Reported Reactions

Drugs › Estrogen

Brand name · Estradiol and levonorgestrel

Climara Pro: adverse event reports filed with FDA

1,949 reports list it as a suspect or interacting product, 2005–2026. Class: Estrogen.

1,949
reports as suspect product
0% of all reports · about 94 a year
115
reports, 12 months to June 2026
106 in the 12 months before
11%
marked serious by the reporter
57.2% across the class
0%
record death among outcomes, as reported
0 reports · not verified by FDA

1,949 adverse event reports received by FDA list the brand name Climara Pro (estradiol and levonorgestrel) as a suspect or interacting product, from October 2005 to June 2026. A further 73 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, 115 reports listed it, close to the 106 of 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 94 reports a year and 0% of the 20,646,523 reports in the database, and 1.5% of the reports for the estrogen class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are product adhesion issue (34.2%), product physical issue (16.9%) and wrong technique in product usage process (13.2%). A report can list several reactions, so shares add to more than 100%; 177 different terms appear across these reports. Product adhesion issue is recorded in 34.2% of these reports, with no counterpart in the median estrogen drug (0%).

11% of the reports are marked serious by the reporter (57.2% across the class); 0% record death among the outcomes and 0.4% record hospitalisation, as reported. 71.8% of the reports came from consumers, and the largest patient age group is 45 to 64 (45.7%). 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

01019Jul 2021: 5Aug 2021: 5Sep 2021: 13Oct 2021: 4Nov 2021: 7Dec 2021: 62022Jan 2022: 7Feb 2022: 4Mar 2022: 6Apr 2022: 4May 2022: 6Jun 2022: 5Jul 2022: 3Aug 2022: 8Sep 2022: 7Oct 2022: 5Nov 2022: 10Dec 2022: 32023Jan 2023: 7Feb 2023: 6Mar 2023: 6Apr 2023: 10May 2023: 8Jun 2023: 8Jul 2023: 8Aug 2023: 9Sep 2023: 5Oct 2023: 8Nov 2023: 5Dec 2023: 82024Jan 2024: 8Feb 2024: 3Mar 2024: 6Apr 2024: 9May 2024: 14Jun 2024: 8Jul 2024: 10Aug 2024: 4Sep 2024: 10Oct 2024: 7Nov 2024: 11Dec 2024: 22025Jan 2025: 5Feb 2025: 11Mar 2025: 7Apr 2025: 9May 2025: 19Jun 2025: 11Jul 2025: 11Aug 2025: 14Sep 2025: 9Oct 2025: 11Nov 2025: 9Dec 2025: 32026Jan 2026: 7Feb 2026: 9Mar 2026: 8Apr 2026: 9May 2026: 11Jun 2026: 14

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

01182362005: 220052006: 42007: 122008: 10320082009: 1012010: 1072011: 8020112012: 1042013: 662014: 8720142015: 892016: 1082017: 23620172018: 1562019: 972020: 8820202021: 842022: 682023: 8820232024: 922025: 1192026: 582026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Climara Pro reports recording the termmedian drug in estrogen

  1. Product physical issuea physical defect in the product16.9%329
  2. Wrong technique in product usage processthe product was used in the wrong way13.2%258
  3. Hot flusha hot flush11.5%225
  4. Drug ineffectivethe medicine did not work as expected7.9%154
  5. Product quality issuea problem with the product itself6.9%134
  6. Application site pruritusitching where the product was applied5.3%103
  7. Application site erythemaredness where the product was applied4.7%92
  8. Device breakagethe device broke4.5%88
  9. Drug dose omissiona dose was missed4.3%84
  10. Vaginal haemorrhagevaginal bleeding3.5%68
  11. Product use issuea problem in how the product was used2.8%54
  12. Uterine haemorrhage2.8%54
  13. Postmenopausal haemorrhage2.7%53
  14. Headachehead pain2.6%50
  15. Insomniadifficulty sleeping2.5%48
  16. Rashskin rash2.2%42
  17. Feeling abnormalfeeling odd or not right1.9%38
  18. Hyperhidrosisexcessive sweating1.8%35
  19. No adverse eventno adverse event was reported1.8%35
  20. Night sweatssweating at night1.7%34
  21. Incorrect dose administeredthe wrong dose was given1.7%33
  22. Product dose omission issuea dose was missed1.5%30

Top 30 of 177 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 25 drugs in the estrogen 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

Death0%0
Life-threatening0.2%3
Hospitalisation (initial or prolonged)0.4%7
Disability0.3%6
Congenital anomaly0%0
Other serious10.5%204
Not serious89%1,735

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 127,523 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 20.1%1
2 to 110%0
12 to 170.2%3
18 to 443%58
45 to 6445.7%891
65 to 745%97
75 and over1.2%24
Age not given44.9%875

Patient sex

Female98.8%1,925
Male0%0
Not given1.2%24

Who reported

Physician5.3%103
Pharmacist19.5%380
Other health professional3.1%60
Lawyer0.2%3
Consumer or non-health professional71.8%1,399
Not given0.2%4

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.5% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hormone replacement therapy32716.8%
Hot flush1819.3%
Menopausal symptoms1698.7%
Menopause1608.2%
Menopausal disorder180.9%
Hormone therapy160.8%

The indication field is filled in by the reporter and is often blank; shares are of all 1,949 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Climara Pro reports
Synthroid110.6%
CombiPatch (estradiol/norethindrone acetate transdermal system)100.5%
Aspirin70.4%
Estradiol70.4%
Climara50.3%
Estrace50.3%
Lipitor50.3%
Premarin50.3%
Prempro50.3%
Prevacid50.3%

Other products listed in reports where Climara Pro is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureClimara ProEstrogenAll reports
Reports as suspect product1,949127,52320,646,523
Share of that pool—1.5%0%
Reports, latest 12 months115—1,332,454
Marked serious11%57.2%57.4%
Death recorded among outcomes, per 1,000 reports01791
Hospitalisation recorded, per 1,000 reports4105213
Consumer-filed share71.8%49%45.8%
Top term, share of reportsProduct adhesion issue 34.2%median 0%0.2%

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 estrogen class

DrugName typeReportsLatest 12 monthsMarked serious
Premarinbrand34,40115877.8%
Premprobrand19,8323690.4%
Nuvaringbrand18,6435549.2%
Estradiolgeneric15,4792,77743%
Estradiol Transdermal Systembrand5,9891,3083.2%
Estracebrand4,6492558.9%
Estringbrand3,81311530.5%
CombiPatch (estradiol/norethindrone acetate transdermal system)brand3,60838419.5%
Climarabrand3,1463725.9%
Minivellebrand2,823334%
Xulanebrand1,5376510.3%
Vivelle-Dotbrand1,4886232.1%
EstroGelbrand1,3129474.9%
Conjugated estrogensgeneric1,1671298.7%
Twirlabrand1,014962.1%

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 Climara Pro reports

How many adverse event reports has FDA received for Climara Pro?

1,949 reports list Climara Pro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 115 of them arrived in the latest 12 months. Another 73 list it only as a concomitant medication.

What reactions are recorded in Climara Pro reports?

product adhesion issue (34.2%), product physical issue (16.9%), wrong technique in product usage process (13.2%), device adhesion issue (12.5%) and hot flush (11.5%). 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 Climara Pro was responsible.

How serious are the reports?

11% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 0.4% 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 (71.8%), pharmacist (19.5%) and physician (5.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Climara Pro rising?

115 reports in the 12 months to June 2026, close to the 106 of 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 Climara Pro 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 Climara Pro?

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 Climara Pro as a suspect or interacting product; reports listing it only as a concomitant medication (73) 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.