Reported Reactions

Drugs › HER2/neu receptor antagonist

Brand name · Pertuzumab

Perjeta: adverse event reports filed with FDA

12,939 reports list it as a suspect or interacting product, 2012–2026. Class: HER2/neu receptor antagonist.

12,939
reports as suspect product
0.1% of all reports · about 924 a year
643
reports, 12 months to June 2026
1,174 in the 12 months before
77.7%
marked serious by the reporter
86.6% across the class
10.1%
record death among outcomes, as reported
1,304 reports · not verified by FDA

12,939 adverse event reports received by FDA list the brand name Perjeta (pertuzumab) as a suspect or interacting product, from July 2012 to June 2026. A further 1,331 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, 643 reports listed it, down 45% from 1,174 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 924 reports a year and 0.1% of the 20,646,523 reports in the database, and 15.1% of the reports for the HER2/neu receptor antagonist class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded diarrhoea (13.5%), myelosuppression (6.7%) and nausea (6.3%). A report can list several reactions, so shares add to more than 100%; 1,232 different terms appear across these reports. Diarrhoea is recorded in 13.5% of these reports, about the same share as in the median HER2/neu receptor antagonist drug (12.6%).

77.7% of the reports are marked serious by the reporter (86.6% across the class); 10.1% record death among the outcomes and 25.1% record hospitalisation, as reported. 43.2% of the reports came from physicians, and the largest patient age group is 45 to 64 (32.6%). 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

0228456Jul 2021: 84Aug 2021: 245Sep 2021: 76Oct 2021: 80Nov 2021: 136Dec 2021: 952022Jan 2022: 75Feb 2022: 83Mar 2022: 91Apr 2022: 83May 2022: 74Jun 2022: 114Jul 2022: 174Aug 2022: 99Sep 2022: 70Oct 2022: 97Nov 2022: 142Dec 2022: 902023Jan 2023: 91Feb 2023: 100Mar 2023: 117Apr 2023: 118May 2023: 88Jun 2023: 135Jul 2023: 166Aug 2023: 123Sep 2023: 101Oct 2023: 111Nov 2023: 176Dec 2023: 872024Jan 2024: 79Feb 2024: 90Mar 2024: 131Apr 2024: 89May 2024: 97Jun 2024: 221Jul 2024: 107Aug 2024: 76Sep 2024: 456Oct 2024: 77Nov 2024: 63Dec 2024: 652025Jan 2025: 48Feb 2025: 56Mar 2025: 60Apr 2025: 60May 2025: 51Jun 2025: 55Jul 2025: 74Aug 2025: 60Sep 2025: 60Oct 2025: 59Nov 2025: 59Dec 2025: 422026Jan 2026: 38Feb 2026: 49Mar 2026: 67Apr 2026: 42May 2026: 47Jun 2026: 46

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

07761,5512012: 1620122013: 3332014: 44520142015: 5182016: 73520162017: 1,3662018: 97920182019: 1,0022020: 1,22420202021: 1,1922022: 1,19220222023: 1,4132024: 1,55120242025: 6842026: 2892026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Perjeta reports recording the termmedian drug in her2/neu receptor antagonist

  1. Diarrhoealoose or frequent stools13.5%1,753
  2. Nauseafeeling sick6.3%821
  3. Fatiguetiredness6.1%788
  4. Deaththe patient died; cause not stated by this term5.7%736
  5. Off label useused for a purpose or in a way not on the label5.5%711
  6. Rashskin rash4.5%582
  7. No adverse eventno adverse event was reported4.4%574
  8. Dyspnoeashortness of breath4.1%532
  9. Vomitingbeing sick4%514
  10. Disease progressionthe disease advanced3.9%500
  11. Pyrexiafever3.7%475
  12. Neuropathy peripheralnerve damage in hands or feet3.2%413
  13. Astheniaweakness or lack of energy3.2%408
  14. Alopeciahair loss2.9%381
  15. Weight decreasedweight loss2.7%349
  16. Chillschills or shivering2.6%342
  17. Headachehead pain2.6%337
  18. Painpain, site not specified2.4%308
  19. Pruritusitching2.4%308
  20. Drug ineffectivethe medicine did not work as expected2.2%282
  21. Anaemialow red blood cells2.2%280
  22. Febrile neutropeniafever with low white blood cells2.1%271
  23. Pneumonialung infection2.1%269
  24. Malaisegeneral feeling of being unwell2.1%267
  25. White blood cell count decreasedlow white cell count2%265
  26. Infusion related reactiona reaction during or soon after an infusion2%261
  27. Platelet count decreasedlow platelet count2%259

