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Erenumab-Aooe side effects: what 54,776 FDA adverse event reports show

Erenumab-Aooe · Aimovig · 1,073 reaction terms · 254,685 drug–reaction co-reports · data 2026-09-14
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Drug class

Calcitonin gene-related peptide receptor antagonist

FDA label, Indications wording

Brand names

Aimovig

openFDA label

Who reports

54,776 reports · 21% serious · 2,964 with death outcome · 86% female

openFDA FAERS counts, all years, deduplication not applied

Used for

AIMOVIG is indicated for the preventive treatment of migraine in adults. AIMOVIG is a calcitonin gene-related peptide receptor antagonist indicated for the preventive treatment of migraine in adults. ( 1 )

FDA label, Indications and Usage

What it is

Erenumab-aooe is a human immunoglobulin G2 (IgG2) monoclonal antibody that has high affinity binding to the calcitonin gene-related peptide receptor. Erenumab-aooe is produced using recombinant DNA technology in Chinese hamster ovary (CHO) cells.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled (related wording) 1Likely indication confounding 1Reporting / coding artifact 3Lab value / disease marker 2Not in label — unassessed 33
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,033 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Hepatic enzyme79504.5
360.1–706.7ROR 505.2 · calibrated p 2e-13 ✓
205.5 EB05 170.2 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=79 · 100% cliniciannot reported in cached trials
Hypocholesterolaemia139317.4
253.3–397.7ROR 318.2 · calibrated p 1e-11 ✓
168.8 EB05 146.5 · IC025 +6.5
3/3 methods agree
Not in label — unassessedserious n=139 · 96% cliniciannot reported in cached trials
Facet joint syndrome863144.6
133.7–156.3ROR 146.9 · calibrated p 6e-9 ✓
104.5 EB05 98.8 · IC025 +6.5
3/3 methods agree
Not in label — unassessedserious n=863 · 93% cliniciannot reported in cached trials
Peripheral venous disease80095.9
88.8–103.6ROR 97.3 · calibrated p 1e-7 ✓
76.5 EB05 72.2 · IC025 +6.1
3/3 methods agree
Not in label — unassessedserious n=800 · 93% cliniciannot reported in cached trials
Neovascularisation5092.8
68.1–126.4ROR 92.9 · calibrated p 4e-7 ✓
72.7 EB05 57.3 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=50 · 100% cliniciannot reported in cached trials
Onychomadesis74183.1
76.8–89.9ROR 84.2 · calibrated p 4e-7 ✓
68.1 EB05 64.1 · IC025 +5.9
3/3 methods agree
Not in label — unassessedserious n=741 · 94% cliniciannot reported in cached trials
Blepharospasm1,00574.0
69.2–79.1ROR 75.3 · calibrated p 9e-7 ✓
61.9 EB05 58.8 · IC025 +5.8
3/3 methods agree
Not in label — unassessedserious n=988 · 92% cliniciannot reported in cached trials
Rheumatic fever69472.3
66.7–78.3ROR 73.2 · calibrated p 1e-6 ✓
60.7 EB05 57.0 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=694 · 93% cliniciannot reported in cached trials
Device difficult to use10,10769.1
67.8–70.5ROR 84.5 · calibrated p 4e-7 ✓
58.5 EB05 57.6 · IC025 +5.8
