Reported Reactions

Drugs › Atypical antipsychotic

Brand name · Paliperidone palmitate

Invega Hafyera: adverse event reports filed with FDA

650 reports list it as a suspect or interacting product, 2021–2026. Class: Atypical antipsychotic.

650
reports as suspect product
0% of all reports · about 128 a year
80
reports, 12 months to June 2026
139 in the 12 months before
29.1%
marked serious by the reporter
70.7% across the class
0.3%
record death among outcomes, as reported
2 reports · not verified by FDA

650 adverse event reports received by FDA list the brand name Invega Hafyera (paliperidone palmitate) as a suspect or interacting product, from June 2021 to June 2026. A further 6 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, 80 reports listed it, down 42% from 139 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 128 reports a year and 0% of the 20,646,523 reports in the database, and 0.1% of the reports for the atypical antipsychotic class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded drug ineffective (12.3%), product dose omission issue (9.2%) and condition aggravated (8.2%). A report can list several reactions, so shares add to more than 100%; 95 different terms appear across these reports. Drug ineffective is recorded in 12.3% of these reports, a larger share than in the median atypical antipsychotic drug (6.4%).

29.1% of the reports are marked serious by the reporter (70.7% across the class); 0.3% record death among the outcomes and 11.1% record hospitalisation, as reported. 49.5% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (12.6%). 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

01427Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 1Dec 2021: 32022Jan 2022: 1Feb 2022: 8Mar 2022: 14Apr 2022: 3May 2022: 18Jun 2022: 6Jul 2022: 20Aug 2022: 16Sep 2022: 12Oct 2022: 19Nov 2022: 24Dec 2022: 162023Jan 2023: 16Feb 2023: 13Mar 2023: 24Apr 2023: 18May 2023: 23Jun 2023: 11Jul 2023: 9Aug 2023: 23Sep 2023: 10Oct 2023: 18Nov 2023: 12Dec 2023: 82024Jan 2024: 9Feb 2024: 21Mar 2024: 14Apr 2024: 14May 2024: 15Jun 2024: 11Jul 2024: 13Aug 2024: 27Sep 2024: 8Oct 2024: 8Nov 2024: 6Dec 2024: 72025Jan 2025: 11Feb 2025: 11Mar 2025: 9Apr 2025: 13May 2025: 13Jun 2025: 13Jul 2025: 10Aug 2025: 11Sep 2025: 7Oct 2025: 5Nov 2025: 12Dec 2025: 82026Jan 2026: 3Feb 2026: 3Mar 2026: 6Apr 2026: 6May 2026: 3Jun 2026: 6

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

0931852021: 520212022: 15720222023: 18520232024: 15320242025: 12320252026: 272026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Invega Hafyera reports recording the termmedian drug in atypical antipsychotic

  1. Drug ineffectivethe medicine did not work as expected12.3%80
  2. Product dose omission issuea dose was missed9.2%60
  3. Condition aggravatedthe condition being treated got worse8.2%53
  4. Schizophreniaschizophrenia7.2%47
  5. Underdoseless than the intended dose7.2%47
  6. Off label useused for a purpose or in a way not on the label7.1%46
  7. Therapeutic response decreasedthe medicine worked less well7.1%46
  8. Needle issuea problem with the needle3.5%23
  9. Psychotic disordera loss of contact with reality3.5%23
  10. Hospitalisationadmission to hospital2.9%19
  11. Inappropriate schedule of product administrationthe product was taken at the wrong times2.3%15
  12. Blood prolactin increased2%13
  13. Injection site painpain where the injection was given2%13
  14. Wrong technique in product usage processthe product was used in the wrong way1.8%12
  15. Anxietyanxiety1.5%10
  16. Device issuea problem with the device1.4%9
  17. Paranoiaparanoia1.4%9
  18. Weight increasedweight gain1.4%9
  19. Adverse eventan unwanted medical event, type not specified1.2%8
  20. Device occlusionthe device blocked1.2%8
  21. Treatment noncompliancethe treatment was not taken as directed1.2%8
  22. Tremorshaking1.2%8
  23. Aggressionaggressive behaviour1.1%7
  24. Akathisiainner restlessness and an urge to move1.1%7
  25. Product storage errorthe product was stored wrongly1.1%7

Top 30 of 95 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 37 drugs in the atypical antipsychotic 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

Death0.3%2
Life-threatening0.2%1
Hospitalisation (initial or prolonged)11.1%72
Disability0.3%2
Congenital anomaly0%0
Other serious19.5%127
Not serious70.9%461

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 683,680 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%0
2 to 110%0
12 to 170.2%1
18 to 4412.6%82
45 to 644.5%29
65 to 741.1%7
75 and over0.2%1
Age not given81.5%530

Patient sex

Female15.1%98
Male34.2%222
Not given50.8%330

Who reported

Physician29.2%190
Pharmacist10.8%70
Other health professional49.5%322
Lawyer0%0
Consumer or non-health professional10.3%67
Not given0.2%1

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 96.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Schizophrenia13921.4%
Schizoaffective disorder101.5%
Bipolar disorder91.4%
Schizoaffective disorder bipolar type40.6%
Psychotic disorder30.5%

The indication field is filled in by the reporter and is often blank; shares are of all 650 reports.

In context

MeasureInvega HafyeraAtypical antipsychoticAll reports
Reports as suspect product650683,68020,646,523
Share of that pool—0.1%0%
Reports, latest 12 months80—1,332,454
Marked serious29.1%70.7%57.4%
Death recorded among outcomes, per 1,000 reports312191
Hospitalisation recorded, per 1,000 reports111304213
Consumer-filed share10.3%34%45.8%
Top term, share of reportsDrug ineffective 12.3%median 6.4%6.3%

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 atypical antipsychotic class

DrugName typeReportsLatest 12 monthsMarked serious
Clozapinegeneric73,0233,25293.4%
Abilifybrand54,64562558%
Risperdalgeneric54,45488248.4%
Nuplazidbrand53,7539,60250.6%
Quetiapinegeneric52,3884,19097.6%
Seroquelbrand52,27226562.9%
Clozarilbrand47,9143,08898.4%
Olanzapinegeneric46,8374,08795.3%
Risperidonegeneric44,9622,51176.9%
Aripiprazolegeneric30,1453,10287.8%
Zyprexabrand26,46912178.4%
Invega Sustennabrand23,6481,51335.8%
Quetiapine fumarategeneric19,5681,69790.7%
Invegabrand16,67223835.5%
Latudabrand16,08518340.7%

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 Invega Hafyera reports

How many adverse event reports has FDA received for Invega Hafyera?

650 reports list Invega Hafyera as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 80 of them arrived in the latest 12 months. Another 6 list it only as a concomitant medication.

What reactions are recorded in Invega Hafyera reports?

drug ineffective (12.3%), product dose omission issue (9.2%), condition aggravated (8.2%), schizophrenia (7.2%) and underdose (7.2%). 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 Invega Hafyera was responsible.

How serious are the reports?

29.1% are marked serious by the reporter. Among the outcomes recorded, 0.3% of reports include death and 11.1% 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?

other health professional (49.5%), physician (29.2%) and pharmacist (10.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Invega Hafyera rising?

80 reports in the 12 months to June 2026, down 42% from 139 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 Invega Hafyera 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 Invega Hafyera?

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 Invega Hafyera as a suspect or interacting product; reports listing it only as a concomitant medication (6) 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.