Top 30 of 1,232 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 6 drugs in the her2/neu receptor antagonist 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

Death10.1%1,304
Life-threatening3.5%449
Hospitalisation (initial or prolonged)25.1%3,243
Disability1.6%201
Congenital anomaly0.1%14
Other serious48.5%6,277
Not serious22.3%2,891

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 85,553 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 20.1%12
2 to 110%0
12 to 170%1
18 to 4412.5%1,619
45 to 6432.6%4,223
65 to 7411.2%1,447
75 and over4.7%602
Age not given38.9%5,035

Patient sex

Female82%10,605
Male2.1%267
Not given16%2,067

Who reported

Physician43.2%5,584
Pharmacist9.7%1,250
Other health professional24.6%3,180
Lawyer1.1%136
Consumer or non-health professional21.3%2,752
Not given0.3%37

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 32.8% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Breast cancer4,56235.3%
Breast cancer metastatic2,05015.8%
Her2 positive breast cancer1,2419.6%
Her-2 positive breast cancer8786.8%
Invasive ductal breast carcinoma2962.3%
Breast cancer female2672.1%

The indication field is filled in by the reporter and is often blank; shares are of all 12,939 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Perjeta reports
Herceptin8,67567%
Docetaxel3,05823.6%
Trastuzumab1,94915.1%
Carboplatin1,56412.1%
Paclitaxel1,50311.6%
Taxotere1,43111.1%
Kadcyla1,2319.5%
Dexamethasone8246.4%
Taxol6134.7%
Xeloda4693.6%

Other products listed in reports where Perjeta 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

MeasurePerjetaHER2/neu receptor antagonistAll reports
Reports as suspect product12,93985,55320,646,523
Share of that pool—15.1%0.1%
Reports, latest 12 months643—1,332,454
Marked serious77.7%86.6%57.4%
Death recorded among outcomes, per 1,000 reports10112091
Hospitalisation recorded, per 1,000 reports251320213
Consumer-filed share21.3%14.6%45.8%
Top term, share of reportsDiarrhoea 13.5%median 12.6%3.1%

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 her2/neu receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Herceptinbrand30,39993481.2%
Trastuzumabgeneric28,9292,89395.7%
Pertuzumabgeneric11,3531,12595.6%
Kanjintibrand1,4327422.4%
Ontruzantgeneric5011293.4%

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 Perjeta reports

How many adverse event reports has FDA received for Perjeta?

12,939 reports list Perjeta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 643 of them arrived in the latest 12 months. Another 1,331 list it only as a concomitant medication.

What reactions are recorded in Perjeta reports?

diarrhoea (13.5%), myelosuppression (6.7%), nausea (6.3%), fatigue (6.1%) and death (5.7%). 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 Perjeta was responsible.

How serious are the reports?

77.7% are marked serious by the reporter. Among the outcomes recorded, 10.1% of reports include death and 25.1% 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 (43.2%), other health professional (24.6%) and consumer or non-health professional (21.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Perjeta rising?

643 reports in the 12 months to June 2026, down 45% from 1,174 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 Perjeta 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 Perjeta?

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 Perjeta as a suspect or interacting product; reports listing it only as a concomitant medication (1,331) 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.