3/3 methods agree
Reporting / coding artifactage-adj. PRR 87.0 · serious PRR 49.8not reported in cached trials
Breast cancer stage iii93765.2
60.9–69.9ROR 66.3 · calibrated p 2e-6 ✓
55.7 EB05 52.7 · IC025 +5.7
3/3 methods agree
Not in label — unassessedserious n=937 · 93% cliniciannot reported in cached trials
Lupus vulgaris17164.2
54.6–75.4ROR 64.4 · calibrated p 3e-6 ✓
54.7 EB05 48.1 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=171 · 91% cliniciannot reported in cached trials
Incorrect disposal of product45363.0
57.0–69.5ROR 63.5 · calibrated p 3e-6 ✓
54.0 EB05 49.9 · IC025 +5.5
3/3 methods agree
Reporting / coding artifactserious n=33not reported in cached trials
Overlap syndrome9661.8
49.8–76.7ROR 61.9 · calibrated p 4e-6 ✓
52.7 EB05 44.5 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=96 · 100% cliniciannot reported in cached trials
Anti-cyclic citrullinated peptide antibody positive96159.8
55.9–64.0ROR 60.9 · calibrated p 4e-6 ✓
51.7 EB05 49.0 · IC025 +5.5
3/3 methods agree
Lab value / disease markerserious PRR 139.2 · 93% cliniciannot reported in cached trials
Intercepted product administration error1,02158.3
54.6–62.2ROR 59.4 · calibrated p 5e-6 ✓
50.6 EB05 48.0 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=15not reported in cached trials
Vascular malformation2858.0
38.9–86.3ROR 58.0 · calibrated p 1e-5 ✓
48.8 EB05 35.4 · IC025 +4.1
3/3 methods agree
Not in label — unassessedserious n=28 · 100% cliniciannot reported in cached trials
Duodenal ulcer perforation89453.0
49.5–56.8ROR 53.9 · calibrated p 9e-6 ✓
46.6 EB05 44.1 · IC025 +5.4
3/3 methods agree
Not in label — unassessedserious PRR 124.8 · 92% cliniciannot reported in cached trials
Onychomycosis51250.6
46.2–55.5ROR 51.1 · calibrated p 1e-5 ✓
44.7 EB05 41.5 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious n=512 · 95% cliniciannot reported in cached trials
Paranasal cyst2748.4
32.4–72.3ROR 48.5 · calibrated p 3e-5 ✓
41.9 EB05 30.2 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious n=27 · 100% cliniciannot reported in cached trials
Folliculitis1,15147.9
45.1–51.0ROR 49.0 · calibrated p 2e-5 ✓
42.6 EB05 40.6 · IC025 +5.3
3/3 methods agree
Not in label — unassessedserious PRR 134.1 · 95% cliniciannot reported in cached trials
Occupational exposure to product71347.4
43.9–51.2ROR 48.0 · calibrated p 2e-5 ✓
42.2 EB05 39.6 · IC025 +5.2
3/3 methods agree
Not in label — unassessed–not reported in cached trials
Finger deformity52746.6
42.6–51.0ROR 47.1 · calibrated p 2e-5 ✓
41.5 EB05 38.6 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=526 · 92% cliniciannot reported in cached trials
Muscle injury89146.6
43.5–49.9ROR 47.3 · calibrated p 2e-5 ✓
41.5 EB05 39.3 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious PRR 120.3 · 94% cliniciannot reported in cached trials
Nail disorder92345.4
42.5–48.6ROR 46.2 · calibrated p 2e-5 ✓
40.6 EB05 38.5 · IC025 +5.2
3/3 methods agree
Not in label — unassessedserious n=917 · 93% cliniciannot reported in cached trials
