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Interferon Beta-1A side effects: what 192,035 FDA adverse event reports show

Interferon Beta-1A · Rebif, Rebif Rebidose · 1,254 reaction terms · 552,508 drug–reaction co-reports · data 2026-09-14
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Drug class

Interferon beta

FDA label (Established Pharmacologic Class)

Brand names

Rebif, Rebif Rebidose

openFDA label

Who reports

192,035 reports · 53% serious · 9,782 with death outcome · 80% female

openFDA FAERS counts, all years, deduplication not applied

Used for

REBIF is indicated for the treatment of relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. Rebif is an interferon beta indicated for the.

FDA label, Indications and Usage

What it is

REBIF (interferon beta-1a) is a purified 166 amino acid glycoprotein with a molecular weight of approximately 22,500 daltons. It is produced by recombinant DNA technology using genetically engineered Chinese Hamster Ovary cells into which the human interferon beta gene has been introduced.

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 adverse reaction 2Labeled (related wording) 7Likely indication confounding 4Reporting / coding artifact 2Lab value / disease marker 2Not in label — unassessed 23
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). 1,214 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
Fear of needles108172.1
126.9–233.4ROR 172.1 · calibrated p 3e-9 ✓
65.7 EB05 56.0 · IC025 +5.4
3/3 methods agree
Not in label — unassessed100% consumernot reported in cached trials
Needle fatigue252134.5
111.7–161.9ROR 134.7 · calibrated p 1e-8 ✓
59.8 EB05 53.9 · IC025 +5.5
3/3 methods agree
Not in label — unassessedserious n=118 · ♀ 59% (drug 80%)not reported in cached trials
Procedural anxiety27373.6
63.1–85.8ROR 73.7 · calibrated p 1e-6 ✓
43.8 EB05 39.6 · IC025 +5.1
3/3 methods agree
Not in label — unassessedserious n=46 · 84% consumernot reported in cached trials
Neuromyelitis optica10951.9
41.3–65.3ROR 52.0 · calibrated p 1e-5 ✓
35.1 EB05 29.9 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=100NCT00906399: 1/500 (0.2%) on Interferon Beta-1A (serious AE)
Drug delivery device implantation7049.8
37.5–66.1ROR 49.8 · calibrated p 2e-5 ✓
34.0 EB05 27.8 · IC025 +4.4
3/3 methods agree
Not in label — unassessedserious n=67 · ♀ 0% (drug 80%) · 100% cliniciannot reported in cached trials
Agraphia18548.4
40.7–57.6ROR 48.4 · calibrated p 2e-5 ✓
33.5 EB05 29.6 · IC025 +4.7
3/3 methods agree
Not in label — unassessed100% consumernot reported in cached trials
Gait spastic10144.5
35.3–56.2ROR 44.6 · calibrated p 3e-5 ✓
31.6 EB05 26.7 · IC025 +4.5
3/3 methods agree
Not in label — unassessedserious n=89 · ♀ 0% (drug 80%)not reported in cached trials
Progressive multiple sclerosis30337.9
33.3–43.2ROR 38.0 · calibrated p 8e-5 ✓
28.2 EB05 25.6 · IC025 +4.6
