Reported Reactions

Drugs › Anti-coagulant

Brand name · Dalteparin sodium

Fragmin: adverse event reports filed with FDA

3,327 reports list it as a suspect or interacting product, 2004–2026. Class: Anti-coagulant. Also reported as Fragmin /01708302/, Fragmin Solution For Injection.

3,327
reports as suspect product
0% of all reports · about 148 a year
220
reports, 12 months to June 2026
194 in the 12 months before
79.1%
marked serious by the reporter
55.7% across the class
22.3%
record death among outcomes, as reported
743 reports · not verified by FDA

Between January 2004 and June 2026, 3,327 adverse event reports received by FDA list the brand name Fragmin (dalteparin sodium) as a suspect or interacting product. Reports that mention it only as a concomitant medication (4,719) are left out of every figure here.

In the 12 months to June 2026, 220 reports listed it, up 13% from 194 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 148 reports a year and 0% of the 20,646,523 reports in the database, and 11.5% of the reports for the anti-coagulant 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 pulmonary embolism (9.6%), off label use (8.3%) and nausea (7.1%). A report can list several reactions, so shares add to more than 100%; 818 different terms appear across these reports. Pulmonary embolism is recorded in 9.6% of these reports, a larger share than in the median anti-coagulant drug (3.8%).

79.1% of the reports are marked serious by the reporter (55.7% across the class); 22.3% record death among the outcomes and 38.8% record hospitalisation, as reported. 32.3% of the reports came from other health professionals, and the largest patient age group is 75 and over (22.6%). 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

02549Jul 2021: 24Aug 2021: 40Sep 2021: 49Oct 2021: 27Nov 2021: 17Dec 2021: 272022Jan 2022: 29Feb 2022: 24Mar 2022: 24Apr 2022: 44May 2022: 32Jun 2022: 23Jul 2022: 18Aug 2022: 18Sep 2022: 19Oct 2022: 22Nov 2022: 19Dec 2022: 272023Jan 2023: 14Feb 2023: 21Mar 2023: 20Apr 2023: 12May 2023: 21Jun 2023: 35Jul 2023: 20Aug 2023: 30Sep 2023: 16Oct 2023: 18Nov 2023: 9Dec 2023: 222024Jan 2024: 12Feb 2024: 19Mar 2024: 20Apr 2024: 11May 2024: 14Jun 2024: 14Jul 2024: 23Aug 2024: 29Sep 2024: 12Oct 2024: 12Nov 2024: 11Dec 2024: 152025Jan 2025: 15Feb 2025: 10Mar 2025: 6Apr 2025: 11May 2025: 21Jun 2025: 29Jul 2025: 18Aug 2025: 24Sep 2025: 14Oct 2025: 12Nov 2025: 16Dec 2025: 152026Jan 2026: 18Feb 2026: 19Mar 2026: 23Apr 2026: 12May 2026: 19Jun 2026: 30

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

01593182004: 10320042005: 1112006: 822007: 11220072008: 762009: 1022010: 10620102011: 1032012: 942013: 11120132014: 1052015: 1192016: 12320162017: 1252018: 1652019: 18120192020: 1492021: 3182022: 29920222023: 2382024: 1922025: 19120252026: 121

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Fragmin reports recording the termmedian drug in anti-coagulant

  1. Pulmonary embolisma blood clot in the lung9.6%319
  2. Off label useused for a purpose or in a way not on the label8.3%275
  3. Nauseafeeling sick7.1%237
  4. Needle issuea problem with the needle6.8%227
  5. Condition aggravatedthe condition being treated got worse6.6%221
  6. General physical health deteriorationgeneral decline in health6.3%209
  7. Multiple organ dysfunction syndromeseveral organs failing6.2%207
  8. Abdominal painstomach or belly pain6.1%203
  9. Thrombosis5.8%193
  10. Vomitingbeing sick5.7%191
  11. Dyspnoeashortness of breath5.6%187
  12. Sepsisa severe body-wide response to infection5.5%182
  13. Constipationconstipation5.4%181
  14. Abdominal distensiona bloated abdomen5.4%180
  15. Anaemialow red blood cells5.4%180
  16. Stressstress5.2%172
  17. Cardiogenic shockshock from the heart failing to pump5.1%171
  18. Hyponatraemialow blood sodium5.1%171
  19. Ascitesfluid in the abdomen5%165
  20. Appendicolith4.9%162
  21. Swellingswelling4.8%161
  22. Drug hypersensitivityan allergic-type reaction to a medicine4.7%158
  23. Somnolencedrowsiness4.6%152
  24. Drug ineffectivethe medicine did not work as expected4.3%142
  25. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease4.2%139
  26. Ventricular fibrillationa chaotic rhythm from the lower heart chambers4.1%138
  27. Dry mouthdry mouth4%133
  28. Deaththe patient died; cause not stated by this term4%132
  29. Blood phosphorus increased3.8%128

