EVOLOCUMAB

35/100 · Moderate

Manufactured by Amgen USA Inc.

Evolocumab Adverse Events: Common Device-Related Issues and Mild to Moderate Reactions

266,603 FDA adverse event reports analyzed

Last updated: 2026-05-12

About EVOLOCUMAB

EVOLOCUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amgen USA Inc.. Based on analysis of 266,603 FDA adverse event reports, EVOLOCUMAB has a safety score of 35 out of 100. This lower score reflects a significant number of adverse event reports, suggesting that patients should discuss potential risks carefully with their healthcare provider. The most commonly reported adverse reactions for EVOLOCUMAB include DEVICE DIFFICULT TO USE, DRUG DOSE OMISSION BY DEVICE, WRONG TECHNIQUE IN PRODUCT USAGE PROCESS, ACCIDENTAL EXPOSURE TO PRODUCT, INJECTION SITE PAIN. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for EVOLOCUMAB.

AI Safety Analysis

Evolocumab has a safety concern score of 35 out of 100, placing it in the moderate concern category based on analysis of FDA adverse event data. The FDA has received approximately 266,603 adverse event reports for this medication, which is primarily manufactured by Amgen Usa Inc..

The most commonly reported adverse events include Device Difficult To Use, Drug Dose Omission By Device, Wrong Technique In Product Usage Process. Of classified reports, 15.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Most common reactions include device-related issues and mild to moderate pain and discomfort.

Serious adverse events are relatively rare, comprising about 15.4% of total reports. The majority of reactions are non-serious, with the most frequent being injection site pain and back pain.

Patients taking Evolocumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Drug interactions are not prominently featured in the data, but patients should be cautious with device use and ensure proper technique to avoid errors. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 35/100

Evolocumab received a safety concern score of 35/100 (moderate concern). This is based on a 15.4% serious event ratio across 155,053 classified reports. The score accounts for 266,603 total adverse event reports and 100 distinct reaction types. This moderate score is typical for widely prescribed medications with established safety profiles.

Top Adverse Reactions

DEVICE DIFFICULT TO USE32,421 reports
DRUG DOSE OMISSION BY DEVICE24,327 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS21,878 reports
ACCIDENTAL EXPOSURE TO PRODUCT16,287 reports
INJECTION SITE PAIN10,340 reports
PRODUCT STORAGE ERROR6,630 reports
BACK PAIN5,430 reports
MYALGIA5,267 reports
DRUG DOSE OMISSION4,929 reports
INJECTION SITE BRUISING4,556 reports
DEVICE USE ERROR4,051 reports
ARTHRALGIA3,922 reports
FATIGUE3,872 reports
INJECTION SITE HAEMORRHAGE3,829 reports
OFF LABEL USE3,824 reports
RHINORRHOEA3,535 reports
PAIN IN EXTREMITY3,373 reports
MUSCLE SPASMS3,171 reports
INFLUENZA LIKE ILLNESS3,103 reports
PAIN2,973 reports
INCORRECT DOSE ADMINISTERED BY DEVICE2,889 reports
HEADACHE2,887 reports
CIRCUMSTANCE OR INFORMATION CAPABLE OF LEADING TO MEDICATION ERROR2,875 reports
PRODUCT PREPARATION ERROR2,816 reports
INTERCEPTED PRODUCT ADMINISTRATION ERROR2,516 reports
NASOPHARYNGITIS2,503 reports
DIARRHOEA2,457 reports
PRODUCT COMMUNICATION ISSUE2,408 reports
NAUSEA2,389 reports
DIZZINESS2,356 reports
DYSPNOEA2,184 reports
COUGH2,179 reports
INJECTION SITE SWELLING1,996 reports
RASH1,860 reports
MALAISE1,849 reports
INJECTION SITE ERYTHEMA1,838 reports
DEVICE ISSUE1,693 reports
ASTHENIA1,690 reports
BLOOD GLUCOSE INCREASED1,684 reports
FEELING ABNORMAL1,654 reports
PRURITUS1,590 reports
INCORRECT DISPOSAL OF PRODUCT1,564 reports
OROPHARYNGEAL PAIN1,460 reports
UNDERDOSE1,420 reports
INJURY ASSOCIATED WITH DEVICE1,372 reports
PRODUCT DOSE OMISSION ISSUE1,341 reports
DEATH1,333 reports
INJECTION SITE MASS1,296 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION1,286 reports
DRUG INEFFECTIVE1,265 reports
INFLUENZA1,143 reports
MEMORY IMPAIRMENT1,127 reports
BLOOD CHOLESTEROL INCREASED1,114 reports
LOW DENSITY LIPOPROTEIN INCREASED1,092 reports
MUSCULAR WEAKNESS1,091 reports
GAIT DISTURBANCE1,085 reports
MYOCARDIAL INFARCTION1,036 reports
HYPERSENSITIVITY1,017 reports
WEIGHT INCREASED1,017 reports
CHEST PAIN967 reports
OCCUPATIONAL EXPOSURE TO PRODUCT951 reports
INJECTION SITE PRURITUS947 reports
UNEVALUABLE EVENT936 reports
WEIGHT DECREASED916 reports
URTICARIA903 reports
ABDOMINAL PAIN UPPER894 reports
ADVERSE EVENT894 reports
FALL882 reports
INTENTIONAL PRODUCT MISUSE878 reports
PERIPHERAL SWELLING863 reports
BLOOD PRESSURE INCREASED835 reports
HYPERTENSION786 reports
CEREBROVASCULAR ACCIDENT780 reports
INCORRECT DOSE ADMINISTERED769 reports
THERAPY INTERRUPTED756 reports
MUSCULOSKELETAL PAIN754 reports
ABDOMINAL DISCOMFORT739 reports
VOMITING738 reports
MOBILITY DECREASED733 reports
INSOMNIA705 reports
HYPOACUSIS703 reports
LOW DENSITY LIPOPROTEIN DECREASED696 reports
CONTUSION695 reports
PNEUMONIA681 reports
PRODUCT DOSE OMISSION671 reports
WRONG TECHNIQUE IN DEVICE USAGE PROCESS671 reports
NASAL CONGESTION663 reports
HOSPITALISATION660 reports
SINUSITIS650 reports
ALOPECIA643 reports
URINARY TRACT INFECTION642 reports
CHEST DISCOMFORT626 reports
INJECTION SITE REACTION619 reports
ANXIETY617 reports
DYSPHONIA616 reports
ARTHRITIS613 reports
HYPOAESTHESIA610 reports
PARAESTHESIA607 reports
PYREXIA604 reports
COVID 19600 reports

