given1%302

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 22.4% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Non-small cell lung cancer2,3227.5%
Triple negative breast cancer1,6685.4%
Lung adenocarcinoma1,5615%
Endometrial cancer8652.8%
Lung neoplasm malignant8642.8%
Malignant melanoma8612.8%

The indication field is filled in by the reporter and is often blank; shares are of all 30,990 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Pembrolizumab reports
Carboplatin9,15329.5%
Pemetrexed4,46014.4%
Paclitaxel4,32814%
Lenvatinib4,15513.4%
Cisplatin1,7895.8%
Acetaminophen1,5124.9%
Cyclophosphamide1,3974.5%
Dexamethasone1,3554.4%
Amlodipine1,0763.5%
Enfortumab vedotin1,0563.4%

Other products listed in reports where Pembrolizumab 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

MeasurePembrolizumabProgrammed death Receptor-1 blocking antibodyAll reports
Reports as suspect product30,990225,95920,646,523
Share of that pool—13.7%0.2%
Reports, latest 12 months6,212—1,332,454
Marked serious95.7%89.9%57.4%
Death recorded among outcomes, per 1,000 reports16722591
Hospitalisation recorded, per 1,000 reports490418213
Consumer-filed share8.9%19.7%45.8%
Top term, share of reportsMalignant neoplasm progression 8.6%median 9.1%0.5%

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

DrugName typeReportsLatest 12 monthsMarked serious
Keytrudabrand63,6388,46584%
Opdivobrand46,6103,75383.6%
Nivolumabgeneric45,8232,58196%
Atezolizumabgeneric19,7681,88797.7%
Tecentriqbrand16,9572,34993.5%
Dostarlimabgeneric1,28047597.5%
Jemperlibrand89342270.1%

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 Pembrolizumab reports

How many adverse event reports has FDA received for Pembrolizumab?

30,990 reports list Pembrolizumab as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 6,212 of them arrived in the latest 12 months. Another 4,522 list it only as a concomitant medication.

What reactions are recorded in Pembrolizumab reports?

malignant neoplasm progression (8.6%), off label use (5.9%), diarrhoea (5.7%), fatigue (4.5%) and nausea (3.9%). 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 Pembrolizumab was responsible.

How serious are the reports?

95.7% are marked serious by the reporter. Among the outcomes recorded, 16.7% of reports include death and 49% 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 (55.2%), other health professional (29.1%) and consumer or non-health professional (8.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Pembrolizumab rising?

6,212 reports in the 12 months to June 2026, up 24% from 5,011 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 Pembrolizumab 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 Pembrolizumab?

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 Pembrolizumab as a suspect or interacting product; reports listing it only as a concomitant medication (4,522) 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.