Reported Reactions

Drugs › Interleukin-6 receptor antagonist

Generic name

Tocilizumab: adverse event reports filed with FDA

25,705 reports list it as a suspect or interacting product, 2006–2026. Class: Interleukin-6 receptor antagonist. Also reported as Tocilizumab 400mg.

25,705
reports as suspect product
0.1% of all reports · about 1,264 a year
1,767
reports, 12 months to June 2026
2,480 in the 12 months before
95%
marked serious by the reporter
70.4% across the class
21.6%
record death among outcomes, as reported
5,544 reports · not verified by FDA

25,705 adverse event reports received by FDA list tocilizumab, a generic name as a suspect or interacting product, from March 2006 to June 2026. A further 4,724 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, 1,767 reports listed it, down 29% from 2,480 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 1,264 reports a year and 0.1% of the 20,646,523 reports in the database, and 19.1% of the reports for the interleukin-6 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 off label use (31.6%), drug ineffective (23.8%) and rheumatoid arthritis (17.5%). A report can list several reactions, so shares add to more than 100%; 2,332 different terms appear across these reports. Off label use is recorded in 31.6% of these reports, a larger share than in the median interleukin-6 receptor antagonist drug (16.7%).

95% of the reports are marked serious by the reporter (70.4% across the class); 21.6% record death among the outcomes and 43.4% record hospitalisation, as reported. 49.4% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (21.7%). 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

0363726Jul 2021: 314Aug 2021: 303Sep 2021: 358Oct 2021: 300Nov 2021: 314Dec 2021: 5132022Jan 2022: 291Feb 2022: 332Mar 2022: 726Apr 2022: 275May 2022: 308Jun 2022: 375Jul 2022: 287Aug 2022: 426Sep 2022: 261Oct 2022: 233Nov 2022: 269Dec 2022: 2302023Jan 2023: 233Feb 2023: 246Mar 2023: 243Apr 2023: 234May 2023: 335Jun 2023: 229Jul 2023: 333Aug 2023: 189Sep 2023: 190Oct 2023: 235Nov 2023: 204Dec 2023: 2112024Jan 2024: 178Feb 2024: 234Mar 2024: 259Apr 2024: 214May 2024: 292Jun 2024: 225Jul 2024: 216Aug 2024: 191Sep 2024: 210Oct 2024: 302Nov 2024: 233Dec 2024: 2782025Jan 2025: 134Feb 2025: 150Mar 2025: 210Apr 2025: 169May 2025: 130Jun 2025: 257Jul 2025: 210Aug 2025: 131Sep 2025: 133Oct 2025: 121Nov 2025: 164Dec 2025: 1932026Jan 2026: 149Feb 2026: 124Mar 2026: 117Apr 2026: 136May 2026: 133Jun 2026: 156

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

02,0334,0652006: 920062007: 32008: 22009: 820092010: 5152011: 4082012: 48620122013: 6402014: 4252015: 44520152016: 5642017: 6782018: 1,10620182019: 1,1542020: 2,6532021: 4,06520212022: 4,0132023: 2,8822024: 2,83220242025: 2,0022026: 815

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Tocilizumab reports recording the termmedian drug in interleukin-6 receptor antagonist

  1. Off label useused for a purpose or in a way not on the label31.6%8,116
  2. Drug ineffectivethe medicine did not work as expected23.8%6,112
  3. Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease17.5%4,495
  4. Painpain, site not specified16.2%4,159
  5. Fatiguetiredness14%3,590
  6. Rashskin rash13.6%3,488
  7. Drug intolerancethe medicine was not tolerated11.8%3,036
  8. Product use issuea problem in how the product was used11.7%3,004
  9. Arthropathy11.6%2,978
  10. Alopeciahair loss11.5%2,952
  11. Systemic lupus erythematosuslupus, an autoimmune disease11.5%2,950
  12. Pemphigus11.2%2,873
  13. Hypersensitivityan allergic-type reaction11.2%2,869
  14. Treatment failurethe treatment did not work11.1%2,845
  15. Arthralgiajoint pain11%2,835
  16. Abdominal discomfortstomach discomfort11%2,833
  17. Infusion related reactiona reaction during or soon after an infusion11%2,830
  18. Joint swellinga swollen joint10.8%2,774
  19. Synovitis10.7%2,742
  20. Glossodynia10.3%2,647
  21. Condition aggravatedthe condition being treated got worse10%2,566
  22. Wound9.9%2,544
  23. Swellingswelling9.8%2,530
  24. Headachehead pain9.5%2,445
  25. Hepatic enzyme increasedraised liver enzymes9.5%2,432
  26. Maternal exposure during pregnancythe mother took the medicine during pregnancy8.8%2,262
  27. Nauseafeeling sick8.7%2,232
  28. Intentional product use issuedeliberate use not as intended8.5%2,197

