NIVOLUMAB

85/100 · Critical

Manufactured by E.R. Squibb & Sons, L.L.C.

High Safety Concerns with Nivolumab, Particularly for Serious Reactions

139,909 FDA adverse event reports analyzed

Last updated: 2026-05-12

About NIVOLUMAB

NIVOLUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by E.R. Squibb & Sons, L.L.C.. Based on analysis of 139,909 FDA adverse event reports, NIVOLUMAB has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for NIVOLUMAB include DEATH, MALIGNANT NEOPLASM PROGRESSION, OFF LABEL USE, DIARRHOEA, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for NIVOLUMAB.

AI Safety Analysis

Nivolumab has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 139,909 adverse event reports for this medication, which is primarily manufactured by E.R. Squibb & Sons, L.L.C..

The most commonly reported adverse events include Death, Malignant Neoplasm Progression, Off Label Use. Of classified reports, 89.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Nivolumab reports a high percentage of serious adverse events, with death and malignant neoplasm progression being the most frequent.

The drug is associated with a wide range of immune-mediated reactions, including colitis, pneumonitis, and interstitial lung disease. Significant gastrointestinal and respiratory issues are reported, with diarrhea, pneumonia, and colitis being common.

Patients taking Nivolumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Nivolumab can cause immune-mediated adverse events, and patients should be monitored for signs of colitis, pneumonitis, and interstitial lung disease. Drug interactions are not well-documented, but caution is advised when used with other immunosuppre This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Nivolumab received a safety concern score of 85/100 (high concern). This is based on a 89.7% serious event ratio across 92,260 classified reports. The score accounts for 139,909 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DEATH11,508 reports
MALIGNANT NEOPLASM PROGRESSION9,599 reports
OFF LABEL USE5,881 reports
DIARRHOEA5,008 reports
FATIGUE4,016 reports
PYREXIA3,603 reports
INTENTIONAL PRODUCT USE ISSUE3,329 reports
NAUSEA3,054 reports
RASH2,962 reports
DECREASED APPETITE2,792 reports
DYSPNOEA2,623 reports
PNEUMONIA2,389 reports
COLITIS2,197 reports
PNEUMONITIS2,119 reports
ASTHENIA2,033 reports
VOMITING2,003 reports
HYPOTHYROIDISM1,997 reports
ACUTE KIDNEY INJURY1,828 reports
WEIGHT DECREASED1,778 reports
ANAEMIA1,713 reports
PRURITUS1,709 reports
DRUG INEFFECTIVE1,687 reports
INTERSTITIAL LUNG DISEASE1,577 reports
GENERAL PHYSICAL HEALTH DETERIORATION1,552 reports
MALAISE1,498 reports
ARTHRALGIA1,470 reports
IMMUNE MEDIATED ENTEROCOLITIS1,345 reports
PRODUCT USE IN UNAPPROVED INDICATION1,342 reports
CONSTIPATION1,334 reports
ADRENAL INSUFFICIENCY1,328 reports
HEADACHE1,260 reports
SEPSIS1,230 reports
PAIN1,212 reports
ADVERSE EVENT1,188 reports
HEPATIC FUNCTION ABNORMAL1,165 reports
THROMBOCYTOPENIA1,116 reports
COUGH1,112 reports
BACK PAIN1,093 reports
PLEURAL EFFUSION1,090 reports
LIVER DISORDER985 reports
MYOCARDITIS981 reports
HEPATITIS977 reports
DEHYDRATION969 reports
HYPERTHYROIDISM955 reports
HYPOTENSION908 reports
ABDOMINAL PAIN895 reports
RESPIRATORY FAILURE860 reports
NEUTROPENIA855 reports
HYPONATRAEMIA848 reports
DIZZINESS824 reports
STOMATITIS822 reports
HYPERTENSION803 reports
ASPARTATE AMINOTRANSFERASE INCREASED794 reports
ALANINE AMINOTRANSFERASE INCREASED788 reports
PULMONARY EMBOLISM783 reports
FEBRILE NEUTROPENIA775 reports
HYPOPHYSITIS774 reports
FALL766 reports
RENAL FAILURE758 reports
DIABETIC KETOACIDOSIS711 reports
MYALGIA700 reports
PLATELET COUNT DECREASED698 reports
MYOSITIS690 reports
PEMPHIGOID690 reports
INFUSION RELATED REACTION673 reports
CARDIAC FAILURE671 reports
CHILLS668 reports
BLOOD PRESSURE INCREASED661 reports
NEUROPATHY PERIPHERAL661 reports
IMMUNE MEDIATED HEPATITIS651 reports
DISEASE PROGRESSION649 reports
MUSCULAR WEAKNESS648 reports
URINARY TRACT INFECTION648 reports
PALMAR PLANTAR ERYTHRODYSAESTHESIA SYNDROME644 reports
PAIN IN EXTREMITY642 reports
CYTOKINE RELEASE SYNDROME636 reports
LUNG DISORDER634 reports
TYPE 1 DIABETES MELLITUS633 reports
ATRIAL FIBRILLATION623 reports
CONDITION AGGRAVATED623 reports
IMMUNE MEDIATED LUNG DISEASE619 reports
DIABETES MELLITUS609 reports
PRODUCT USE ISSUE606 reports
ERYTHEMA581 reports
CONFUSIONAL STATE580 reports
FULMINANT TYPE 1 DIABETES MELLITUS577 reports
OEDEMA PERIPHERAL570 reports
PRESCRIBED UNDERDOSE570 reports
CHEST PAIN567 reports
DYSPHAGIA562 reports
ARTHRITIS557 reports
METASTASES TO CENTRAL NERVOUS SYSTEM546 reports
TASTE DISORDER546 reports
THYROIDITIS544 reports
HYPOKALAEMIA540 reports
THYROID DISORDER531 reports
INFECTION526 reports
RENAL IMPAIRMENT526 reports
IMMUNE MEDIATED HEPATIC DISORDER522 reports
HYPERGLYCAEMIA516 reports

