Reported Reactions

Drugs › Insulin analog

Brand name · Insulin aspart

Novolog: adverse event reports filed with FDA

14,477 reports list it as a suspect or interacting product, 2004–2026. Class: Insulin analog. Also reported as Novolog Solution For Injection.

14,477
reports as suspect product
0.1% of all reports · about 644 a year
1,576
reports, 12 months to June 2026
853 in the 12 months before
61.8%
marked serious by the reporter
42.7% across the class
2.9%
record death among outcomes, as reported
414 reports · not verified by FDA

Between January 2004 and June 2026, 14,477 adverse event reports received by FDA list the brand name Novolog (insulin aspart) as a suspect or interacting product. Reports that mention it only as a concomitant medication (36,845) are left out of every figure here.

In the 12 months to June 2026, 1,576 reports listed it, up 85% from 853 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 644 reports a year and 0.1% of the 20,646,523 reports in the database, and 5% of the reports for the insulin analog class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded blood glucose increased (30%), blood glucose decreased (9.5%) and product quality issue (6.1%). A report can list several reactions, so shares add to more than 100%; 1,052 different terms appear across these reports. Blood glucose increased is recorded in 30% of these reports, a larger share than in the median insulin analog drug (23%).

61.8% of the reports are marked serious by the reporter (42.7% across the class); 2.9% record death among the outcomes and 25.8% record hospitalisation, as reported. 84.6% of the reports came from consumers, and the largest patient age group is 45 to 64 (22%). 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

0247493Jul 2021: 52Aug 2021: 44Sep 2021: 32Oct 2021: 44Nov 2021: 363Dec 2021: 472022Jan 2022: 29Feb 2022: 37Mar 2022: 46Apr 2022: 35May 2022: 36Jun 2022: 27Jul 2022: 57Aug 2022: 51Sep 2022: 38Oct 2022: 28Nov 2022: 277Dec 2022: 242023Jan 2023: 28Feb 2023: 32Mar 2023: 41Apr 2023: 26May 2023: 28Jun 2023: 26Jul 2023: 21Aug 2023: 17Sep 2023: 18Oct 2023: 27Nov 2023: 179Dec 2023: 292024Jan 2024: 32Feb 2024: 25Mar 2024: 34Apr 2024: 41May 2024: 45Jun 2024: 31Jul 2024: 44Aug 2024: 46Sep 2024: 40Oct 2024: 54Nov 2024: 277Dec 2024: 462025Jan 2025: 56Feb 2025: 106Mar 2025: 55Apr 2025: 17May 2025: 58Jun 2025: 54Jul 2025: 61Aug 2025: 41Sep 2025: 51Oct 2025: 130Nov 2025: 493Dec 2025: 2182026Jan 2026: 99Feb 2026: 46Mar 2026: 39Apr 2026: 296May 2026: 26Jun 2026: 76

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

06711,3422004: 5920042005: 662006: 1452007: 20520072008: 1362009: 6212010: 27820102011: 3452012: 2862013: 37820132014: 3832015: 8842016: 1,34220162017: 1,2872018: 1,3222019: 1,08920192020: 9802021: 8772022: 68520222023: 4722024: 7152025: 1,34020252026: 582

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Novolog reports recording the termmedian drug in insulin analog

  1. Blood glucose increasedraised blood sugar reading30%4,342
  2. Blood glucose decreasedlow blood sugar reading9.5%1,377
  3. Product quality issuea problem with the product itself6.1%878
  4. Drug ineffectivethe medicine did not work as expected5.7%831
  5. Visual impairmentreduced vision3.7%539
  6. Diabetic ketoacidosisa serious complication of diabetes with acid build-up3.7%538
  7. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.3%475
  8. Hypoglycaemialow blood sugar3%433
  9. Malaisegeneral feeling of being unwell2.7%393
  10. Diabetes mellitus inadequate controldiabetes not well controlled2.5%367
  11. Falla fall2.5%367
  12. Weight increasedweight gain2.5%360
  13. Dizzinesslight-headedness or unsteadiness2.3%330
  14. Nauseafeeling sick2.2%318
  15. Device malfunctionthe device did not work properly2%288
  16. Weight decreasedweight loss1.9%273
  17. Hypoglycaemic unconsciousnesspassing out from low blood sugar1.9%270
  18. Headachehead pain1.9%269
  19. Fatiguetiredness1.8%258
  20. Neuropathy peripheralnerve damage in hands or feet1.8%255
  21. Vomitingbeing sick1.8%255
  22. Hospitalisationadmission to hospital1.8%254
  23. Dyspnoeashortness of breath1.7%252
  24. Myocardial infarctionheart attack1.7%240
  25. Blindnessloss of sight1.6%228
  26. Cataractclouding of the eye lens1.5%210
  27. Deaththe patient died; cause not stated by this term1.4%197
  28. Condition aggravatedthe condition being treated got worse1.4%196

