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guselkumab Side Effects

Also known as: Tremfya

Analysis of 31,164 adverse event reports submitted to the FDA from 2016 to 2025.

Total Reports

31,164

Death-Related

404

1.3% of reports

Hospitalizations

2,350

7.5% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

PRODUCT DOSE OMISSION ISSUE
10,011
ACCIDENTAL EXPOSURE TO PRODUCT
3,138
DRUG INEFFECTIVE
2,239
PSORIASIS
2,066
NEEDLE ISSUE
2,054
DEVICE ISSUE
1,748
DEVICE MALFUNCTION
1,480
OFF LABEL USE
1,327
PRODUCT STORAGE ERROR
1,121
DEVICE DEPLOYMENT ISSUE
973
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
897
ARTHRALGIA
839
DEVICE LEAKAGE
791
PNEUMONIA
788
PRODUCT LEAKAGE
733
DRUG DELIVERY SYSTEM MALFUNCTION
707
DEVICE DEFECTIVE
681
UNDERDOSE
672
PSORIATIC ARTHROPATHY
669
PRURITUS
598

Who Reports Side Effects

Gender Distribution

Female 14,702 (59%)
Male 10,393 (41%)
Unknown 3

Age Distribution

0-17 544 (3%)
18-44 4,797 (30%)
45-64 7,645 (48%)
65-74 2,139 (13%)
75+ 947 (6%)

Reporting Trend by Year

16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 404 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 256
PNEUMONIA 22
COVID-19 19
SEPSIS 15
SEPTIC SHOCK 14
HEPATIC CIRRHOSIS 13
INFECTION 12
DYSPNOEA 11
DRUG INEFFECTIVE 10
OFF LABEL USE 10
MYOCARDIAL INFARCTION 8
CARDIAC ARREST 7
CIRCULATORY COLLAPSE 7
DEPRESSION 7
PAIN 7
FALL 6
GENERAL PHYSICAL HEALTH DETERIORATION 6
HYPONATRAEMIA 6
KETOACIDOSIS 6
MEGACOLON 6

Reactions in Hospitalization Reports

Top reactions in 2,350 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 277
PSORIASIS 146
HOSPITALISATION 106
COVID-19 104
OFF LABEL USE 102
PRODUCT DOSE OMISSION ISSUE 94
DRUG INEFFECTIVE 80
PSORIATIC ARTHROPATHY 76
DYSPNOEA 69
PYREXIA 67
FALL 62
INFECTION 60
SEPSIS 59
CELLULITIS 54
URINARY TRACT INFECTION 52
ARTHRALGIA 51
INFLUENZA 48
DIARRHOEA 46
FATIGUE 46
MYOCARDIAL INFARCTION 46

Nearby — Related Medications

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What the FAERS Data Reveals About guselkumab Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 31,164 voluntary reports linked to guselkumab and its brand equivalents (Tremfya), spanning 2016 through 2025. Of those, 404 (1.3%) listed death as an outcome and 2,350 (7.5%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 59% were female and 41% male; age distribution skews toward 45-64, with 7,645 reports in that bracket. The single most reported reaction is product dose omission issue with 10,011 submissions, followed by accidental exposure to product and drug ineffective.

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.