Reported Reactions

Drugs › Insulin analog

Brand name · Insulin glulisine

Apidra SoloStar: adverse event reports filed with FDA

1,380 reports list it as a suspect or interacting product, 2009–2026. Class: Insulin analog.

1,380
reports as suspect product
0% of all reports · about 83 a year
32
reports, 12 months to June 2026
53 in the 12 months before
59.3%
marked serious by the reporter
42.7% across the class
2%
record death among outcomes, as reported
28 reports · not verified by FDA

1,380 adverse event reports received by FDA list the brand name Apidra SoloStar (insulin glulisine) as a suspect or interacting product, from December 2009 to June 2026. A further 338 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 32 reports listed it, down 40% from 53 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 83 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% of the reports for the insulin analog class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are blood glucose increased (25%), hyperglycaemia (8%) and hypoglycaemia (7.8%). A report can list several reactions, so shares add to more than 100%; 260 different terms appear across these reports. Blood glucose increased is recorded in 25% of these reports, about the same share as in the median insulin analog drug (23%).

59.3% of the reports are marked serious by the reporter (42.7% across the class); 2% record death among the outcomes and 22% record hospitalisation, as reported. 77.3% of the reports came from consumers, and the largest patient age group is 45 to 64 (27.9%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0611Jul 2021: 5Aug 2021: 3Sep 2021: 3Oct 2021: 6Nov 2021: 6Dec 2021: 32022Jan 2022: 3Feb 2022: 5Mar 2022: 7Apr 2022: 5May 2022: 8Jun 2022: 7Jul 2022: 2Aug 2022: 4Sep 2022: 7Oct 2022: 1Nov 2022: 4Dec 2022: 32023Jan 2023: 4Feb 2023: 10Mar 2023: 5Apr 2023: 3May 2023: 2Jun 2023: 5Jul 2023: 3Aug 2023: 4Sep 2023: 5Oct 2023: 2Nov 2023: 2Dec 2023: 42024Jan 2024: 7Feb 2024: 7Mar 2024: 4Apr 2024: 2May 2024: 5Jun 2024: 2Jul 2024: 3Aug 2024: 6Sep 2024: 2Oct 2024: 4Nov 2024: 6Dec 2024: 82025Jan 2025: 3Feb 2025: 2Mar 2025: 11Apr 2025: 1May 2025: 5Jun 2025: 2Jul 2025: 3Aug 2025: 6Sep 2025: 3Oct 2025: 4Nov 2025: 4Dec 2025: 42026Jan 2026: 1Feb 2026: 1Mar 2026: 1Apr 2026: 2May 2026: 0Jun 2026: 3

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

01202392009: 320092010: 362011: 6920112012: 532013: 10320132014: 1992015: 23920152016: 972017: 8820172018: 1042019: 5820192020: 582021: 5620212022: 562023: 4920232024: 562025: 4820252026: 8

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Apidra SoloStar reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading25%345
  2. Hyperglycaemiahigh blood sugar8%110
  3. Hypoglycaemialow blood sugar7.8%107
  4. Drug ineffectivethe medicine did not work as expected6.5%90
  5. Blood glucose decreasedlow blood sugar reading6.2%86
  6. Visual impairmentreduced vision5.8%80
  7. Malaisegeneral feeling of being unwell4.6%63
  8. Wrong drug administeredthe wrong medicine was given4.4%61
  9. Device malfunctionthe device did not work properly4%55
  10. Product storage errorthe product was stored wrongly3.6%50
  11. Product quality issuea problem with the product itself3.5%48
  12. Dizzinesslight-headedness or unsteadiness3.1%43
  13. Injection site painpain where the injection was given2.9%40
  14. Diabetes mellitus inadequate controldiabetes not well controlled2.8%39
  15. Feeling abnormalfeeling odd or not right2.6%36
  16. Headachehead pain2.5%35
  17. Device issuea problem with the device2.5%34
  18. Expired product administeredthe product was used past its expiry date2.5%34
  19. Product use issuea problem in how the product was used2.3%32
  20. Drug administration errora mistake in giving the medicine2.2%31
  21. Pruritusitching2.2%30
  22. Tremorshaking2.2%30
  23. Drug dose omissiona dose was missed2.1%29
  24. Dyspnoeashortness of breath2.1%29
  25. Gait disturbancedifficulty walking2.1%29
  26. Painpain, site not specified2.1%29
  27. Vomitingbeing sick2.1%29
  28. Condition aggravatedthe condition being treated got worse2%28

Top 30 of 260 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 26 drugs in the insulin analog class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death2%28
Life-threatening3.3%45
Hospitalisation (initial or prolonged)22%303
Disability2%28
Congenital anomaly0%0
Other serious41.2%568
Not serious40.7%562

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 289,293 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.3%4
2 to 110.9%13
12 to 171.3%18
18 to 4410.9%151
45 to 6427.9%385
65 to 7418.5%255
75 and over12%166
Age not given28.1%388

Patient sex

Female52%718
Male39.5%545
Not given8.5%117

Who reported

Physician6.9%95
Pharmacist6%83
Other health professional9.3%129
Lawyer0%0
Consumer or non-health professional77.3%1,067
Not given0.4%6

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 64.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus46533.7%
Diabetes mellitus26018.8%
Type 1 diabetes mellitus21715.7%
Blood glucose increased60.4%
Diabetes50.4%
Gestational diabetes20.1%

The indication field is filled in by the reporter and is often blank; shares are of all 1,380 reports.

In context

MeasureApidra SoloStarInsulin analogAll reports
Reports as suspect product1,380289,29320,646,523
Share of that pool—0.5%0%
Reports, latest 12 months32—1,332,454
Marked serious59.3%42.7%57.4%
Death recorded among outcomes, per 1,000 reports203591
Hospitalisation recorded, per 1,000 reports220186213
Consumer-filed share77.3%78.7%45.8%
Top term, share of reportsBlood glucose increased 25%median 23%0.9%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the insulin analog class

DrugName typeReportsLatest 12 monthsMarked serious
Humalogbrand71,1742,31234.4%
Lantus Solostarbrand45,7154,23024.6%
Lantusbrand39,1283,71863.8%
Insulin glarginegeneric27,9941,92342.8%
Toujeobrand15,4911,33224.7%
Novologbrand14,4771,57661.8%
Levemirbrand13,65267154.8%
Tresibabrand10,3731,26355.1%
Insulin lisprogeneric8,2091,11645.6%
Humalog Mix75/25brand8,13914023.8%
Insulingeneric8,13552288.9%
Apidrabrand3,6218669.2%
Insulin aspartgeneric3,23255388.6%
Sterile diluentgeneric3,22160019.4%
Humalog Kwikpenbrand3,04016927.5%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Apidra SoloStar reports

How many adverse event reports has FDA received for Apidra SoloStar?

1,380 reports list Apidra SoloStar as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 32 of them arrived in the latest 12 months. Another 338 list it only as a concomitant medication.

What reactions are recorded in Apidra SoloStar reports?

blood glucose increased (25%), hyperglycaemia (8%), hypoglycaemia (7.8%), drug ineffective (6.5%) and blood glucose decreased (6.2%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Apidra SoloStar was responsible.

How serious are the reports?

59.3% are marked serious by the reporter. Among the outcomes recorded, 2% of reports include death and 22% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (77.3%), other health professional (9.3%) and physician (6.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Apidra SoloStar rising?

32 reports in the 12 months to June 2026, down 40% from 53 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Apidra SoloStar was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Apidra SoloStar?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Apidra SoloStar as a suspect or interacting product; reports listing it only as a concomitant medication (338) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.