Skip to main content

What the label lists and what reports show

Nivolumab side effects

Nivolumab's FDA label: “Most common adverse reactions (incidence ≥20%) in patients were: • As a single agent: fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, asthenia, cough, dyspnea, constipation, decreased appetite, back pain, arthralgia, upper respiratory tract …” FAERS holds 96,109 reports naming it through July 30, 2026; the reaction reported most often, leaving out the conditions it is used for, product-use terms and outcomes, is malignant neoplasm progression (9,844 reports).

  • No generic listed

Check it at the source: the nivolumab FDA label on DailyMed (effective August 12, 2026, E.R. Squibb & Sons, L.L.C.); the FDA FAERS public dashboard.

What does the patient leaflet say about side effects?

From the patient leaflet: What are the possible side effects of OPDIVO?

OPDIVO can cause serious side effects, including: • See “What is the most important information I should know about OPDIVO?” • Severe infusion reactions. Tell your healthcare provider or nurse right away if you get these symptoms during an infusion of OPDIVO: ∘ chills or shaking ∘ itching or rash ∘ flushing ∘ shortness of breath or wheezing ∘ dizziness ∘ feel like passing out ∘ fever ∘ back or neck pain • Complications of stem cell transplant that uses donor stem cells (allogeneic). These complications can be serious and can lead to death. These complications may happen if you underwent transplantation either before or after being treated with OPDIVO. Your healthcare provider will monitor you for signs of complications if you have an allogeneic stem cell transplant. […]

Source: FDA drug label, E.R. Squibb & Sons, L.L.C., effective August 12, 2026 (SPL set f570b9c4-6846-4de2-abfa-4d0a4ae4e394), via openFDA; the full label on DailyMed

What does the label list?

From the label: adverse reactions

Most common adverse reactions (incidence ≥20%) in patients were: • As a single agent: fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, asthenia, cough, dyspnea, constipation, decreased appetite, back pain, arthralgia, upper respiratory tract infection, pyrexia, headache, abdominal pain, vomiting, and urinary tract infection.

Table 9: Adverse Reactions Occurring in ≥10% of Patients on the OPDIVO and Ipilimumab Arm or the OPDIVO Arm and at a Higher Incidence than in the Ipilimumab Arm (Between Arm Difference of ≥5% All Grades or ≥2% Grades…

ReactionAll Grades (%)Grades 3-4 (%)All Grades (%)Grades 3-4 (%)All Grades (%)Grades 3-4 (%)
Fatigue a627591.6514.2
Pyrexia401.6160180.6
Diarrhea5411365477
Nausea443.8300.6311.9
Vomiting313.8201171.6
Rash b536401.9423.5
Vitiligo90100.350
Musculoskeletal pain c322.6423.8361.9
Arthralgia210.3211160.3
Decreased appetite291.9220241.3
Cough/productive cough270.3280.6220
Dyspnea/exertional dyspnea242.9181.3170.6
Upper respiratory tract infection d230220.3170
Hypothyroidism190.611050
Hyperthyroidism111.36010
Decreased weight1207070.3
Hypertension e72.211592.3

Rows and numbers as the label prints them, under its own column headings (the first rows of a longer table where it runs on). A reaction in a trial table is not necessarily caused by the medicine, and trials differ from everyday use.

From the label: adverse reactions, continued

The following clinically significant adverse reactions are described elsewhere in the labeling. • Severe and Fatal Immune-Mediated Adverse Reactions [see Warnings and Precautions (5.1) ] • Infusion-Related Reactions [see Warnings and Precautions (5.2) ] • Complications of Allogeneic HSCT [see Warnings and Precautions (5.3) ] Most common adverse reactions (incidence ≥20%) in patients were: • As a single agent: fatigue, rash, musculoskeletal pain, pruritus, diarrhea, nausea, asthenia, cough, dyspnea, constipation, decreased appetite, back pain, arthralgia, upper respiratory tract infection, pyrexia, headache, abdominal pain, vomiting, and urinary tract infection. (6.1) • In combination with ipilimumab: fatigue, diarrhea, rash, pruritus, nausea, musculoskeletal pain, pyrexia, cough, decreased appetite, vomiting, abdominal pain, dyspnea, upper respiratory tract infection, arthralgia, headache, hypothyroidism, constipation, decreased weight, and dizziness. (6.1) • In combination with platinum-doublet chemotherapy: nausea, fatigue, musculoskeletal pain, constipation, decreased appetite, rash, vomiting, and peripheral neuropathy. (6.1) • In combination with ipilimumab and platinum-doublet chemotherapy: fatigue, musculoskeletal pain, nausea, diarrhea, rash, decreased appetite, constipation, and pruritus.

Source: FDA drug label, E.R. Squibb & Sons, L.L.C., effective August 12, 2026 (SPL set f570b9c4-6846-4de2-abfa-4d0a4ae4e394), via openFDA; the full label on DailyMed

What do FAERS reports show?

96,109 reports list nivolumab among the medicines taken, each a report of something that happened, not proof the medicine caused it; 24,663 are coded as a death and 39,168 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is. Of the 21 reactions below, 15 are named by the same term (in US spelling) in the label's adverse reactions, warnings or patient leaflet; a reaction the label does not name may still be there under another word, and a report does not show that the medicine caused it.

Reports received each year

The 25 most reported reactions

  • Death (an outcome recorded in the report)11,880
  • Malignant Neoplasm Progression9,844
  • Off Label Use (a use or a product term, not a reaction)6,283
  • Diarrhoea (named in the label)5,235
  • Fatigue (named in the label)4,174
  • Pyrexia (named in the label)3,720
  • Intentional Product Use Issue (a use or a product term, not a reaction)3,327
  • Nausea (named in the label)3,174
  • Rash (named in the label)3,072
  • Decreased Appetite (named in the label)2,901
  • Dyspnoea (named in the label)2,683
  • Pneumonia2,470
  • Colitis (named in the label)2,268
  • Pneumonitis (named in the label)2,182
  • Hypothyroidism (named in the label)2,104
  • Asthenia (named in the label)2,095
  • Vomiting (named in the label)2,078
  • Acute Kidney Injury (named in the label)1,884
  • Weight Decreased1,847
  • Pruritus (named in the label)1,782
  • Anaemia (named in the label)1,767
  • Drug Ineffective (a use or a product term, not a reaction)1,754
  • Interstitial Lung Disease1,667
  • General Physical Health Deterioration1,590
  • Malaise1,554

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026; reactions as MedDRA preferred terms

What next?

Nivolumab: the full record
label, generics, price, shortages, recalls
Side effects hub
the most reported medicines and reactions