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adalimumab Side Effects

Also known as: Humira

Analysis of 695,825 adverse event reports submitted to the FDA from 2004 to 2025.

Total Reports

695,825

Death-Related

28,962

4.2% of reports

Hospitalizations

146,638

21.1% of reports

Top Indication

Rheumatoid Arthritis

Most Reported Adverse Reactions

DRUG INEFFECTIVE
90,715
PAIN
49,062
ARTHRALGIA
48,039
INJECTION SITE PAIN
47,251
FATIGUE
39,111
RHEUMATOID ARTHRITIS
35,573
HEADACHE
28,330
NAUSEA
27,102
DIARRHOEA
25,413
RASH
25,271
PSORIASIS
24,707
PAIN IN EXTREMITY
24,313
JOINT SWELLING
23,282
INCORRECT DOSE ADMINISTERED
22,332
MALAISE
21,339
OFF LABEL USE
20,957
NASOPHARYNGITIS
20,605
CROHN^S DISEASE
19,602
PYREXIA
18,994
DEVICE ISSUE
17,971

Who Reports Side Effects

Gender Distribution

Female 446,643 (68%)
Male 209,782 (32%)
Unknown 1,947

Age Distribution

0-17 13,009 (4%)
18-44 108,536 (30%)
45-64 160,251 (44%)
65-74 56,676 (16%)
75+ 24,220 (7%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 28,962 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 11,907
PNEUMONIA 2,626
OFF LABEL USE 2,598
FATIGUE 2,586
RHEUMATOID ARTHRITIS 2,547
GENERAL PHYSICAL HEALTH DETERIORATION 2,440
HYPERTENSION 2,402
PAIN 2,389
ARTHRALGIA 2,303
JOINT SWELLING 2,292
MALAISE 2,285
DIARRHOEA 2,245
INFUSION RELATED REACTION 2,234
RASH 2,228
VOMITING 2,224
HEADACHE 2,212
HYPOAESTHESIA 2,194
GLOSSODYNIA 2,176
DYSPNOEA 2,171
HEPATIC ENZYME INCREASED 2,163

Reactions in Hospitalization Reports

Top reactions in 146,638 reports where hospitalization was an outcome.

Reaction Reports
DRUG INEFFECTIVE 14,728
PAIN 12,371
ARTHRALGIA 11,485
DIARRHOEA 9,534
CROHN^S DISEASE 9,448
FATIGUE 9,183
PNEUMONIA 8,880
PYREXIA 8,750
NAUSEA 8,539
VOMITING 8,458
RHEUMATOID ARTHRITIS 8,161
MALAISE 8,066
ABDOMINAL PAIN 7,488
FALL 7,057
DYSPNOEA 6,942
HEADACHE 6,931
ASTHENIA 6,421
WEIGHT DECREASED 6,403
OFF LABEL USE 6,274
JOINT SWELLING 6,218

Nearby — Related Medications

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What the FAERS Data Reveals About adalimumab Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 695,825 voluntary reports linked to adalimumab and its brand equivalents (Humira), spanning 2004 through 2025. Of those, 28,962 (4.2%) listed death as an outcome and 146,638 (21.1%) involved hospitalization. The most common indication reported alongside adverse events was Rheumatoid Arthritis.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 68% were female and 32% male; age distribution skews toward 45-64, with 160,251 reports in that bracket. The single most reported reaction is drug ineffective with 90,715 submissions, followed by pain and arthralgia.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.