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=188not reported in cached trials
Loss of control of legs95736.3
33.7–39.0ROR 36.4 · calibrated p 9e-5 ✓
27.3 EB05 25.9 · IC025 +4.6
3/3 methods agree
Not in label — unassessedserious n=377 · 82% consumernot reported in cached trials
Secondary progressive multiple sclerosis47035.8
32.3–39.7ROR 35.9 · calibrated p 1e-4 ✓
27.0 EB05 25.0 · IC025 +4.6
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious n=232not reported in cached trials
Relapsing-remitting multiple sclerosis19531.7
27.0–37.2ROR 31.7 · calibrated p 2e-4 ✓
24.6 EB05 21.8 · IC025 +4.3
3/3 methods agree
Labeled adverse reaction
exact term
serious n=168 · ♀ 50% (drug 80%)NCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Nuclear magnetic resonance imaging abnormal74731.0
28.6–33.7ROR 31.1 · calibrated p 2e-4 ✓
24.2 EB05 22.8 · IC025 +4.5
3/3 methods agree
Reporting / coding artifactserious n=234 · 74% consumernot reported in cached trials
Lower extremity mass12827.9
23.0–33.9ROR 27.9 · calibrated p 4e-4 ✓
22.3 EB05 19.2 · IC025 +4.1
3/3 methods agree
Not in label — unassessed100% consumernot reported in cached trials
Multiple sclerosis9,36426.3
25.7–26.8ROR 27.5 · calibrated p 4e-4 ✓
21.3 EB05 20.9 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 20.6 · 71% consumerNCT01064401: 3/922 (0.3%) on Interferon Beta-1A (serious AE)
Optic neuritis1,67924.5
23.2–25.8ROR 24.7 · calibrated p 7e-4 ✓
20.1 EB05 19.3 · IC025 +4.2
3/3 methods agree
Not in label — unassessedserious PRR 18.1 · 71% consumerNCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Influenza like illness (flu-like illness)13,25120.7
20.3–21.1ROR 22.2 · calibrated p 0.001 ✓
17.5 EB05 17.3 · IC025 +4.1
3/3 methods agree
Not in label — unassessedage-adj. PRR 16.3 · serious PRR 16.6 · 75% consumerNCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Primary progressive multiple sclerosis7720.5
16.1–26.2ROR 20.5 · calibrated p 0.002 ✓
17.3 EB05 14.3 · IC025 +3.6
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
–not reported in cached trials
Neutralising antibodies positive6520.5
15.7–26.7ROR 20.5 · calibrated p 0.002 ✓
17.2 EB05 14.0 · IC025 +3.5
3/3 methods agree
Lab value / disease marker100% cliniciannot reported in cached trials
Central nervous system lesion2,19320.4
19.5–21.4ROR 20.7 · calibrated p 0.002 ✓
17.3 EB05 16.7 · IC025 +4.0
3/3 methods agree
Not in label — unassessedserious PRR 13.4 · 75% consumernot reported in cached trials
Frustration55319.5
17.8–21.3ROR 19.5 · calibrated p 0.002 ✓
16.6 EB05 15.5 · IC025 +3.9
3/3 methods agree
Not in label — unassessedserious n=76 · 89% consumernot reported in cached trials
Exposure via direct contact14118.8
15.7–22.4ROR 18.8 · calibrated p 0.003 ✓
16.1 EB05 14.0 · IC025 +3.7
3/3 methods agree
Reporting / coding artifact100% consumernot reported in cached trials
Phobia16618.2
15.4–21.5ROR 18.2 · calibrated p 0.003 ✓
15.7 EB05 13.8 · IC025 +3.7
3/3 methods agree
