OCRELIZUMAB

72/100 · Elevated

Manufactured by Genentech, Inc.

Ocrelizumab Adverse Events: High Incidence of Infections and Fatigue

123,105 FDA adverse event reports analyzed

Last updated: 2026-05-12

About OCRELIZUMAB

OCRELIZUMAB is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Genentech, Inc.. Based on analysis of 123,105 FDA adverse event reports, OCRELIZUMAB has a safety score of 72 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 OCRELIZUMAB include COVID-19, FATIGUE, URINARY TRACT INFECTION, HEADACHE, MULTIPLE SCLEROSIS. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for OCRELIZUMAB.

AI Safety Analysis

Ocrelizumab has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 123,105 adverse event reports for this medication, which is primarily manufactured by Genentech, Inc..

The most commonly reported adverse events include Covid-19, Fatigue, Urinary Tract Infection. Of classified reports, 49.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Ocrelizumab reports show a high incidence of infections, particularly urinary tract and pneumonia.

Fatigue and asthenia are common, indicating potential impact on patient quality of life. The drug is frequently reported to be ineffective, suggesting variability in treatment outcomes.

Patients taking Ocrelizumab should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Ocrelizumab may interact with other immunosuppressants, and patients should be monitored for signs of infection and other adverse reactions. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Ocrelizumab received a safety concern score of 72/100 (elevated concern). This is based on a 49.7% serious event ratio across 59,589 classified reports. The score accounts for 123,105 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

COVID 1911,529 reports
FATIGUE6,059 reports
URINARY TRACT INFECTION3,721 reports
HEADACHE3,187 reports
MULTIPLE SCLEROSIS2,894 reports
ASTHENIA2,660 reports
GAIT DISTURBANCE2,640 reports
MULTIPLE SCLEROSIS RELAPSE2,587 reports
NASOPHARYNGITIS2,524 reports
PAIN2,468 reports
FALL2,467 reports
PNEUMONIA2,394 reports
OFF LABEL USE2,365 reports
DRUG INEFFECTIVE2,360 reports
INFUSION RELATED REACTION2,155 reports
INFLUENZA1,996 reports
COUGH1,785 reports
PYREXIA1,737 reports
NAUSEA1,733 reports
DIZZINESS1,686 reports
PRURITUS1,646 reports
MUSCULAR WEAKNESS1,629 reports
HYPOAESTHESIA1,580 reports
PAIN IN EXTREMITY1,580 reports
MALAISE1,545 reports
HERPES ZOSTER1,448 reports
SARS COV 2 TEST POSITIVE1,426 reports
DYSPNOEA1,400 reports
NO ADVERSE EVENT1,382 reports
THROAT IRRITATION1,348 reports
BALANCE DISORDER1,222 reports
RASH1,199 reports
PARAESTHESIA1,127 reports
MEMORY IMPAIRMENT1,119 reports
ALOPECIA1,116 reports
DIARRHOEA1,112 reports
INFECTION1,100 reports
BACK PAIN1,078 reports
ARTHRALGIA1,043 reports
MUSCLE SPASMS1,043 reports
INSOMNIA1,034 reports
DEPRESSION1,019 reports
OROPHARYNGEAL PAIN1,007 reports
FEELING ABNORMAL968 reports
ORAL HERPES921 reports
SINUSITIS868 reports
WEIGHT INCREASED854 reports
VOMITING852 reports
ANXIETY832 reports
WEIGHT DECREASED816 reports
HYPERSENSITIVITY769 reports
TREMOR725 reports
ERYTHEMA718 reports
SEPSIS713 reports
HYPERTENSION705 reports
URTICARIA704 reports
MIGRAINE697 reports
MOBILITY DECREASED694 reports
ILLNESS679 reports
COVID 19 PNEUMONIA674 reports
MUSCLE SPASTICITY669 reports
CYSTITIS637 reports
BRONCHITIS626 reports
VISUAL IMPAIRMENT621 reports
SOMNOLENCE619 reports
UPPER RESPIRATORY TRACT INFECTION606 reports
FLUSHING603 reports
MUSCULOSKELETAL STIFFNESS567 reports
HEART RATE INCREASED546 reports
JC POLYOMAVIRUS TEST POSITIVE545 reports
CONDITION AGGRAVATED543 reports
CHILLS540 reports
INFLUENZA LIKE ILLNESS531 reports
VISION BLURRED522 reports
DEATH500 reports
DRUG HYPERSENSITIVITY498 reports
INTENTIONAL PRODUCT USE ISSUE493 reports
COGNITIVE DISORDER480 reports
B LYMPHOCYTE COUNT DECREASED479 reports
PERIPHERAL SWELLING479 reports
RHINORRHOEA479 reports
URINARY INCONTINENCE465 reports
STRESS464 reports
NEURALGIA462 reports
MATERNAL EXPOSURE BEFORE PREGNANCY458 reports
CHEST PAIN455 reports
CONSTIPATION446 reports
ABDOMINAL PAIN UPPER445 reports
FEELING HOT442 reports
BREAST CANCER436 reports
MYALGIA436 reports
FUNGAL INFECTION425 reports
SEIZURE423 reports
CELLULITIS415 reports
BLOOD PRESSURE INCREASED413 reports
DYSPHAGIA411 reports
IMMUNODEFICIENCY411 reports
HYPOTENSION394 reports
LIMB DISCOMFORT392 reports
PALPITATIONS390 reports

