Real-world data (RWD) has emerged as a transformative force in the field of pharmacovigilance, significantly influencing regulatory decision-making processes. Unlike data generated in controlled clinical trials, RWD reflects the everyday clinical experiences and outcomes of patients in real-world settings. The impact of integrating RWD into pharmacovigilance and regulatory decision-making is multifaceted and has profound implications for patient safety, drug development, and healthcare policymaking