Dislocation of vertebra23645.4
39.6–51.9ROR 45.6 · calibrated p 3e-5 ✓
40.5 EB05 36.3 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=236 · 92% cliniciannot reported in cached trials
Post-traumatic headache1644.3
26.4–74.4ROR 44.3 · calibrated p 8e-5 ✓
38.1 EB05 24.9 · IC025 +3.4
3/3 methods agree
Not in label — unassessedserious n=15not reported in cached trials
Accidental exposure to product10,20143.5
42.7–44.3ROR 53.2 · calibrated p 9e-6 ✓
39.1 EB05 38.5 · IC025 +5.3
3/3 methods agree
Reporting / coding artifactage-adj. PRR 48.9 · serious PRR 22.2not reported in cached trials
Subcutaneous drug absorption impaired5442.0
31.7–55.7ROR 42.1 · calibrated p 5e-5 ✓
37.5 EB05 29.8 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=54not reported in cached trials
Deep vein thrombosis postoperative19341.7
36.0–48.4ROR 41.9 · calibrated p 4e-5 ✓
37.5 EB05 33.3 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious n=193not reported in cached trials
Vestibular migraine2341.7
27.1–64.1ROR 41.7 · calibrated p 9e-5 ✓
36.6 EB05 25.7 · IC025 +3.7
3/3 methods agree
Likely indication confounding
shares a disease stem with the indications wording
serious n=13 · 74% consumernot reported in cached trials
Lip dry84539.8
37.1–42.7ROR 40.4 · calibrated p 5e-5 ✓
36.1 EB05 34.1 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious n=841 · 94% cliniciannot reported in cached trials
Pemphigus1,17139.7
37.4–42.2ROR 40.6 · calibrated p 5e-5 ✓
36.0 EB05 34.3 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious PRR 97.0 · 94% cliniciannot reported in cached trials
Helicobacter infection91437.6
35.2–40.3ROR 38.3 · calibrated p 7e-5 ✓
34.3 EB05 32.5 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious PRR 97.2 · 92% cliniciannot reported in cached trials
Wound infection96537.2
34.9–39.8ROR 37.9 · calibrated p 7e-5 ✓
34.0 EB05 32.2 · IC025 +5.0
3/3 methods agree
Not in label — unassessedserious PRR 97.7 · 93% cliniciannot reported in cached trials
Bursitis1,05736.7
34.5–39.1ROR 37.4 · calibrated p 8e-5 ✓
33.5 EB05 31.9 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious PRR 105.8 · 94% cliniciannot reported in cached trials
Drug dose omission by device6,65536.4
35.5–37.2ROR 41.3 · calibrated p 4e-5 ✓
33.3 EB05 32.6 · IC025 +5.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 67.0 · serious n=277 · 75% consumernot reported in cached trials
C-reactive protein abnormal55636.3
33.3–39.6ROR 36.7 · calibrated p 9e-5 ✓
33.2 EB05 30.9 · IC025 +4.9
3/3 methods agree
Lab value / disease markerserious n=556 · 92% cliniciannot reported in cached trials
Adjustment disorder with depressed mood17335.9
30.7–41.9ROR 36.0 · calibrated p 1e-4 ✓
32.7 EB05 28.8 · IC025 +4.7
3/3 methods agree
Not in label — unassessedserious n=173 · 93% cliniciannot reported in cached trials
Hypercholesterolaemia81935.8
33.3–38.4ROR 36.3 · calibrated p 9e-5 ✓
32.7 EB05 30.9 · IC025 +4.9
3/3 methods agree
Not in label — unassessedserious PRR 93.4 · 93% cliniciannot reported in cached trials