Key Safety Signals

  • High rate of serious adverse events (49.7%)
  • Multiple infections reported, including pneumonia and urinary tract infections
  • Frequent reports of fatigue and asthenia

Patient Demographics

Adverse event reports by sex: Female: 37,864, Male: 14,199, Unknown: 363. The most frequently reported age groups are age 51 (901 reports), age 50 (888 reports), age 52 (879 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 59,589 classified reports for OCRELIZUMAB:

  • Serious: 29,623 reports (49.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 29,966 reports (50.3%)
Serious 49.7%Non-Serious 50.3%

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

Female37,864 (72.2%)
Male14,199 (27.1%)
Unknown363 (0.7%)

Reports by Age

Age 51901 reports
Age 50888 reports
Age 52879 reports
Age 53869 reports
Age 49849 reports
Age 55848 reports
Age 43835 reports
Age 40826 reports
Age 44826 reports
Age 48826 reports
Age 42823 reports
Age 56814 reports
Age 54792 reports
Age 46790 reports
Age 41786 reports
Age 45766 reports
Age 57758 reports
Age 39749 reports
Age 47747 reports
Age 58744 reports

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

Drug Interactions & Warnings

Ocrelizumab may interact with other immunosuppressants, and patients should be monitored for signs of infection and other adverse reactions.

What You Should Know

If you are taking Ocrelizumab, here are important things to know. The most commonly reported side effects include covid-19, fatigue, urinary tract infection, headache, multiple sclerosis. 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 signs of infection or unusual fatigue to their healthcare provider promptly. Follow-up with healthcare providers is recommended to assess treatment efficacy and manage side effects. 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

Regulatory oversight includes monitoring for serious infections and ensuring patients are aware of potential side effects.

Frequently Asked Questions

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

The FDA has received approximately 123,105 adverse event reports associated with Ocrelizumab. 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 Ocrelizumab?

The most frequently reported adverse events for Ocrelizumab include Covid-19, Fatigue, Urinary Tract Infection, Headache, Multiple Sclerosis. By volume, the top reported reactions are: Covid-19 (11,529 reports), Fatigue (6,059 reports), Urinary Tract Infection (3,721 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Ocrelizumab.

What percentage of Ocrelizumab adverse event reports are serious?

Out of 59,589 classified reports, 29,623 (49.7%) were classified as serious and 29,966 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 Ocrelizumab (by sex)?

Adverse event reports for Ocrelizumab break down by patient sex as follows: Female: 37,864, Male: 14,199, Unknown: 363. 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 Ocrelizumab?

The most frequently reported age groups for Ocrelizumab adverse events are: age 51: 901 reports, age 50: 888 reports, age 52: 879 reports, age 53: 869 reports, age 49: 849 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 Ocrelizumab?

The primary manufacturer associated with Ocrelizumab adverse event reports is Genentech, 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 Ocrelizumab?

Beyond the most common reactions, other reported adverse events for Ocrelizumab include: Asthenia, Gait Disturbance, Multiple Sclerosis Relapse, Nasopharyngitis, Pain. 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 Ocrelizumab?

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

Ocrelizumab has a safety concern score of 72 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. Ocrelizumab reports show a high incidence of infections, particularly urinary tract and pneumonia.

What are the key safety signals for Ocrelizumab?

Key safety signals identified in Ocrelizumab's adverse event data include: High rate of serious adverse events (49.7%). Multiple infections reported, including pneumonia and urinary tract infections. Frequent reports of fatigue and asthenia. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Ocrelizumab interact with other drugs?

Ocrelizumab may interact with other immunosuppressants, and patients should be monitored for signs of infection and other adverse reactions. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Ocrelizumab.

What should patients know before taking Ocrelizumab?

Patients should report any signs of infection or unusual fatigue to their healthcare provider promptly. Follow-up with healthcare providers is recommended to assess treatment efficacy and manage side effects.

Are Ocrelizumab side effects well-documented?

Ocrelizumab has 123,105 adverse event reports on file with the FDA. Fatigue and asthenia are common, indicating potential impact on patient quality of life. The volume of reports for Ocrelizumab reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Ocrelizumab?

Regulatory oversight includes monitoring for serious infections and ensuring patients are aware of potential side effects. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

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

ImmunosuppressantsAntibioticsCorticosteroids
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.