Reported Reactions

Drugs › Complement inhibitor

Generic name

Ravulizumab: adverse event reports filed with FDA

1,919 reports list it as a suspect or interacting product, 2019–2026. Class: Complement inhibitor.

1,919
reports as suspect product
0% of all reports · about 288 a year
1,712
reports, 12 months to June 2026
107 in the 12 months before
98.9%
marked serious by the reporter
58.7% across the class
10.2%
record death among outcomes, as reported
196 reports · not verified by FDA

Between November 2019 and June 2026, 1,919 adverse event reports received by FDA list ravulizumab, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (96) are left out of every figure here.

In the 12 months to June 2026, 1,712 reports listed it, up 1500% from 107 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 288 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% of the reports for the complement inhibitor 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 fatigue (11.7%), death (7.9%) and asthenia (6.7%). A report can list several reactions, so shares add to more than 100%; 590 different terms appear across these reports. Fatigue is recorded in 11.7% of these reports, about the same share as in the median complement inhibitor drug (11.5%).

98.9% of the reports are marked serious by the reporter (58.7% across the class); 10.2% record death among the outcomes and 32.5% record hospitalisation, as reported. 74.3% of the reports came from consumers, and the largest patient age group is 18 to 44 (7.3%). 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

0230460Jul 2021: 3Aug 2021: 0Sep 2021: 1Oct 2021: 1Nov 2021: 0Dec 2021: 12022Jan 2022: 1Feb 2022: 2Mar 2022: 1Apr 2022: 1May 2022: 2Jun 2022: 0Jul 2022: 0Aug 2022: 1Sep 2022: 0Oct 2022: 0Nov 2022: 1Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 0Sep 2023: 0Oct 2023: 0Nov 2023: 7Dec 2023: 22024Jan 2024: 2Feb 2024: 1Mar 2024: 3Apr 2024: 1May 2024: 2Jun 2024: 5Jul 2024: 3Aug 2024: 2Sep 2024: 1Oct 2024: 3Nov 2024: 0Dec 2024: 52025Jan 2025: 3Feb 2025: 13Mar 2025: 9Apr 2025: 16May 2025: 32Jun 2025: 20Jul 2025: 34Aug 2025: 21Sep 2025: 28Oct 2025: 45Nov 2025: 106Dec 2025: 1622026Jan 2026: 161Feb 2026: 135Mar 2026: 211Apr 2026: 158May 2026: 460Jun 2026: 191

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

06581,3162019: 1820192020: 4020202021: 1020212022: 920222023: 920232024: 2820242025: 48920252026: 1,3162026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ravulizumab reports recording the termmedian drug in complement inhibitor

  1. Fatiguetiredness11.7%224
  2. Deaththe patient died; cause not stated by this term7.9%152
  3. Astheniaweakness or lack of energy6.7%128
  4. Drug ineffectivethe medicine did not work as expected5%95
  5. Painpain, site not specified4.9%94
  6. Dyspnoeashortness of breath4.3%83
  7. Illness4.2%81
  8. Falla fall3.9%75
  9. Headachehead pain3.8%73
  10. Malaisegeneral feeling of being unwell3.5%68
  11. Muscular weaknessmuscle weakness3.5%67
  12. Pneumonialung infection3.2%62
  13. Urinary tract infectionbladder or urinary infection3.2%62
  14. Influenzaflu3%58
  15. Feeling abnormalfeeling odd or not right2.9%56
  16. Back painback pain2.6%50
  17. Diarrhoealoose or frequent stools2.6%50
  18. Dysphagiadifficulty swallowing2.5%48
  19. Nasopharyngitisa cold2.5%48
  20. Pyrexiafever2.4%46
  21. Arthralgiajoint pain2.2%43
  22. Gait disturbancedifficulty walking2.2%43
  23. Diplopiadouble vision2.2%42
  24. Dizzinesslight-headedness or unsteadiness2.1%41
  25. Haemoglobin decreasedlow haemoglobin2%39
  26. Nauseafeeling sick2%38
  27. Vomitingbeing sick1.8%35
  28. Weight decreasedweight loss1.8%35

Top 30 of 590 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 complement inhibitor 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

Death10.2%196
Life-threatening2.4%46
Hospitalisation (initial or prolonged)32.5%624
Disability0.4%8
Congenital anomaly0.1%1
Other serious76.1%1,461
Not serious1.1%22

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 69,459 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%2
2 to 110.7%14
12 to 170.9%17
18 to 447.3%141
45 to 647.3%141
65 to 745%95
75 and over6.3%120
Age not given72.4%1,389

Patient sex

Female51.6%990
Male42.6%817
Not given5.8%112

Who reported

Physician13.3%255
Pharmacist1.3%25
Other health professional11.2%214
Lawyer0%0
Consumer or non-health professional74.3%1,425
Not given0%0

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 75% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Myasthenia gravis91147.5%
Paroxysmal nocturnal haemoglobinuria28314.7%
Atypical haemolytic uraemic syndrome21711.3%
Neuromyelitis optica spectrum disorder1839.5%
Haemolytic uraemic syndrome281.5%
C3 glomerulopathy60.3%

The indication field is filled in by the reporter and is often blank; shares are of all 1,919 reports.

In context

MeasureRavulizumabComplement inhibitorAll reports
Reports as suspect product1,91969,45920,646,523
Share of that pool—2.8%0%
Reports, latest 12 months1,712—1,332,454
Marked serious98.9%58.7%57.4%
Death recorded among outcomes, per 1,000 reports1029791
Hospitalisation recorded, per 1,000 reports325262213
Consumer-filed share74.3%68.3%45.8%
Top term, share of reportsFatigue 11.7%median 11.5%3.7%

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 complement inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Solirisbrand52,7681,33057.8%
Ultomirisbrand11,2791,81647.8%
Eculizumabgeneric2,07281797.2%
Pegcetacoplangeneric76814671.4%
Syfovrebrand65316566.6%

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 Ravulizumab reports

How many adverse event reports has FDA received for Ravulizumab?

1,919 reports list Ravulizumab as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,712 of them arrived in the latest 12 months. Another 96 list it only as a concomitant medication.

What reactions are recorded in Ravulizumab reports?

fatigue (11.7%), death (7.9%), asthenia (6.7%), drug ineffective (5%) and pain (4.9%). 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 Ravulizumab was responsible.

How serious are the reports?

98.9% are marked serious by the reporter. Among the outcomes recorded, 10.2% of reports include death and 32.5% 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?

consumer or non-health professional (74.3%), physician (13.3%) and other health professional (11.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ravulizumab rising?

1,712 reports in the 12 months to June 2026, up 1500% from 107 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 Ravulizumab 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 Ravulizumab?

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 Ravulizumab as a suspect or interacting product; reports listing it only as a concomitant medication (96) 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.