GUSELKUMAB

65/100 · Elevated

Manufactured by Janssen Biotech, Inc.

Guselkumab Adverse Events: Dose Issues and Device Malfunctions Predominate

50,420 FDA adverse event reports analyzed

Last updated: 2026-05-12

About GUSELKUMAB

GUSELKUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Janssen Biotech, Inc.. Based on analysis of 50,420 FDA adverse event reports, GUSELKUMAB has a safety score of 65 out of 100. This moderate score indicates a notable volume of adverse event reports that patients and providers should be aware of. The most commonly reported adverse reactions for GUSELKUMAB include PRODUCT DOSE OMISSION ISSUE, ACCIDENTAL EXPOSURE TO PRODUCT, DRUG INEFFECTIVE, PSORIASIS, NEEDLE ISSUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for GUSELKUMAB.

AI Safety Analysis

Guselkumab has a safety concern score of 65 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 50,420 adverse event reports for this medication, which is primarily manufactured by Janssen Biotech, Inc..

The most commonly reported adverse events include Product Dose Omission Issue, Accidental Exposure To Product, Drug Ineffective. Of classified reports, 26.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Dose issues and device malfunctions are the most common adverse events, with over 10,000 reports each.

Serious adverse events account for 26% of all reports, with pneumonia and respiratory tract infections being notable. The majority of reports (70%) are non-serious, but the serious event rate is concerning. Device issues, including malfunctions and defects, are frequently reported, indicating potential product quality concerns.

Patients taking Guselkumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Guselkumab reports include issues with dose administration and device malfunctions, which may require careful handling and monitoring. Patients should be informed about the importance of correct device use and storage. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 65/100

Guselkumab received a safety concern score of 65/100 (elevated concern). This is based on a 26.0% serious event ratio across 30,744 classified reports. The score accounts for 50,420 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

PRODUCT DOSE OMISSION ISSUE10,011 reports
ACCIDENTAL EXPOSURE TO PRODUCT3,138 reports
DRUG INEFFECTIVE2,239 reports
PSORIASIS2,066 reports
NEEDLE ISSUE2,054 reports
DEVICE ISSUE1,748 reports
DEVICE MALFUNCTION1,480 reports
OFF LABEL USE1,327 reports
PRODUCT STORAGE ERROR1,121 reports
DEVICE DEPLOYMENT ISSUE973 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION897 reports
ARTHRALGIA839 reports
DEVICE LEAKAGE791 reports
PNEUMONIA788 reports
PRODUCT LEAKAGE733 reports
DRUG DELIVERY SYSTEM MALFUNCTION707 reports
DEVICE DEFECTIVE681 reports
UNDERDOSE672 reports
PSORIATIC ARTHROPATHY669 reports
PRURITUS598 reports
CONDITION AGGRAVATED585 reports
PAIN585 reports
PRODUCT DOSE OMISSION569 reports
RASH552 reports
COVID 19544 reports
HEADACHE539 reports
SYRINGE ISSUE479 reports
DIARRHOEA434 reports
PRODUCT QUALITY ISSUE426 reports
INJECTION SITE PAIN421 reports
FATIGUE415 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS346 reports
INJECTION SITE HAEMORRHAGE332 reports
NAUSEA304 reports
INCORRECT DOSE ADMINISTERED294 reports
THERAPEUTIC PRODUCT EFFECT DECREASED287 reports
PRODUCT USE ISSUE275 reports
DEATH270 reports
LOWER RESPIRATORY TRACT INFECTION255 reports
NASOPHARYNGITIS237 reports
PRODUCT USE IN UNAPPROVED INDICATION231 reports
INFECTION225 reports
INJECTION SITE REACTION218 reports
URTICARIA216 reports
DYSPNOEA214 reports
LIQUID PRODUCT PHYSICAL ISSUE214 reports
THERAPY INTERRUPTED214 reports
PYREXIA208 reports
HYPERSENSITIVITY205 reports
DIZZINESS197 reports
HEPATIC ENZYME INCREASED197 reports
THERAPEUTIC RESPONSE DECREASED195 reports
PRODUCT LABEL ISSUE194 reports
MALAISE193 reports
PRODUCT COMPLAINT187 reports
URINARY TRACT INFECTION179 reports
INFLUENZA173 reports
ARTHRITIS172 reports
THERAPY CESSATION168 reports
PAIN IN EXTREMITY167 reports
ILLNESS166 reports
COUGH164 reports
SINUSITIS155 reports
VOMITING153 reports
EXPOSURE DURING PREGNANCY146 reports
TREATMENT FAILURE146 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE135 reports
HYPERTENSION131 reports
ADVERSE EVENT130 reports
ALOPECIA130 reports
DRUG DOSE OMISSION BY DEVICE129 reports
PRODUCT ADMINISTRATION ERROR129 reports
CELLULITIS127 reports
INJECTION SITE ERYTHEMA127 reports
SURGERY126 reports
HOSPITALISATION125 reports
FALL121 reports
INJECTION SITE SWELLING119 reports
THERAPY NON RESPONDER118 reports
CEREBROVASCULAR ACCIDENT116 reports
BRONCHITIS114 reports
UPPER RESPIRATORY TRACT INFECTION113 reports
PERIPHERAL SWELLING112 reports
MYALGIA111 reports
ABDOMINAL PAIN110 reports
WEIGHT DECREASED110 reports
ERYTHEMA108 reports
BACK PAIN106 reports
INFLUENZA LIKE ILLNESS106 reports
INJECTION SITE BRUISING104 reports
ADVERSE DRUG REACTION103 reports
CHEST PAIN102 reports
SKIN EXFOLIATION101 reports
ASTHENIA99 reports
JOINT SWELLING98 reports
MYOCARDIAL INFARCTION98 reports
SKIN DISORDER98 reports
DEPRESSION96 reports
INCORRECT ROUTE OF PRODUCT ADMINISTRATION96 reports
SWELLING94 reports

