Reported Reactions

Drugs › Interleukin-23 antagonist

Brand name · Risankizumab-rzaa

Skyrizi: adverse event reports filed with FDA

79,784 reports list it as a suspect or interacting product, 2019–2026. Class: Interleukin-23 antagonist.

79,784
reports as suspect product
0.4% of all reports · about 11,269 a year
19,301
reports, 12 months to June 2026
16,292 in the 12 months before
66.3%
marked serious by the reporter
53.2% across the class
3.6%
record death among outcomes, as reported
2,888 reports · not verified by FDA

79,784 adverse event reports received by FDA list the brand name Skyrizi (risankizumab-rzaa) as a suspect or interacting product, from June 2019 to June 2026. A further 1,500 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, 19,301 reports listed it, up 18% from 16,292 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 11,269 reports a year and 0.4% of the 20,646,523 reports in the database, and 68.2% of the reports for the interleukin-23 antagonist 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 psoriasis (9.7%), drug ineffective (4.3%) and pain (3.9%). A report can list several reactions, so shares add to more than 100%; 3,298 different terms appear across these reports. Psoriasis is recorded in 9.7% of these reports, a larger share than in the median interleukin-23 antagonist drug (4.2%).

66.3% of the reports are marked serious by the reporter (53.2% across the class); 3.6% record death among the outcomes and 22.4% record hospitalisation, as reported. 85.2% of the reports came from consumers, and the largest patient age group is 45 to 64 (20.4%). 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

02,4224,843Jul 2021: 285Aug 2021: 301Sep 2021: 451Oct 2021: 344Nov 2021: 361Dec 2021: 5392022Jan 2022: 271Feb 2022: 350Mar 2022: 367Apr 2022: 463May 2022: 399Jun 2022: 388Jul 2022: 426Aug 2022: 515Sep 2022: 1,231Oct 2022: 4,663Nov 2022: 3,531Dec 2022: 3,6652023Jan 2023: 4,843Feb 2023: 630Mar 2023: 933Apr 2023: 935May 2023: 1,057Jun 2023: 899Jul 2023: 912Aug 2023: 1,068Sep 2023: 899Oct 2023: 960Nov 2023: 922Dec 2023: 9222024Jan 2024: 1,049Feb 2024: 1,125Mar 2024: 1,052Apr 2024: 1,089May 2024: 1,228Jun 2024: 1,144Jul 2024: 1,148Aug 2024: 1,264Sep 2024: 1,212Oct 2024: 1,305Nov 2024: 1,287Dec 2024: 1,2962025Jan 2025: 1,209Feb 2025: 1,316Mar 2025: 1,500Apr 2025: 1,678May 2025: 1,555Jun 2025: 1,522Jul 2025: 1,700Aug 2025: 1,555Sep 2025: 1,960Oct 2025: 1,752Nov 2025: 1,723Dec 2025: 1,6682026Jan 2026: 1,503Feb 2026: 1,494Mar 2026: 1,641Apr 2026: 1,436May 2026: 1,433Jun 2026: 1,436

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

09,56919,1382019: 34820192020: 1,87420202021: 4,03320212022: 16,26920222023: 14,98020232024: 14,19920242025: 19,13820252026: 8,9432026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Skyrizi reports recording the termmedian drug in interleukin-23 antagonist

