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
Who Reports Side Effects
Gender Distribution
Age Distribution
Reporting Trend by Year
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
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.
Read our methodology — how this data is sourced, computed, and verified.