Key Safety Signals

  • High frequency of dose omission and device malfunction reports
  • Significant number of serious events, including pneumonia and respiratory tract infections
  • Common device issues such as leakage and defective devices
  • A high number of reports related to incorrect administration and storage errors

Patient Demographics

Adverse event reports by sex: Female: 14,702, Male: 10,393, Unknown: 3. The most frequently reported age groups are age 60 (436 reports), age 62 (431 reports), age 61 (430 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 30,744 classified reports for GUSELKUMAB:

  • Serious: 7,997 reports (26.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 22,747 reports (74.0%)
Serious 26.0%Non-Serious 74.0%

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

Female14,702 (58.6%)
Male10,393 (41.4%)
Unknown3 (0.0%)

Reports by Age

Age 60436 reports
Age 62431 reports
Age 61430 reports
Age 56423 reports
Age 58421 reports
Age 57419 reports
Age 54416 reports
Age 59414 reports
Age 50408 reports
Age 63407 reports
Age 52389 reports
Age 55382 reports
Age 51379 reports
Age 64374 reports
Age 53370 reports
Age 47337 reports
Age 49336 reports
Age 44324 reports
Age 46316 reports
Age 43306 reports

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

Drug Interactions & Warnings

Guselkumab reports include issues with dose administration and device malfunctions, which may require careful handling and monitoring. Patients should be informed about the importance of correct device use and storage.

What You Should Know

If you are taking Guselkumab, here are important things to know. The most commonly reported side effects include product dose omission issue, accidental exposure to product, drug ineffective, psoriasis, needle issue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Ensure proper storage and handling of the medication to prevent product quality issues. Follow the prescribed dosing schedule and use the device as directed to avoid dose omissions and malfunctions. 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 Guselkumab for safety concerns, particularly regarding serious respiratory events and device issues. Healthcare providers should report any adverse events to the FDA.

Frequently Asked Questions

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

The FDA has received approximately 50,420 adverse event reports associated with Guselkumab. 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 Guselkumab?

The most frequently reported adverse events for Guselkumab include Product Dose Omission Issue, Accidental Exposure To Product, Drug Ineffective, Psoriasis, Needle Issue. By volume, the top reported reactions are: Product Dose Omission Issue (10,011 reports), Accidental Exposure To Product (3,138 reports), Drug Ineffective (2,239 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Guselkumab.

What percentage of Guselkumab adverse event reports are serious?

Out of 30,744 classified reports, 7,997 (26.0%) were classified as serious and 22,747 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 Guselkumab (by sex)?

Adverse event reports for Guselkumab break down by patient sex as follows: Female: 14,702, Male: 10,393, Unknown: 3. 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 Guselkumab?

The most frequently reported age groups for Guselkumab adverse events are: age 60: 436 reports, age 62: 431 reports, age 61: 430 reports, age 56: 423 reports, age 58: 421 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 Guselkumab?

The primary manufacturer associated with Guselkumab adverse event reports is Janssen Biotech, 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 Guselkumab?

Beyond the most common reactions, other reported adverse events for Guselkumab include: Device Issue, Device Malfunction, Off Label Use, Product Storage Error, Device Deployment Issue. 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 Guselkumab?

You can report adverse events from Guselkumab 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 Guselkumab's safety score and what does it mean?

Guselkumab has a safety concern score of 65 out of 100 (elevated 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. Dose issues and device malfunctions are the most common adverse events, with over 10,000 reports each.

What are the key safety signals for Guselkumab?

Key safety signals identified in Guselkumab's adverse event data include: High frequency of dose omission and device malfunction reports. Significant number of serious events, including pneumonia and respiratory tract infections. Common device issues such as leakage and defective devices. A high number of reports related to incorrect administration and storage errors. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Guselkumab interact with other drugs?

Guselkumab reports include issues with dose administration and device malfunctions, which may require careful handling and monitoring. Patients should be informed about the importance of correct device use and storage. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Guselkumab.

What should patients know before taking Guselkumab?

Ensure proper storage and handling of the medication to prevent product quality issues. Follow the prescribed dosing schedule and use the device as directed to avoid dose omissions and malfunctions.

Are Guselkumab side effects well-documented?

Guselkumab has 50,420 adverse event reports on file with the FDA. Serious adverse events account for 26% of all reports, with pneumonia and respiratory tract infections being notable. The volume of reports for Guselkumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Guselkumab?

The FDA continues to monitor Guselkumab for safety concerns, particularly regarding serious respiratory events and device issues. Healthcare providers should report any adverse events to the FDA. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to GUSELKUMAB based on therapeutic use, drug class, or shared indications:

RemicadeEnbrelHumira
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.