  1. Psoriasispsoriasis, a skin condition9.7%7,702
  2. Drug ineffectivethe medicine did not work as expected4.3%3,395
  3. Painpain, site not specified3.9%3,123
  4. Arthralgiajoint pain3.8%3,025
  5. Fatiguetiredness3.8%2,997
  6. Pruritusitching3.2%2,585
  7. Device issuea problem with the device3%2,372
  8. Covid-19COVID-19 infection2.8%2,219
  9. Surgeryan operation2.8%2,210
  10. Deaththe patient died; cause not stated by this term2.7%2,194
  11. Falla fall2.7%2,139
  12. Diarrhoealoose or frequent stools2.4%1,927
  13. Headachehead pain2.3%1,806
  14. Rashskin rash1.8%1,433
  15. Nauseafeeling sick1.7%1,379
  16. Nasopharyngitisa cold1.7%1,319
  17. Malaisegeneral feeling of being unwell1.6%1,293
  18. Pneumonialung infection1.6%1,278
  19. Abdominal painstomach or belly pain1.6%1,240
  20. Pain in extremitypain in an arm or leg1.5%1,229
  21. Intestinal obstructiona blocked bowel1.4%1,153
  22. Erythemaskin redness1.4%1,143
  23. Injection site haemorrhagebleeding where the injection was given1.4%1,117
  24. Dizzinesslight-headedness or unsteadiness1.4%1,102
  25. Illness1.4%1,093
  26. Skin cancerskin cancer1.3%1,062

Top 30 of 3,298 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 5 drugs in the interleukin-23 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

Death3.6%2,888
Life-threatening0.3%240
Hospitalisation (initial or prolonged)22.4%17,886
Disability0.4%326
Congenital anomaly0.1%71
Other serious47.7%38,029
Not serious33.7%26,865

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 116,972 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%17
2 to 110%17
12 to 170.1%92
18 to 4411%8,746
45 to 6420.4%16,248
65 to 7412%9,563
75 and over6.5%5,224
Age not given50%39,877

Patient sex

Female54%43,060
Male41.3%32,936
Not given4.7%3,788

Who reported

Physician5.5%4,358
Pharmacist0.7%593
Other health professional8%6,408
Lawyer0%8
Consumer or non-health professional85.2%67,999
Not given0.5%418

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 83.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Psoriasis43,59554.6%
Crohn's disease17,03121.3%
Psoriatic arthropathy4,8846.1%
Colitis ulcerative1,6562.1%
Rheumatoid arthritis2040.3%
Maternal exposure timing unspecified1090.1%

The indication field is filled in by the reporter and is often blank; shares are of all 79,784 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Skyrizi reports
Pfizer-Biontech Covid-19 Vaccine2,0132.5%
Moderna covid-19 vaccine1,7292.2%
Atorvastatin9651.2%
Aspirin9251.2%
Humira8991.1%
Omeprazole7170.9%
Metformin7160.9%
Prednisone7080.9%
Lisinopril6910.9%
Ergocalciferol6670.8%

Other products listed in reports where Skyrizi 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

MeasureSkyriziInterleukin-23 antagonistAll reports
Reports as suspect product79,784116,97220,646,523
Share of that pool—68.2%0.4%
Reports, latest 12 months19,301—1,332,454
Marked serious66.3%53.2%57.4%
Death recorded among outcomes, per 1,000 reports363091
Hospitalisation recorded, per 1,000 reports224176213
Consumer-filed share85.2%71.4%45.8%
Top term, share of reportsPsoriasis 9.7%median 4.2%0.6%

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 interleukin-23 antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Tremfyabrand32,0296,35124.8%
Ilumyabrand2,29070021.8%
Guselkumabgeneric2,0931,18123.5%
Omvohbrand77629349.6%

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 Skyrizi reports

How many adverse event reports has FDA received for Skyrizi?

79,784 reports list Skyrizi as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 19,301 of them arrived in the latest 12 months. Another 1,500 list it only as a concomitant medication.

What reactions are recorded in Skyrizi reports?

psoriasis (9.7%), drug ineffective (4.3%), pain (3.9%), arthralgia (3.8%) and fatigue (3.8%). 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 Skyrizi was responsible.

How serious are the reports?

66.3% are marked serious by the reporter. Among the outcomes recorded, 3.6% of reports include death and 22.4% 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 (85.2%), other health professional (8%) and physician (5.5%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Skyrizi rising?

19,301 reports in the 12 months to June 2026, up 18% from 16,292 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 Skyrizi 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 Skyrizi?

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 Skyrizi as a suspect or interacting product; reports listing it only as a concomitant medication (1,500) 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.