Top 30 of 1,052 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 26 drugs in the insulin analog 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

Death2.9%414
Life-threatening2.3%332
Hospitalisation (initial or prolonged)25.8%3,742
Disability2.7%398
Congenital anomaly0.1%14
Other serious39.4%5,705
Not serious38.2%5,531

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 289,293 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%17
2 to 111%148
12 to 171%142
18 to 447.5%1,080
45 to 6422%3,191
65 to 7415%2,173
75 and over10.3%1,498
Age not given43%6,228

Patient sex

Female54.6%7,906
Male41.1%5,944
Not given4.3%627

Who reported

Physician6.3%914
Pharmacist3.4%494
Other health professional4.2%605
Lawyer0%6
Consumer or non-health professional84.6%12,252
Not given1.4%206

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 98.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Type 2 diabetes mellitus3,49724.2%
Type 1 diabetes mellitus2,17815%
Diabetes mellitus2,00313.8%
Insulin-requiring type 2 diabetes mellitus2431.7%
Diabetes mellitus insulin-dependent1521%
Insulin-requiring type ii diabetes mellitus1431%

The indication field is filled in by the reporter and is often blank; shares are of all 14,477 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Novolog reports
Lantus2,57317.8%
Levemir2,47417.1%
Tresiba1,0907.5%
Metformin6344.4%
Humalog6284.3%
Victoza4002.8%
Toujeo3822.6%
Lantus Solostar3682.5%
Ozempic3612.5%
Aspirin3502.4%

Other products listed in reports where Novolog 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

MeasureNovologInsulin analogAll reports
Reports as suspect product14,477289,29320,646,523
Share of that pool—5%0.1%
Reports, latest 12 months1,576—1,332,454
Marked serious61.8%42.7%57.4%
Death recorded among outcomes, per 1,000 reports293591
Hospitalisation recorded, per 1,000 reports258186213
Consumer-filed share84.6%78.7%45.8%
Top term, share of reportsBlood glucose increased 30%median 23%0.9%

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 insulin analog class

DrugName typeReportsLatest 12 monthsMarked serious
Humalogbrand71,1742,31234.4%
Lantus Solostarbrand45,7154,23024.6%
Lantusbrand39,1283,71863.8%
Insulin glarginegeneric27,9941,92342.8%
Toujeobrand15,4911,33224.7%
Levemirbrand13,65267154.8%
Tresibabrand10,3731,26355.1%
Insulin lisprogeneric8,2091,11645.6%
Humalog Mix75/25brand8,13914023.8%
Insulingeneric8,13552288.9%
Apidrabrand3,6218669.2%
Insulin aspartgeneric3,23255388.6%
Sterile diluentgeneric3,22160019.4%
Humalog Kwikpenbrand3,04016927.5%
NovoLog Mix 70/30brand2,10123065.5%

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 Novolog reports

How many adverse event reports has FDA received for Novolog?

14,477 reports list Novolog as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,576 of them arrived in the latest 12 months. Another 36,845 list it only as a concomitant medication.

What reactions are recorded in Novolog reports?

blood glucose increased (30%), blood glucose decreased (9.5%), product quality issue (6.1%), drug ineffective (5.7%) and visual impairment (3.7%). 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 Novolog was responsible.

How serious are the reports?

61.8% are marked serious by the reporter. Among the outcomes recorded, 2.9% of reports include death and 25.8% 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?

consumer or non-health professional (84.6%), physician (6.3%) and other health professional (4.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Novolog rising?

1,576 reports in the 12 months to June 2026, up 85% from 853 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 Novolog 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 Novolog?

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 Novolog as a suspect or interacting product; reports listing it only as a concomitant medication (36,845) 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.