Top 30 of 2,332 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-6 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

Death21.6%5,544
Life-threatening14%3,607
Hospitalisation (initial or prolonged)43.4%11,144
Disability12.6%3,241
Congenital anomaly3.9%1,005
Other serious64.8%16,653
Not serious5%1,287

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 134,236 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 20.3%87
2 to 112.7%699
12 to 172%506
18 to 4416%4,104
45 to 6421.7%5,582
65 to 7411.5%2,958
75 and over5.7%1,463
Age not given40.1%10,306

Patient sex

Female54.1%13,896
Male26.3%6,761
Not given19.6%5,048

Who reported

Physician37.2%9,571
Pharmacist3.2%821
Other health professional49.4%12,708
Lawyer0%4
Consumer or non-health professional9.4%2,406
Not given0.8%195

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 14.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Rheumatoid arthritis10,40340.5%
Covid-193,23112.6%
Covid-19 pneumonia1,2174.7%
Still's disease5772.2%
Juvenile idiopathic arthritis4831.9%
Cytokine release syndrome4621.8%

The indication field is filled in by the reporter and is often blank; shares are of all 25,705 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Tocilizumab reports
Methotrexate10,03539%
Rituximab7,17727.9%
Prednisone7,07927.5%
Orencia6,40824.9%
Enbrel5,89422.9%
Humira5,74022.3%
Sulfasalazine5,63921.9%
Folic acid5,56621.7%
Hydroxychloroquine5,50521.4%
Remicade5,21420.3%

Other products listed in reports where Tocilizumab 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

MeasureTocilizumabInterleukin-6 receptor antagonistAll reports
Reports as suspect product25,705134,23620,646,523
Share of that pool—19.1%0.1%
Reports, latest 12 months1,767—1,332,454
Marked serious95%70.4%57.4%
Death recorded among outcomes, per 1,000 reports21611491
Hospitalisation recorded, per 1,000 reports434246213
Consumer-filed share9.4%31.3%45.8%
Top term, share of reportsOff label use 31.6%median 16.7%4.1%

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 interleukin-6 receptor antagonist class

DrugName typeReportsLatest 12 monthsMarked serious
Actemrabrand80,0953,72673.6%
Kevzarabrand23,2644,48636.8%
Actemra ACTPenbrand3,15395823.6%
Sarilumabgeneric2,01917287.7%

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 Tocilizumab reports

How many adverse event reports has FDA received for Tocilizumab?

25,705 reports list Tocilizumab as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,767 of them arrived in the latest 12 months. Another 4,724 list it only as a concomitant medication.

What reactions are recorded in Tocilizumab reports?

off label use (31.6%), drug ineffective (23.8%), rheumatoid arthritis (17.5%), pain (16.2%) and fatigue (14%). 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 Tocilizumab was responsible.

How serious are the reports?

95% are marked serious by the reporter. Among the outcomes recorded, 21.6% of reports include death and 43.4% 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?

other health professional (49.4%), physician (37.2%) and consumer or non-health professional (9.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Tocilizumab rising?

1,767 reports in the 12 months to June 2026, down 29% from 2,480 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 Tocilizumab 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 Tocilizumab?

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 Tocilizumab as a suspect or interacting product; reports listing it only as a concomitant medication (4,724) 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.