Not in label — unassessed77% consumernot reported in cached trials
Prolonged labour8016.2
12.8–20.5ROR 16.2 · calibrated p 0.006 ✓
14.1 EB05 11.7 · IC025 +3.3
3/3 methods agree
Not in label — unassessedserious n=80 · ♀ 100% (drug 80%) · 100% consumernot reported in cached trials
Sensation of heaviness50516.0
14.5–17.5ROR 16.0 · calibrated p 0.005 ✓
14.0 EB05 13.0 · IC025 +3.6
3/3 methods agree
Not in label — unassessedserious n=196 · 84% consumernot reported in cached trials
Band sensation16315.8
13.4–18.7ROR 15.9 · calibrated p 0.006 ✓
13.9 EB05 12.2 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=61 · 83% consumernot reported in cached trials
Peroneal nerve palsy66714.4
13.3–15.6ROR 14.4 · calibrated p 0.008 ✓
12.8 EB05 12.0 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=264 · 77% consumernot reported in cached trials
Jc virus test positive10014.4
11.7–17.7ROR 14.4 · calibrated p 0.009 ✓
12.7 EB05 10.7 · IC025 +3.3
3/3 methods agree
Lab value / disease marker100% consumernot reported in cached trials
Trigeminal neuralgia47014.3
13.0–15.8ROR 14.4 · calibrated p 0.008 ✓
12.7 EB05 11.8 · IC025 +3.5
3/3 methods agree
Not in label — unassessedserious n=334NCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Hemianaesthesia8612.9
10.3–16.1ROR 12.9 · calibrated p 0.014 ✓
11.5 EB05 9.5 · IC025 +3.1
3/3 methods agree
Not in label — unassessedserious n=46 · 100% consumernot reported in cached trials
Collapse of lung8512.2
9.7–15.2ROR 12.2 · calibrated p 0.017 ✓
10.8 EB05 9.0 · IC025 +3.0
3/3 methods agree
Not in label — unassessedserious n=85 · 100% consumernot reported in cached trials
Neurogenic bladder21412.2
10.6–14.0ROR 12.2 · calibrated p 0.016 ✓
11.0 EB05 9.8 · IC025 +3.2
3/3 methods agree
Not in label — unassessedserious n=178not reported in cached trials
Puncture site haemorrhage6911.7
9.1–15.0ROR 11.7 · calibrated p 0.020 ✓
10.4 EB05 8.4 · IC025 +2.9
3/3 methods agree
Not in label — unassessed100% consumernot reported in cached trials
Injection site necrosis19611.5
9.9–13.3ROR 11.5 · calibrated p 0.020 ✓
10.4 EB05 9.2 · IC025 +3.1
3/3 methods agree
Labeled adverse reaction
exact term
serious n=165not 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
Fall / fracture10,9833.23.2–3.3signal
Depression6,5132.62.5–2.6signal
Seizure3,4021.91.8–2.0raised
Serious infection10,9261.61.5–1.6raised
Myocardial infarction2,6861.41.4–1.5raised
Stroke2,8581.31.2–1.3raised
Venous thromboembolism2,1571.11.0–1.1raised
Malignancy3,5141.01.0–1.1no difference
Opportunistic infection1,2191.00.9–1.0no difference
Hyperglycaemia / diabetes2,9690.90.9–1.0lower than other drugs
Liver injury2,5850.90.9–1.0lower than other drugs
Pancreatitis5890.80.7–0.9lower than other drugs
Tendon disorder2570.70.6–0.8lower than other drugs
Suicidality1,5240.70.6–0.7lower than other drugs
Heart failure9560.60.5–0.6lower than other drugs
Osteonecrosis2870.50.5–0.6lower than other drugs

