Reported Reactions

Drugs › Catecholamine

Brand name · Epinephrine

Epipen Jr: adverse event reports filed with FDA

664 reports list it as a suspect or interacting product, 2004–2026. Class: Catecholamine.

664
reports as suspect product
0% of all reports · about 31 a year
18
reports, 12 months to June 2026
29 in the 12 months before
36.3%
marked serious by the reporter
75.4% across the class
0.6%
record death among outcomes, as reported
4 reports · not verified by FDA

Between October 2004 and June 2026, 664 adverse event reports received by FDA list the brand name Epipen Jr (epinephrine) as a suspect or interacting product. Reports that mention it only as a concomitant medication (622) are left out of every figure here.

In the 12 months to June 2026, 18 reports listed it, down 38% from 29 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 31 reports a year and 0% of the 20,646,523 reports in the database, and 2.9% of the reports for the catecholamine 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 product quality issue (25.2%), device failure (16.6%) and accidental exposure to product (11.9%). A report can list several reactions, so shares add to more than 100%; 132 different terms appear across these reports. Product quality issue is recorded in 25.2% of these reports, a larger share than in the median catecholamine drug (2.5%).

36.3% of the reports are marked serious by the reporter (75.4% across the class); 0.6% record death among the outcomes and 7.2% record hospitalisation, as reported. 58.6% of the reports came from consumers, and the largest patient age group is 2 to 11 (25.8%). 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

0816Jul 2021: 2Aug 2021: 6Sep 2021: 16Oct 2021: 1Nov 2021: 2Dec 2021: 42022Jan 2022: 2Feb 2022: 2Mar 2022: 2Apr 2022: 5May 2022: 3Jun 2022: 2Jul 2022: 2Aug 2022: 1Sep 2022: 4Oct 2022: 0Nov 2022: 2Dec 2022: 12023Jan 2023: 4Feb 2023: 4Mar 2023: 3Apr 2023: 2May 2023: 4Jun 2023: 3Jul 2023: 3Aug 2023: 5Sep 2023: 6Oct 2023: 5Nov 2023: 1Dec 2023: 22024Jan 2024: 1Feb 2024: 4Mar 2024: 5Apr 2024: 6May 2024: 3Jun 2024: 5Jul 2024: 2Aug 2024: 2Sep 2024: 5Oct 2024: 6Nov 2024: 2Dec 2024: 22025Jan 2025: 2Feb 2025: 0Mar 2025: 1Apr 2025: 2May 2025: 1Jun 2025: 4Jul 2025: 1Aug 2025: 1Sep 2025: 2Oct 2025: 3Nov 2025: 1Dec 2025: 02026Jan 2026: 0Feb 2026: 2Mar 2026: 1Apr 2026: 4May 2026: 1Jun 2026: 2

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

050992004: 220042005: 12006: 22007: 220072008: 202010: 282011: 3920112012: 142013: 92014: 3320142015: 582016: 702017: 9920172018: 262019: 202020: 4920202021: 532022: 262023: 4220232024: 432025: 182026: 102026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Epipen Jr reports recording the termmedian drug in catecholamine

  1. Product quality issuea problem with the product itself25.2%167
  2. Device failurethe device failed16.6%110
  3. Accidental exposure10.2%68
  4. Injection site painpain where the injection was given9.9%66
  5. Needle issuea problem with the needle9%60
  6. Expired product administeredthe product was used past its expiry date7.4%49
  7. Drug ineffectivethe medicine did not work as expected5.6%37
  8. Injection site laceration4.7%31
  9. Expired drug administered4.1%27
  10. Injection site pallor2.7%18
  11. Off label useused for a purpose or in a way not on the label2.7%18
  12. Injection site swellingswelling where the injection was given2.4%16
  13. Device malfunctionthe device did not work properly2.3%15
  14. Injection site bruisingbruising where the injection was given2.3%15
  15. Anaphylactic reactiona severe, sudden allergic reaction2.1%14
  16. Hypersensitivityan allergic-type reaction2%13
  17. Injection site haemorrhagebleeding where the injection was given2%13
  18. No adverse eventno adverse event was reported2%13
  19. Drug dose omissiona dose was missed1.8%12
  20. Wrong technique in product usage processthe product was used in the wrong way1.5%10
  21. Anxietyanxiety1.4%9
  22. Drug hypersensitivityan allergic-type reaction to a medicine1.4%9

Top 30 of 132 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 7 drugs in the catecholamine 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

Death0.6%4
Life-threatening7.8%52
Hospitalisation (initial or prolonged)7.2%48
Disability0.6%4
Congenital anomaly0%0
Other serious28.9%192
Not serious63.7%423

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 22,692 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 22.9%19
2 to 1125.8%171
12 to 170.5%3
18 to 446.6%44
45 to 644.4%29
65 to 740.8%5
75 and over1.7%11
Age not given57.5%382

Patient sex

Female33%219
Male34.2%227
Not given32.8%218

Who reported

Physician7.8%52
Pharmacist16.4%109
Other health professional13.9%92
Lawyer0%0
Consumer or non-health professional58.6%389
Not given3.3%22

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 64.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Anaphylactic reaction8913.4%
Hypersensitivity598.9%
Food allergy456.8%
Drug hypersensitivity91.4%
Anaphylactic shock60.9%
Arthropod sting20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 664 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Epipen Jr reports
Epipen162.4%
Benadryl132%
Nasonex121.8%
Cialis111.7%
Prednisone111.7%
Moxifloxacin91.4%
Synthroid91.4%
Epinephrine81.2%
Ramipril81.2%
Prednisone acetate71.1%

Other products listed in reports where Epipen Jr 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

MeasureEpipen JrCatecholamineAll reports
Reports as suspect product66422,69220,646,523
Share of that pool—2.9%0%
Reports, latest 12 months18—1,332,454
Marked serious36.3%75.4%57.4%
Death recorded among outcomes, per 1,000 reports616991
Hospitalisation recorded, per 1,000 reports72381213
Consumer-filed share58.6%25.3%45.8%
Top term, share of reportsProduct quality issue 25.2%median 2.5%0.6%

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 catecholamine class

DrugName typeReportsLatest 12 monthsMarked serious
Epinephrinegeneric10,46087776%
Norepinephrinegeneric4,73637298%
Epipenbrand3,69620150.1%
Norepinephrine bitartrategeneric1,54536192.4%
Dopaminegeneric9477195.9%
Auvi-qgeneric6441316.1%

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 Epipen Jr reports

How many adverse event reports has FDA received for Epipen Jr?

664 reports list Epipen Jr as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 18 of them arrived in the latest 12 months. Another 622 list it only as a concomitant medication.

What reactions are recorded in Epipen Jr reports?

product quality issue (25.2%), device failure (16.6%), accidental exposure to product (11.9%), accidental exposure (10.2%) and injection site pain (9.9%). 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 Epipen Jr was responsible.

How serious are the reports?

36.3% are marked serious by the reporter. Among the outcomes recorded, 0.6% of reports include death and 7.2% 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 (58.6%), pharmacist (16.4%) and other health professional (13.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Epipen Jr rising?

18 reports in the 12 months to June 2026, down 38% from 29 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 Epipen Jr 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 Epipen Jr?

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 Epipen Jr as a suspect or interacting product; reports listing it only as a concomitant medication (622) 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.