Brand name · Pertuzumab, trastuzumab, and hyaluronidase-zzxf
Phesgo: adverse event reports filed with FDA
4,489 reports list it as a suspect or interacting product, 2020–2026. Class: Endoglycosidase.
- 4,489
- reports as suspect product
- 0% of all reports · about 759 a year
- 694
- reports, 12 months to June 2026
- 1,603 in the 12 months before
- 34%
- marked serious by the reporter
- 47.1% across the class
- 5.5%
- record death among outcomes, as reported
- 248 reports · not verified by FDA
Between August 2020 and June 2026, 4,489 adverse event reports received by FDA list the brand name Phesgo (pertuzumab, trastuzumab, and hyaluronidase-zzxf) as a suspect or interacting product. Reports that mention it only as a concomitant medication (112) are left out of every figure here.
In the 12 months to June 2026, 694 reports listed it, down 57% from 1,603 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 759 reports a year and 0% of the 20,646,523 reports in the database, and 79.3% of the reports for the endoglycosidase class. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded no adverse event (20.2%), off label use (19.4%) and diarrhoea (8.8%). A report can list several reactions, so shares add to more than 100%; 497 different terms appear across these reports. No adverse event is recorded in 20.2% of these reports, a larger share than in the median endoglycosidase drug (10.5%).
34% of the reports are marked serious by the reporter (47.1% across the class); 5.5% record death among the outcomes and 11.6% record hospitalisation, as reported. 46.4% of the reports came from physicians, and the largest patient age group is 45 to 64 (34.3%). 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 Phesgo reports recording the termmedian drug in endoglycosidase
- No adverse eventno adverse event was reported20.2%905
- Off label useused for a purpose or in a way not on the label19.4%873
- Diarrhoealoose or frequent stools8.8%393
- Injection site painpain where the injection was given4.7%209
- Painpain, site not specified4.5%203
- Injection site reactiona reaction where the injection was given3.5%158
- Fatiguetiredness3.3%148
- Deaththe patient died; cause not stated by this term3.2%142
- Pyrexiafever3.2%142
- Disease progressionthe disease advanced3%134
- Rashskin rash2.9%128
- Astheniaweakness or lack of energy2.7%121
- Malaisegeneral feeling of being unwell2.2%101
- Nauseafeeling sick2.2%97
- Erythemaskin redness1.9%87
- Vomitingbeing sick1.9%87
- Drug ineffectivethe medicine did not work as expected1.9%86
- Pain in extremitypain in an arm or leg1.9%86
- Pruritusitching1.8%82
- Dyspnoeashortness of breath1.4%65
- Neuropathy peripheralnerve damage in hands or feet1.4%64
- Surgeryan operation1.4%64
- Decreased appetitereduced appetite1.4%62
- Arthralgiajoint pain1.3%60
- Myalgiamuscle pain1.3%59
- Pneumonialung infection1.3%57
- Dizzinesslight-headedness or unsteadiness1.2%56
- Hypoaesthesianumbness1.2%55
- Intercepted product storage error1.1%50
Top 30 of 497 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 2 drugs in the endoglycosidase 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 5,659 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. 20% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Breast cancer | 2,225 | 49.6% |
| Breast cancer metastatic | 622 | 13.9% |
| Her2 positive breast cancer | 505 | 11.2% |
| Breast cancer female | 87 | 1.9% |
| Invasive ductal breast carcinoma | 28 | 0.6% |
| Breast cancer recurrent | 23 | 0.5% |
The indication field is filled in by the reporter and is often blank; shares are of all 4,489 reports.
In context
| Measure | Phesgo | Endoglycosidase | All reports |
|---|---|---|---|
| Reports as suspect product | 4,489 | 5,659 | 20,646,523 |
| Share of that pool | — | 79.3% | 0% |
| Reports, latest 12 months | 694 | — | 1,332,454 |
| Marked serious | 34% | 47.1% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 55 | 154 | 91 |
| Hospitalisation recorded, per 1,000 reports | 116 | 254 | 213 |
| Consumer-filed share | 33.3% | 27.4% | 45.8% |
| Top term, share of reports | No adverse event 20.2% | median 10.5% | 0.8% |
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 endoglycosidase class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Hyaluronidase | generic | 1,170 | 212 | 97.3% |
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 Phesgo reports
How many adverse event reports has FDA received for Phesgo?
4,489 reports list Phesgo as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 694 of them arrived in the latest 12 months. Another 112 list it only as a concomitant medication.
What reactions are recorded in Phesgo reports?
no adverse event (20.2%), off label use (19.4%), diarrhoea (8.8%), injection site pain (4.7%) and pain (4.5%). 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 Phesgo was responsible.
How serious are the reports?
34% are marked serious by the reporter. Among the outcomes recorded, 5.5% of reports include death and 11.6% 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 (46.4%), consumer or non-health professional (33.3%) and other health professional (10.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Phesgo rising?
694 reports in the 12 months to June 2026, down 57% from 1,603 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 Phesgo 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 Phesgo?
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 Phesgo as a suspect or interacting product; reports listing it only as a concomitant medication (112) 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.