Reported Reactions

Drugs › Progestin

Brand name · Etonogestrel

Nexplanon: adverse event reports filed with FDA

43,751 reports list it as a suspect or interacting product, 2011–2026. Class: Progestin.

43,751
reports as suspect product
0.2% of all reports · about 2,824 a year
836
reports, 12 months to June 2026
1,241 in the 12 months before
24.8%
marked serious by the reporter
41.9% across the class
0.1%
record death among outcomes, as reported
65 reports · not verified by FDA

43,751 adverse event reports received by FDA list the brand name Nexplanon (etonogestrel) as a suspect or interacting product, from January 2011 to June 2026. A further 1,490 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, 836 reports listed it, down 33% from 1,241 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 2,824 reports a year and 0.2% of the 20,646,523 reports in the database, and 14.9% 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 MedDRA terms listed most often are no adverse event (22.6%), product quality issue (12.6%) and complication associated with device (11.6%). A report can list several reactions, so shares add to more than 100%; 1,036 different terms appear across these reports. No adverse event is recorded in 22.6% of these reports, with no counterpart in the median progestin drug (0%).

24.8% of the reports are marked serious by the reporter (41.9% across the class); 0.1% record death among the outcomes and 2.7% record hospitalisation, as reported. 45.6% of the reports came from consumers, and the largest patient age group is 18 to 44 (45%). 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

0168336Jul 2021: 336Aug 2021: 278Sep 2021: 274Oct 2021: 230Nov 2021: 230Dec 2021: 2282022Jan 2022: 204Feb 2022: 231Mar 2022: 293Apr 2022: 266May 2022: 333Jun 2022: 249Jul 2022: 250Aug 2022: 290Sep 2022: 223Oct 2022: 252Nov 2022: 287Dec 2022: 1432023Jan 2023: 61Feb 2023: 82Mar 2023: 82Apr 2023: 89May 2023: 87Jun 2023: 71Jul 2023: 74Aug 2023: 75Sep 2023: 73Oct 2023: 62Nov 2023: 70Dec 2023: 632024Jan 2024: 64Feb 2024: 88Mar 2024: 74Apr 2024: 82May 2024: 98Jun 2024: 89Jul 2024: 73Aug 2024: 79Sep 2024: 78Oct 2024: 130Nov 2024: 82Dec 2024: 522025Jan 2025: 86Feb 2025: 101Mar 2025: 165Apr 2025: 141May 2025: 108Jun 2025: 146Jul 2025: 109Aug 2025: 107Sep 2025: 93Oct 2025: 107Nov 2025: 81Dec 2025: 582026Jan 2026: 45Feb 2026: 47Mar 2026: 49Apr 2026: 32May 2026: 53Jun 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

02,4094,8182011: 6420112012: 6062013: 2,73520132014: 3,7342015: 4,16820152016: 4,7012017: 4,34320172018: 4,8182019: 4,69920192020: 3,8202021: 3,58120212022: 3,0212023: 88920232024: 9892025: 1,30220252026: 281

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Nexplanon reports recording the termmedian drug in progestin

  1. No adverse eventno adverse event was reported22.6%9,871
  2. Product quality issuea problem with the product itself12.6%5,509
  3. Device difficult to usethe device was hard to use10.4%4,554
  4. Device breakagethe device broke10.2%4,474
  5. Device deployment issuethe device did not deploy properly7.6%3,333
  6. Pregnancy with implant contraceptive6.2%2,733
  7. Implant site painpain at an implant5.8%2,541
  8. Device dislocationthe device moved out of position5.8%2,523
  9. Menorrhagiaheavy periods5.6%2,431
  10. Vaginal haemorrhagevaginal bleeding4.9%2,131
  11. Device expulsionthe device came out4.6%2,007
  12. Device kink4.5%1,989
  13. Menstruation irregularirregular periods4.5%1,967
  14. Weight increasedweight gain4.3%1,874
  15. Amenorrhoeaperiods stopped3.6%1,580
  16. Headachehead pain3.4%1,495
  17. Pain in extremitypain in an arm or leg3.2%1,391
  18. Metrorrhagia2.7%1,191
  19. Device issuea problem with the device2.7%1,169
  20. Nauseafeeling sick2.3%1,010
  21. Adverse eventan unwanted medical event, type not specified2%895
  22. Mood swingsmood swings1.9%810
  23. Depressionlow mood1.8%808

Top 30 of 1,036 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

Death0.1%65
Life-threatening0.8%329
Hospitalisation (initial or prolonged)2.7%1,198
Disability1.4%592
Congenital anomaly0.1%52
Other serious22.5%9,859
Not serious75.2%32,902

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%48
2 to 110%5
12 to 176.8%2,991
18 to 4445%19,671
45 to 640.8%340
65 to 740%3
75 and over0%4
Age not given47.3%20,689

Patient sex

Female94.5%41,357
Male0.2%74
Not given5.3%2,320

Who reported

Physician27.1%11,863
Pharmacist0.9%376
Other health professional25.4%11,128
Lawyer0.1%29
Consumer or non-health professional45.6%19,970
Not given0.9%385

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 93% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception21,13648.3%
Menstrual cycle management1910.4%
Contraceptive implant800.2%
Menstruation irregular750.2%
Menorrhagia480.1%
Dysmenorrhoea400.1%

The indication field is filled in by the reporter and is often blank; shares are of all 43,751 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Nexplanon reports
Implanon3010.7%
Ibuprofen2560.6%
Zoloft1780.4%
Tylenol1420.3%
Adderall1370.3%
Lexapro1260.3%
Bupropion hydrochloride1140.3%
Omeprazole1050.2%
Lamictal1040.2%
Sertraline hydrochloride1030.2%

Other products listed in reports where Nexplanon 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

MeasureNexplanonProgestinAll reports
Reports as suspect product43,751293,49220,646,523
Share of that pool—14.9%0.2%
Reports, latest 12 months836—1,332,454
Marked serious24.8%41.9%57.4%
Death recorded among outcomes, per 1,000 reports1491
Hospitalisation recorded, per 1,000 reports2752213
Consumer-filed share45.6%46.4%45.8%
Top term, share of reportsNo adverse event 22.6%median 0%0.8%

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%
Plan B One-Stepbrand35,3243274.9%
Proverabrand20,4002698.6%
Depo-Proverabrand18,66911,38387.1%
Lilettabrand10,5678508.2%
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 Nexplanon reports

How many adverse event reports has FDA received for Nexplanon?

43,751 reports list Nexplanon as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 836 of them arrived in the latest 12 months. Another 1,490 list it only as a concomitant medication.

What reactions are recorded in Nexplanon reports?

no adverse event (22.6%), product quality issue (12.6%), complication associated with device (11.6%), device difficult to use (10.4%) and device breakage (10.2%). 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 Nexplanon was responsible.

How serious are the reports?

24.8% are marked serious by the reporter. Among the outcomes recorded, 0.1% of reports include death and 2.7% 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 (45.6%), physician (27.1%) and other health professional (25.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Nexplanon rising?

836 reports in the 12 months to June 2026, down 33% from 1,241 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 Nexplanon 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 Nexplanon?

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 Nexplanon as a suspect or interacting product; reports listing it only as a concomitant medication (1,490) 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.