Reported Reactions

Drugs › Progestin

Brand name · Levonorgestrel

Liletta: adverse event reports filed with FDA

10,567 reports list it as a suspect or interacting product, 2015–2026. Class: Progestin.

10,567
reports as suspect product
0.1% of all reports · about 961 a year
850
reports, 12 months to June 2026
997 in the 12 months before
8.2%
marked serious by the reporter
41.9% across the class
0%
record death among outcomes, as reported
3 reports · not verified by FDA

10,567 adverse event reports received by FDA list the brand name Liletta (levonorgestrel) as a suspect or interacting product, from July 2015 to June 2026. A further 137 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, 850 reports listed it, down 15% from 997 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 961 reports a year and 0.1% of the 20,646,523 reports in the database, and 3.6% of the reports for the progestin 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 device expulsion (51%), procedural pain (16.7%) and device dislocation (9.7%). A report can list several reactions, so shares add to more than 100%; 222 different terms appear across these reports. Device expulsion is recorded in 51% of these reports, with no counterpart in the median progestin drug (0%).

8.2% of the reports are marked serious by the reporter (41.9% across the class); 0% record death among the outcomes and 0.4% record hospitalisation, as reported. 38.1% of the reports came from consumers, and the largest patient age group is 18 to 44 (58.8%). 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

05921,184Jul 2021: 5Aug 2021: 2Sep 2021: 4Oct 2021: 0Nov 2021: 3Dec 2021: 22022Jan 2022: 1Feb 2022: 2Mar 2022: 5Apr 2022: 1,184May 2022: 0Jun 2022: 2Jul 2022: 2Aug 2022: 5Sep 2022: 1Oct 2022: 3Nov 2022: 2Dec 2022: 22023Jan 2023: 4Feb 2023: 4Mar 2023: 7Apr 2023: 966May 2023: 5Jun 2023: 282Jul 2023: 56Aug 2023: 74Sep 2023: 70Oct 2023: 60Nov 2023: 87Dec 2023: 1012024Jan 2024: 64Feb 2024: 71Mar 2024: 75Apr 2024: 79May 2024: 82Jun 2024: 56Jul 2024: 65Aug 2024: 81Sep 2024: 77Oct 2024: 66Nov 2024: 94Dec 2024: 932025Jan 2025: 82Feb 2025: 81Mar 2025: 112Apr 2025: 94May 2025: 76Jun 2025: 76Jul 2025: 62Aug 2025: 43Sep 2025: 79Oct 2025: 71Nov 2025: 84Dec 2025: 672026Jan 2026: 94Feb 2026: 70Mar 2026: 79Apr 2026: 69May 2026: 77Jun 2026: 55

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

08581,7162015: 4520152016: 5402017: 90520172018: 2802019: 1,03220192020: 1,4342021: 1,13220212022: 1,2092023: 1,71620232024: 9032025: 92720252026: 444

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Liletta reports recording the termmedian drug in progestin

  1. Device expulsionthe device came out51%5,392
  2. Procedural painpain from a procedure16.7%1,768
  3. Device dislocationthe device moved out of position9.7%1,029
  4. Uterine perforationa hole in the wall of the womb4.6%488
  5. Off label useused for a purpose or in a way not on the label4.1%433
  6. Uterine spasm3.6%385
  7. Painpain, site not specified1.9%199
  8. Uterine haemorrhage1.6%169
  9. Procedural haemorrhage1.2%127
  10. Drug ineffectivethe medicine did not work as expected1.1%120
  11. Haemorrhagebleeding1%108
  12. Discomfortdiscomfort0.9%95
  13. Device breakagethe device broke0.7%78
  14. Pregnancypregnancy0.7%73
  15. Device placement issue0.7%71
  16. Muscle spasmsmuscle cramps0.7%69
  17. Nauseafeeling sick0.6%68
  18. Vaginal haemorrhagevaginal bleeding0.6%66
  19. Abdominal painstomach or belly pain0.6%62
  20. Anxietyanxiety0.6%59
  21. Dyspareunia0.5%55
  22. Medical device discomfortdiscomfort associated with the device0.5%50

Top 30 of 222 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 17 drugs in the progestin 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
Life-threatening0.1%10
Hospitalisation (initial or prolonged)0.4%47
Disability0.2%20
Congenital anomaly0%0
Other serious7.8%824
Not serious91.8%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 293,492 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%9
2 to 110%0
12 to 172.1%223
18 to 4458.8%6,211
45 to 646%629
65 to 740%4
75 and over0%2
Age not given33%3,489

Patient sex

Female97.2%10,272
Male0.1%9
Not given2.7%286

Who reported

Physician29.4%3,110
Pharmacist0.2%16
Other health professional32.1%3,393
Lawyer0%2
Consumer or non-health professional38.1%4,029
Not given0.2%17

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 100% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception2,34722.2%
Heavy menstrual bleeding1131.1%
Menorrhagia760.7%
Menstruation irregular250.2%
Maternal exposure during breast feeding180.2%
Uterine haemorrhage180.2%

The indication field is filled in by the reporter and is often blank; shares are of all 10,567 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Liletta reports
Ibuprofen520.5%
Zoloft410.4%
Iron360.3%
Levothyroxine320.3%
Lexapro290.3%
Sertraline260.2%
Cytotec250.2%
Ergocalciferol230.2%
Metformin230.2%
Vitamin d210.2%

Other products listed in reports where Liletta 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

MeasureLilettaProgestinAll reports
Reports as suspect product10,567293,49220,646,523
Share of that pool—3.6%0.1%
Reports, latest 12 months850—1,332,454
Marked serious8.2%41.9%57.4%
Death recorded among outcomes, per 1,000 reports0491
Hospitalisation recorded, per 1,000 reports452213
Consumer-filed share38.1%46.4%45.8%
Top term, share of reportsDevice expulsion 51%median 0%0.3%

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 progestin class

DrugName typeReportsLatest 12 monthsMarked serious
Mirenabrand129,4793,43340.6%
Nexplanonbrand43,75183624.8%
Plan B One-Stepbrand35,3243274.9%
Proverabrand20,4002698.6%
Depo-Proverabrand18,66911,38387.1%
Medroxyprogesterone acetategeneric8,62181889%
Kyleenabrand8,07569440.4%
Skylabrand5,31012541.7%
Medroxyprogesteronegeneric3,03016573.8%
Levonorgestrelgeneric2,71121972.2%
Take Actionbrand2,550208.1%
Etonogestrelgeneric2,11225589.7%
Afterabrand818195%
Norethindronegeneric7975252.1%
Norethindrone acetategeneric722835.9%

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 Liletta reports

How many adverse event reports has FDA received for Liletta?

10,567 reports list Liletta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 850 of them arrived in the latest 12 months. Another 137 list it only as a concomitant medication.

What reactions are recorded in Liletta reports?

device expulsion (51%), procedural pain (16.7%), device dislocation (9.7%), uterine perforation (4.6%) and off label use (4.1%). 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 Liletta was responsible.

How serious are the reports?

8.2% 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 (38.1%), other health professional (32.1%) and physician (29.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Liletta rising?

850 reports in the 12 months to June 2026, down 15% from 997 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 Liletta 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 Liletta?

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 Liletta as a suspect or interacting product; reports listing it only as a concomitant medication (137) 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.