Reported Reactions

Drugs

Product name as reported

Ethinyl Estradiol Levonorgestrel: adverse event reports filed with FDA

805 reports list it as a suspect or interacting product, 2013–2026.

805
reports as suspect product
0% of all reports · about 60 a year
145
reports, 12 months to June 2026
110 in the 12 months before
89.9%
marked serious by the reporter
57.4% across all reports
5.3%
record death among outcomes, as reported
43 reports · not verified by FDA

805 adverse event reports received by FDA list the product name "Ethinyl Estradiol Levonorgestrel" as reporters wrote it as a suspect or interacting product, from February 2013 to June 2026. A further 795 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, 145 reports listed it, up 32% from 110 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 60 reports a year and 0% of the 20,646,523 reports in the database. 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 pulmonary embolism (9.3%), off label use (8.8%) and meningioma (8.4%). A report can list several reactions, so shares add to more than 100%; 404 different terms appear across these reports. Pulmonary embolism is recorded in 9.3% of these reports, against 0.5% of all reports in the database.

89.9% of the reports are marked serious by the reporter; 5.3% record death among the outcomes and 40.1% record hospitalisation, as reported. 36.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (57.3%). 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

01326Jul 2021: 2Aug 2021: 2Sep 2021: 2Oct 2021: 22Nov 2021: 26Dec 2021: 182022Jan 2022: 13Feb 2022: 16Mar 2022: 11Apr 2022: 13May 2022: 18Jun 2022: 10Jul 2022: 14Aug 2022: 10Sep 2022: 12Oct 2022: 15Nov 2022: 24Dec 2022: 212023Jan 2023: 11Feb 2023: 11Mar 2023: 15Apr 2023: 16May 2023: 11Jun 2023: 20Jul 2023: 10Aug 2023: 20Sep 2023: 8Oct 2023: 8Nov 2023: 8Dec 2023: 142024Jan 2024: 10Feb 2024: 22Mar 2024: 8Apr 2024: 8May 2024: 8Jun 2024: 11Jul 2024: 13Aug 2024: 11Sep 2024: 17Oct 2024: 9Nov 2024: 5Dec 2024: 42025Jan 2025: 4Feb 2025: 9Mar 2025: 5Apr 2025: 15May 2025: 9Jun 2025: 9Jul 2025: 15Aug 2025: 13Sep 2025: 21Oct 2025: 12Nov 2025: 8Dec 2025: 92026Jan 2026: 25Feb 2026: 7Mar 2026: 7Apr 2026: 14May 2026: 6Jun 2026: 8

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

0891772013: 420132015: 42017: 620172018: 92019: 1620192020: 272021: 8820212022: 1772023: 15220232024: 1262025: 12920252026: 67

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ethinyl Estradiol Levonorgestrel reports recording the termall reports in the database

  1. Pulmonary embolisma blood clot in the lung9.3%75
  2. Off label useused for a purpose or in a way not on the label8.8%71
  3. Headachehead pain7.1%57
  4. Fatiguetiredness5%40
  5. Deep vein thrombosisa blood clot in a deep vein4.8%39
  6. Maternal exposure during pregnancythe mother took the medicine during pregnancy4.6%37
  7. Nauseafeeling sick4%32
  8. Dizzinesslight-headedness or unsteadiness3.9%31
  9. Drug interactionan interaction between medicines3.2%26
  10. Drug ineffectivethe medicine did not work as expected3.1%25
  11. Epilepsy3.1%25
  12. Pain in extremitypain in an arm or leg2.9%23
  13. Product use in unapproved indicationused for a purpose not on the label2.6%21
  14. Vomitingbeing sick2.5%20
  15. Depressionlow mood2.4%19
  16. Cerebral venous thrombosis2.2%18
  17. Diarrhoealoose or frequent stools2.1%17
  18. Haemorrhagebleeding2.1%17
  19. Arthralgiajoint pain2%16
  20. Condition aggravatedthe condition being treated got worse1.9%15
  21. Migrainemigraine1.9%15
  22. Pruritusitching1.9%15
  23. Pyrexiafever1.9%15
  24. Astheniaweakness or lack of energy1.7%14
  25. Pulmonary infarction1.7%14

Top 30 of 404 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 share of all reports in the database; 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

Death5.3%43
Life-threatening13.5%109
Hospitalisation (initial or prolonged)40.1%323
Disability7%56
Congenital anomaly1.6%13
Other serious61.6%496
Not serious10.1%81

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 20,646,523 reports. 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 110.4%3
12 to 175.3%43
18 to 4457.3%461
45 to 6411.6%93
65 to 740.2%2
75 and over0.1%1
Age not given25%201

Patient sex

Female91.1%733
Male0.9%7
Not given8.1%65

Who reported

Physician34.5%278
Pharmacist12.7%102
Other health professional15.9%128
Lawyer0.6%5
Consumer or non-health professional36.1%291
Not given0.1%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 10.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception36345.1%
Oral contraception8710.8%
Hormonal contraception344.2%
Heavy menstrual bleeding192.4%
Dysmenorrhoea141.7%
Menstrual cycle management91.1%

The indication field is filled in by the reporter and is often blank; shares are of all 805 reports.

In context

MeasureEthinyl Estradiol LevonorgestrelAll reports
Reports as suspect product80520,646,523
Share of that pool—0%
Reports, latest 12 months1451,332,454
Marked serious89.9%57.4%
Death recorded among outcomes, per 1,000 reports5391
Hospitalisation recorded, per 1,000 reports401213
Consumer-filed share36.1%45.8%
Top term, share of reportsPulmonary embolism 9.3%0.5%

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."

Questions about Ethinyl Estradiol Levonorgestrel reports

How many adverse event reports has FDA received for Ethinyl Estradiol Levonorgestrel?

805 reports list Ethinyl Estradiol Levonorgestrel as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 145 of them arrived in the latest 12 months. Another 795 list it only as a concomitant medication.

What reactions are recorded in Ethinyl Estradiol Levonorgestrel reports?

pulmonary embolism (9.3%), off label use (8.8%), meningioma (8.4%), headache (7.1%) and fatigue (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 Ethinyl Estradiol Levonorgestrel was responsible.

How serious are the reports?

89.9% are marked serious by the reporter. Among the outcomes recorded, 5.3% of reports include death and 40.1% 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 (36.1%), physician (34.5%) and other health professional (15.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ethinyl Estradiol Levonorgestrel rising?

145 reports in the 12 months to June 2026, up 32% from 110 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 Ethinyl Estradiol Levonorgestrel 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 Ethinyl Estradiol Levonorgestrel?

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 Ethinyl Estradiol Levonorgestrel as a suspect or interacting product; reports listing it only as a concomitant medication (795) 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.