Key Safety Signals

  • Device use errors and device issues are the most frequent types of adverse events.
  • Injection site reactions, including bruising and erythema, are commonly reported.
  • Pain and discomfort, such as myalgia and arthralgia, are also frequently reported.

Patient Demographics

Adverse event reports by sex: Female: 83,572, Male: 59,962, Unknown: 65. The most frequently reported age groups are age 70 (4,197 reports), age 71 (4,093 reports), age 69 (4,087 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 155,053 classified reports for EVOLOCUMAB:

  • Serious: 23,842 reports (15.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 131,211 reports (84.6%)
Serious 15.4%Non-Serious 84.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female83,572 (58.2%)
Male59,962 (41.8%)
Unknown65 (0.0%)

Reports by Age

Age 704,197 reports
Age 714,093 reports
Age 694,087 reports
Age 744,063 reports
Age 734,054 reports
Age 723,952 reports
Age 753,930 reports
Age 683,905 reports
Age 673,771 reports
Age 763,707 reports
Age 663,678 reports
Age 643,656 reports
Age 653,654 reports
Age 633,594 reports
Age 773,502 reports
Age 623,317 reports
Age 783,256 reports
Age 613,104 reports
Age 602,925 reports
Age 792,825 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Drug interactions are not prominently featured in the data, but patients should be cautious with device use and ensure proper technique to avoid errors.

What You Should Know

If you are taking Evolocumab, here are important things to know. The most commonly reported side effects include device difficult to use, drug dose omission by device, wrong technique in product usage process, accidental exposure to product, injection site pain. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should follow the prescribed device usage instructions carefully to minimize the risk of device-related issues. Report any adverse events to healthcare providers promptly for appropriate management. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety profile of evolocumab, and the drug remains approved for use in managing hypercholesterolemia.

Frequently Asked Questions

How many adverse event reports has the FDA received for Evolocumab?

The FDA has received approximately 266,603 adverse event reports associated with Evolocumab. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Evolocumab?

The most frequently reported adverse events for Evolocumab include Device Difficult To Use, Drug Dose Omission By Device, Wrong Technique In Product Usage Process, Accidental Exposure To Product, Injection Site Pain. By volume, the top reported reactions are: Device Difficult To Use (32,421 reports), Drug Dose Omission By Device (24,327 reports), Wrong Technique In Product Usage Process (21,878 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Evolocumab.

What percentage of Evolocumab adverse event reports are serious?

Out of 155,053 classified reports, 23,842 (15.4%) were classified as serious and 131,211 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Evolocumab (by sex)?

Adverse event reports for Evolocumab break down by patient sex as follows: Female: 83,572, Male: 59,962, Unknown: 65. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Evolocumab?

The most frequently reported age groups for Evolocumab adverse events are: age 70: 4,197 reports, age 71: 4,093 reports, age 69: 4,087 reports, age 74: 4,063 reports, age 73: 4,054 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Evolocumab?

The primary manufacturer associated with Evolocumab adverse event reports is Amgen Usa Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Evolocumab?

Beyond the most common reactions, other reported adverse events for Evolocumab include: Product Storage Error, Back Pain, Myalgia, Drug Dose Omission, Injection Site Bruising. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Evolocumab?

You can report adverse events from Evolocumab to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Evolocumab's safety score and what does it mean?

Evolocumab has a safety concern score of 35 out of 100 (moderate concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Most common reactions include device-related issues and mild to moderate pain and discomfort.

What are the key safety signals for Evolocumab?

Key safety signals identified in Evolocumab's adverse event data include: Device use errors and device issues are the most frequent types of adverse events.. Injection site reactions, including bruising and erythema, are commonly reported.. Pain and discomfort, such as myalgia and arthralgia, are also frequently reported.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Evolocumab interact with other drugs?

Drug interactions are not prominently featured in the data, but patients should be cautious with device use and ensure proper technique to avoid errors. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Evolocumab.

What should patients know before taking Evolocumab?

Patients should follow the prescribed device usage instructions carefully to minimize the risk of device-related issues. Report any adverse events to healthcare providers promptly for appropriate management.

Are Evolocumab side effects well-documented?

Evolocumab has 266,603 adverse event reports on file with the FDA. Serious adverse events are relatively rare, comprising about 15.4% of total reports. The volume of reports for Evolocumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Evolocumab?

The FDA continues to monitor the safety profile of evolocumab, and the drug remains approved for use in managing hypercholesterolemia. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.