Key Safety Signals

  • High incidence of immune-mediated adverse events, including colitis, pneumonitis, and interstitial lung disease.
  • Significant number of serious adverse events, with death and malignant neoplasm progression being the most common.
  • Widespread impact on multiple organ systems, including gastrointestinal, respiratory, and cardiovascular.

Patient Demographics

Adverse event reports by sex: Male: 52,001, Female: 27,815, Unknown: 6. The most frequently reported age groups are age 68 (2,395 reports), age 70 (2,356 reports), age 69 (2,330 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 92,260 classified reports for NIVOLUMAB:

  • Serious: 82,741 reports (89.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 9,519 reports (10.3%)
Serious 89.7%Non-Serious 10.3%

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

Male52,001 (65.1%)
Female27,815 (34.8%)
Unknown6 (0.0%)

Reports by Age

Age 682,395 reports
Age 702,356 reports
Age 692,330 reports
Age 712,224 reports
Age 672,221 reports
Age 722,196 reports
Age 652,191 reports
Age 662,055 reports
Age 732,034 reports
Age 742,008 reports
Age 641,992 reports
Age 631,967 reports
Age 751,861 reports
Age 621,786 reports
Age 611,758 reports
Age 601,748 reports
Age 761,702 reports
Age 591,541 reports
Age 581,504 reports
Age 771,450 reports

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

Drug Interactions & Warnings

Nivolumab can cause immune-mediated adverse events, and patients should be monitored for signs of colitis, pneumonitis, and interstitial lung disease. Drug interactions are not well-documented, but caution is advised when used with other immunosuppre

What You Should Know

If you are taking Nivolumab, here are important things to know. The most commonly reported side effects include death, malignant neoplasm progression, off label use, diarrhoea, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular monitoring for immune-mediated adverse events is crucial, especially for gastrointestinal and respiratory symptoms. 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 Nivolumab and has issued several safety alerts, particularly regarding immune-mediated adverse events. Healthcare providers should be vigilant in managing these risks.

Frequently Asked Questions

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

The FDA has received approximately 139,909 adverse event reports associated with Nivolumab. 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 Nivolumab?

The most frequently reported adverse events for Nivolumab include Death, Malignant Neoplasm Progression, Off Label Use, Diarrhoea, Fatigue. By volume, the top reported reactions are: Death (11,508 reports), Malignant Neoplasm Progression (9,599 reports), Off Label Use (5,881 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Nivolumab.

What percentage of Nivolumab adverse event reports are serious?

Out of 92,260 classified reports, 82,741 (89.7%) were classified as serious and 9,519 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 Nivolumab (by sex)?

Adverse event reports for Nivolumab break down by patient sex as follows: Male: 52,001, Female: 27,815, Unknown: 6. 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 Nivolumab?

The most frequently reported age groups for Nivolumab adverse events are: age 68: 2,395 reports, age 70: 2,356 reports, age 69: 2,330 reports, age 71: 2,224 reports, age 67: 2,221 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 Nivolumab?

The primary manufacturer associated with Nivolumab adverse event reports is E.R. Squibb & Sons, L.L.C.. 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 Nivolumab?

Beyond the most common reactions, other reported adverse events for Nivolumab include: Pyrexia, Intentional Product Use Issue, Nausea, Rash, Decreased Appetite. 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 Nivolumab?

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

Nivolumab has a safety concern score of 85 out of 100 (high 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. Nivolumab reports a high percentage of serious adverse events, with death and malignant neoplasm progression being the most frequent.

What are the key safety signals for Nivolumab?

Key safety signals identified in Nivolumab's adverse event data include: High incidence of immune-mediated adverse events, including colitis, pneumonitis, and interstitial lung disease.. Significant number of serious adverse events, with death and malignant neoplasm progression being the most common.. Widespread impact on multiple organ systems, including gastrointestinal, respiratory, and cardiovascular.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Nivolumab interact with other drugs?

Nivolumab can cause immune-mediated adverse events, and patients should be monitored for signs of colitis, pneumonitis, and interstitial lung disease. Drug interactions are not well-documented, but caution is advised when used with other immunosuppre Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Nivolumab.

What should patients know before taking Nivolumab?

Patients should report any new or worsening symptoms to their healthcare provider immediately. Regular monitoring for immune-mediated adverse events is crucial, especially for gastrointestinal and respiratory symptoms.

Are Nivolumab side effects well-documented?

Nivolumab has 139,909 adverse event reports on file with the FDA. The drug is associated with a wide range of immune-mediated reactions, including colitis, pneumonitis, and interstitial lung disease. The volume of reports for Nivolumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Nivolumab?

The FDA continues to monitor the safety profile of Nivolumab and has issued several safety alerts, particularly regarding immune-mediated adverse events. Healthcare providers should be vigilant in managing these risks. 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.