Clinical concept groups

MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.

ConceptReportsPRR 95% CIReading
Liver injury1,6452.12.0–2.2raised
Depression1,4602.01.9–2.1raised
Hyperglycaemia / diabetes1,1561.31.2–1.4raised
Interstitial lung disease2991.21.1–1.3raised
Fall / fracture9240.90.9–1.0lower than other drugs
Serious infection1,3820.70.6–0.7lower than other drugs
Pancreatitis1080.50.4–0.6lower than other drugs
Seizure2270.40.4–0.5lower than other drugs
Stroke2850.40.4–0.5lower than other drugs
Extrapyramidal1130.40.3–0.5lower than other drugs
Anaphylaxis / angioedema1340.40.3–0.5lower than other drugs
Suicidality2210.30.3–0.4lower than other drugs
Rhabdomyolysis / myopathy650.30.2–0.4lower than other drugs
Myocardial infarction1600.30.3–0.3lower than other drugs
Opportunistic infection1050.30.2–0.4lower than other drugs
Arrhythmia / qt1170.20.2–0.3lower than other drugs

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Erenumab-Aooe as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (0 of 40 signal terms matched).

Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Accidental exposure to product10,20143.5
42.7–44.3ROR 53.2 · calibrated p 9e-6 ✓
39.1 EB05 38.5 · IC025 +5.3
3/3 methods agree
Reporting / coding artifactage-adj. PRR 48.9 · serious PRR 22.2not reported in cached trials
Device difficult to use10,10769.1
67.8–70.5ROR 84.5 · calibrated p 4e-7 ✓
58.5 EB05 57.6 · IC025 +5.8
3/3 methods agree
Reporting / coding artifactage-adj. PRR 87.0 · serious PRR 49.8not reported in cached trials
Wrong technique in product usage process9,49918.9
18.5–19.2ROR 22.6 · calibrated p 0.001 ✓
18.0 EB05 17.7 · IC025 +4.1
3/3 methods agree
Reporting / coding artifactage-adj. PRR 32.5 · serious PRR 10.0not reported in cached trials
Drug dose omission by device6,65536.4
35.5–37.2ROR 41.3 · calibrated p 4e-5 ✓
33.3 EB05 32.6 · IC025 +5.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 67.0 · serious n=277 · 75% consumernot reported in cached trials
Migraine5,20122.2
21.6–22.8ROR 24.4 · calibrated p 8e-4 ✓
21.0 EB05 20.5 · IC025 +4.3
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
age-adj. PRR 18.0 · serious PRR 49.9not reported in cached trials
Drug ineffective (drug did not work)4,4241.3
1.3–1.3ROR 1.3 · calibrated p 0.516
1.3 EB05 1.3 · IC025 +0.3Reporting / coding artifactage-adj. PRR 1.3 · serious PRR 4.0not reported in cached trials
Headache3,5012.1
2.1–2.2ROR 2.2 · calibrated p 0.939
2.1 EB05 2.1 · IC025 +1.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 2.0 · serious PRR 5.9NCT04884763: 1/15 (6.7%) on Erenumab-Aooe
Constipation3,1845.7
5.5–5.9ROR 6.0 · calibrated p 0.150
5.6 EB05 5.5 · IC025 +2.4
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 4.6 · serious PRR 7.1NCT04465357: 3/55 (5.5%) on Erenumab-Aooe
Product storage error2,97613.6
13.1–14.1ROR 14.3 · calibrated p 0.008 ✓
13.2 EB05 12.8 · IC025 +3.7
3/3 methods agree
Reporting / coding artifactage-adj. PRR 16.5 · serious PRR 11.8not reported in cached trials
Injection site pain (pain where injected)2,8953.7
3.5–3.8ROR 3.8 · calibrated p 0.411
3.6 EB05 3.5 · IC025 +1.8
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.5 · serious PRR 4.9NCT04884763: 1/15 (6.7%) on Erenumab-Aooe
Off label use (used outside approved label)2,8301.2
1.2–1.3ROR 1.3 · calibrated p 0.483
1.2 EB05 1.2 · IC025 +0.3Reporting / coding artifactage-adj. PRR 1.5 · serious PRR 4.3not reported in cached trials
Nausea2,4801.2
1.2–1.3ROR 1.2 · calibrated p 0.449
1.2 EB05 1.2 · IC025 +0.2Not in label — unassessedage-adj. PRR 1.1 · serious PRR 3.9NCT04884763: 3/15 (20.0%) on Erenumab-Aooe
Fatigue (tiredness)2,3421.2
1.1–1.2ROR 1.2 · calibrated p 0.414
1.2 EB05 1.1 · IC025 +0.1Not in label — unassessedage-adj. PRR 1.1 · serious PRR 3.7not reported in cached trials
Alopecia (hair loss)2,2644.4
4.3–4.6ROR 4.6 · calibrated p 0.284
4.4 EB05 4.3 · IC025 +2.1
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 3.7 · serious PRR 13.9not reported in cached trials
Pain2,0031.2
1.2–1.3ROR 1.3 · calibrated p 0.478
1.2 EB05 1.2 · IC025 +0.2Labeled adverse reaction
exact term
age-adj. PRR 1.4 · serious PRR 4.2NCT04884763: 1/15 (6.7%) on Erenumab-Aooe

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Erenumab-Aooe?

In FDA FAERS, the most frequently co-reported reaction terms for Erenumab-Aooe are drug dose omission by device, migraine, headache, constipation, injection site pain, nausea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Erenumab-Aooe have an FDA boxed warning?

No. The FDA label retrieved for Erenumab-Aooe has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Erenumab-Aooe causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.