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Drug side effects

upadacitinib Side Effects

The reactions most often reported to the FDA for upadacitinib (also sold as Rinvoq), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

72,798
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2016 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of upadacitinib come from 72,798 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 72,798 reports to the FDA Adverse Event Reporting System (FAERS) for upadacitinib (Rinvoq): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

72,798

Reports Mentioning Death

2,641

3.6% of reports — not proof the medicine caused the death

Hospitalizations

17,708

24.3% of reports

Top Indication

Rheumatoid Arthritis

Most Reported Adverse Reactions

PAIN
4,942
ARTHRALGIA
4,342
COVID-19
3,131
RHEUMATOID ARTHRITIS
3,037
PAIN IN EXTREMITY
2,575
FATIGUE
2,433
FALL
2,255
SURGERY
2,204
HEADACHE
1,792
THERAPY INTERRUPTED
1,783
PNEUMONIA
1,779
DEATH
1,630
BACK PAIN
1,598
DIARRHOEA
1,583
PERIPHERAL SWELLING
1,583
NAUSEA
1,567
URINARY TRACT INFECTION
1,567
ILLNESS
1,488
NASOPHARYNGITIS
1,478

Who Reports Side Effects

Gender Distribution

Female 48,021 (71%)
Male 20,013 (29%)
Unknown 11

Age Distribution

0-17 675 (2%)
18-44 7,186 (18%)
45-64 17,577 (45%)
65-74 8,884 (23%)
75+ 4,637 (12%)

Reporting Trend by Year

16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 2,641 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,572
PNEUMONIA 206
COVID-19 131
DYSPNOEA 129
PYREXIA 115
INFECTION 114
MALAISE 113
GENERAL PHYSICAL HEALTH DETERIORATION 107
RHEUMATOID ARTHRITIS 106
PAIN 105
DIARRHOEA 101
HYPERTENSION 101
VOMITING 101
FATIGUE 100
NASOPHARYNGITIS 100
CONDITION AGGRAVATED 98
ABDOMINAL PAIN UPPER 97
ARTHRALGIA 97
NAUSEA 97
DUODENAL ULCER PERFORATION 96

Reactions in Hospitalization Reports

Top reactions in 17,708 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 1,209
PAIN 1,201
COVID-19 1,089
FALL 1,025
ARTHRALGIA 998
PYREXIA 726
RHEUMATOID ARTHRITIS 723
URINARY TRACT INFECTION 690
FATIGUE 645
DYSPNOEA 644
DIARRHOEA 626
VOMITING 588
PAIN IN EXTREMITY 585
NAUSEA 578
MALAISE 542
SEPSIS 520
ASTHENIA 491
BACK PAIN 478
HOSPITALISATION 471

Compare upadacitinib vs abatacept →

What the FAERS Data Reveals About upadacitinib Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 72,798 voluntary reports linked to upadacitinib and its brand equivalents (Rinvoq), spanning 2016 through 2025. Of those, 2,641 (3.6%) listed death as an outcome and 17,708 (24.3%) 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, 71% were female and 29% male; age distribution skews toward 45-64, with 17,577 reports in that bracket. The single most reported reaction is pain with 4,942 submissions, followed by arthralgia and covid-19.

How to read these numbers

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.