Top 30 of 818 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 10 drugs in the anti-coagulant 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

Death22.3%743
Life-threatening13.1%437
Hospitalisation (initial or prolonged)38.8%1,292
Disability7.5%249
Congenital anomaly3.5%118
Other serious47.5%1,579
Not serious20.9%696

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 28,971 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 20.5%16
2 to 110.1%3
12 to 170.2%6
18 to 4411.4%378
45 to 6418.6%620
65 to 7415.1%501
75 and over22.6%753
Age not given31.6%1,050

Patient sex

Female44.8%1,489
Male36%1,198
Not given19.2%640

Who reported

Physician26.6%884
Pharmacist17.9%595
Other health professional32.3%1,074
Lawyer0.5%15
Consumer or non-health professional18.4%611
Not given4.4%148

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 9.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Thrombosis prophylaxis45513.7%
Pulmonary embolism2266.8%
Deep vein thrombosis1434.3%
Thrombosis1344%
Prophylaxis1113.3%
Anticoagulant therapy722.2%

The indication field is filled in by the reporter and is often blank; shares are of all 3,327 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Fragmin reports
Acetaminophen37211.2%
Lansoprazole2908.7%
Potassium chloride2898.7%
Ondansetron2537.6%
Ipratropium bromide2527.6%
Heparin sodium2477.4%
Simvastatin2457.4%
Phytonadione2387.2%
Allopurinol2357.1%
Dextrose2126.4%

Other products listed in reports where Fragmin 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

MeasureFragminAnti-coagulantAll reports
Reports as suspect product3,32728,97120,646,523
Share of that pool—11.5%0%
Reports, latest 12 months220—1,332,454
Marked serious79.1%55.7%57.4%
Death recorded among outcomes, per 1,000 reports22317291
Hospitalisation recorded, per 1,000 reports388238213
Consumer-filed share18.4%10.2%45.8%
Top term, share of reportsPulmonary embolism 9.6%median 3.8%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."

Other drugs in the anti-coagulant class

DrugName typeReportsLatest 12 monthsMarked serious
Heparin sodiumgeneric13,35084568%
Anticoagulant Sodium Citratebrand6,781802.4%
Dalteparin sodiumgeneric1,2986395.5%
Argatrobangeneric1,0625285.1%
Bivalirudingeneric7064190.7%
Sodium citrategeneric6244495.2%
Potassium citrategeneric6166441.4%
Clenpiqbrand6163117.4%
Heparin Sodium in Dextrosebrand5912488.7%

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 Fragmin reports

How many adverse event reports has FDA received for Fragmin?

3,327 reports list Fragmin as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 220 of them arrived in the latest 12 months. Another 4,719 list it only as a concomitant medication.

What reactions are recorded in Fragmin reports?

pulmonary embolism (9.6%), off label use (8.3%), nausea (7.1%), needle issue (6.8%) and condition aggravated (6.6%). 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 Fragmin was responsible.

How serious are the reports?

79.1% are marked serious by the reporter. Among the outcomes recorded, 22.3% of reports include death and 38.8% 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?

other health professional (32.3%), physician (26.6%) and consumer or non-health professional (18.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Fragmin rising?

220 reports in the 12 months to June 2026, up 13% from 194 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 Fragmin 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 Fragmin?

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 Fragmin as a suspect or interacting product; reports listing it only as a concomitant medication (4,719) 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.