Trial evidence (ClinicalTrials.gov)

✓ Trial adverse-event data found on ClinicalTrials.gov

Largest completed trials with posted results that list Interferon Beta-1A 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 (9 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
Influenza like illness (flu-like illness)13,25120.7
20.3–21.1ROR 22.2 · calibrated p 0.001 ✓
17.5 EB05 17.3 · IC025 +4.1
3/3 methods agree
Not in label — unassessedage-adj. PRR 16.3 · serious PRR 16.6 · 75% consumerNCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Fatigue (tiredness)11,5501.6
1.6–1.7ROR 1.7 · calibrated p 0.752
1.6 EB05 1.6 · IC025 +0.7Labeled adverse reaction
exact term
age-adj. PRR 1.5 · serious PRR 1.3 · 78% consumerNCT01064401: 76/922 (8.2%) on Interferon Beta-1A
Fall10,6013.6
3.5–3.6ROR 3.7 · calibrated p 0.435
3.5 EB05 3.4 · IC025 +1.8
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.7 · serious PRR 3.1 · 71% consumerNCT01064401: 2/922 (0.2%) on Interferon Beta-1A (serious AE)
Multiple sclerosis9,36426.3
25.7–26.8ROR 27.5 · calibrated p 4e-4 ✓
21.3 EB05 20.9 · IC025 +4.4
3/3 methods agree
Likely indication confounding
term in indications; also in warnings
serious PRR 20.6 · 71% consumerNCT01064401: 3/922 (0.3%) on Interferon Beta-1A (serious AE)
Gait disturbance8,9205.3
5.2–5.4ROR 5.5 · calibrated p 0.188
5.1 EB05 5.0 · IC025 +2.3
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.7 · serious PRR 3.3 · 81% consumerNCT00906399: 1/499 (0.2%) control (serious AE)
Headache8,4161.5
1.4–1.5ROR 1.5 · calibrated p 0.639
1.5 EB05 1.4 · IC025 +0.5Labeled adverse reaction
exact term
age-adj. PRR 1.3 · serious PRR 1.4 · 77% consumerNCT01064401: 1/919 (0.1%) on Interferon Beta-1A (serious AE)
Memory impairment7,9956.7
6.5–6.8ROR 6.9 · calibrated p 0.102
6.3 EB05 6.2 · IC025 +2.6
3/3 methods agree
Not in label — unassessedage-adj. PRR 4.7 · serious PRR 3.3 · 86% consumernot reported in cached trials
Pain7,7451.4
1.3–1.4ROR 1.4 · calibrated p 0.572
1.4 EB05 1.3 · IC025 +0.4Labeled adverse reaction
exact term
age-adj. PRR 1.3 · serious PRR 1.1 · 78% consumerNCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Injection site pain (pain where injected)6,3242.3
2.2–2.4ROR 2.3 · calibrated p 0.881
2.3 EB05 2.2 · IC025 +1.1
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 1.8 · serious PRR 6.2 · 78% consumerNCT01064401: 1/922 (0.1%) on Interferon Beta-1A (serious AE)
Asthenia (weakness)6,2911.8
1.8–1.9ROR 1.9 · calibrated p 0.870
1.8 EB05 1.8 · IC025 +0.8Not in label — unassessedage-adj. PRR 1.9 · serious PRR 1.4 · 74% consumerNCT01064401: 1/919 (0.1%) on Interferon Beta-1A (serious AE)
Hypoaesthesia (numbness)5,5584.2
4.1–4.3ROR 4.3 · calibrated p 0.332
4.0 EB05 4.0 · IC025 +2.0
3/3 methods agree
Not in label — unassessedage-adj. PRR 3.2 · serious PRR 3.4 · 75% consumerNCT01064401: 54/922 (5.9%) on Interferon Beta-1A
Depression5,4352.6
2.6–2.7ROR 2.7 · calibrated p 0.738
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
Labeled adverse reaction
exact term
age-adj. PRR 2.1 · serious PRR 2.3NCT01064401: 2/922 (0.2%) on Interferon Beta-1A (serious AE)
Malaise (feeling unwell)5,1031.3
1.2–1.3ROR 1.3 · calibrated p 0.493
1.3 EB05 1.2 · IC025 +0.3Labeled adverse reaction
exact term
age-adj. PRR 1.1 · serious PRR 0.9 · 73% consumernot reported in cached trials
Pain in extremity5,0421.9
1.8–1.9ROR 1.9 · calibrated p 0.890
1.9 EB05 1.8 · IC025 +0.9Not in label — unassessedage-adj. PRR 1.8 · serious PRR 1.6 · 79% consumerNCT01064401: 58/922 (6.3%) on Interferon Beta-1A

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.

✓ A hand-written Bradford Hill causality assessment exists for this drug: Interferon beta-1a ↔ Influenza-like illness.

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 Interferon Beta-1A?

In FDA FAERS, the most frequently co-reported reaction terms for Interferon Beta-1A are multiple sclerosis relapse, influenza like illness, fatigue, fall, multiple sclerosis, gait disturbance. 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 Interferon Beta-1A have an FDA boxed warning?

No. The FDA label retrieved for Interferon Beta-1A has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Interferon Beta-1A 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.