Reported Reactions

Drugs › Copper-containing intrauterine device

Brand name · Copper

ParaGard T 380A: adverse event reports filed with FDA

41,934 reports list it as a suspect or interacting product, 2006–2026. Class: Copper-containing intrauterine device.

41,934
reports as suspect product
0.2% of all reports · about 2,133 a year
5,356
reports, 12 months to June 2026
2,750 in the 12 months before
45%
marked serious by the reporter
46.6% across the class
0%
record death among outcomes, as reported
15 reports · not verified by FDA

Between November 2006 and June 2026, 41,934 adverse event reports received by FDA list the brand name ParaGard T 380A (copper) as a suspect or interacting product. Reports that mention it only as a concomitant medication (196) are left out of every figure here.

In the 12 months to June 2026, 5,356 reports listed it, up 95% from 2,750 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 2,133 reports a year and 0.2% of the 20,646,523 reports in the database, and 97% of the reports for the copper-containing intrauterine device 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 device expulsion (26.6%), device breakage (26.6%) and complication of device removal (23.8%). A report can list several reactions, so shares add to more than 100%; 769 different terms appear across these reports. Device expulsion is recorded in 26.6% of these reports, a larger share than in the median copper-containing intrauterine device drug (13.3%).

45% of the reports are marked serious by the reporter (46.6% across the class); 0% record death among the outcomes and 1.2% record hospitalisation, as reported. 37.7% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (56.8%). 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

02,1544,307Jul 2021: 28Aug 2021: 127Sep 2021: 139Oct 2021: 148Nov 2021: 82Dec 2021: 2,4162022Jan 2022: 935Feb 2022: 104Mar 2022: 115Apr 2022: 121May 2022: 141Jun 2022: 120Jul 2022: 79Aug 2022: 91Sep 2022: 134Oct 2022: 99Nov 2022: 73Dec 2022: 1062023Jan 2023: 3,343Feb 2023: 57Mar 2023: 96Apr 2023: 133May 2023: 141Jun 2023: 98Jul 2023: 34Aug 2023: 57Sep 2023: 52Oct 2023: 77Nov 2023: 57Dec 2023: 842024Jan 2024: 2,241Feb 2024: 70Mar 2024: 34Apr 2024: 27May 2024: 61Jun 2024: 143Jul 2024: 40Aug 2024: 23Sep 2024: 25Oct 2024: 70Nov 2024: 114Dec 2024: 1602025Jan 2025: 782Feb 2025: 206Mar 2025: 268Apr 2025: 382May 2025: 308Jun 2025: 372Jul 2025: 161Aug 2025: 119Sep 2025: 191Oct 2025: 163Nov 2025: 145Dec 2025: 692026Jan 2026: 4,307Feb 2026: 53Mar 2026: 39Apr 2026: 47May 2026: 38Jun 2026: 24

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

03,4926,9842006: 220062007: 82008: 1052009: 4920092010: 1282011: 1662012: 4920122013: 182014: 2202015: 3,10520152016: 2,9972017: 3,3962018: 1,02320182019: 6,9842020: 3,4312021: 3,22420212022: 2,1182023: 4,2292024: 3,00820242025: 3,1662026: 4,508

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of ParaGard T 380A reports recording the termmedian drug in copper-containing intrauterine device

  1. Device expulsionthe device came out26.6%11,175
  2. Device breakagethe device broke26.6%11,138
  3. Device dislocationthe device moved out of position17.3%7,242
  4. Painpain, site not specified13.7%5,752
  5. Embedded device11.1%4,641
  6. Reproductive complication associated with device8.2%3,447
  7. Anxietyanxiety6.9%2,894
  8. Emotional distressemotional distress6.9%2,886
  9. Off label useused for a purpose or in a way not on the label6.4%2,695
  10. Pelvic pain6.2%2,588
  11. Procedural painpain from a procedure6.1%2,547
  12. Muscle spasmsmuscle cramps5.9%2,494
  13. Abnormal uterine bleeding4.6%1,911
  14. Discomfortdiscomfort3.9%1,638
  15. Vaginal haemorrhagevaginal bleeding3.8%1,598
  16. Dysmenorrhoea3.3%1,380
  17. Drug ineffectivethe medicine did not work as expected3.2%1,342
  18. Deformity3.2%1,339
  19. Abdominal painstomach or belly pain3.2%1,335
  20. Device placement issue3.1%1,300
  21. Menstruation irregularirregular periods2.7%1,147

Top 30 of 769 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 2 drugs in the copper-containing intrauterine device 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%15
Life-threatening0.3%113
Hospitalisation (initial or prolonged)1.2%505
Disability0.5%192
Congenital anomaly0.1%21
Other serious44.1%18,499
Not serious55%23,058

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 43,223 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%24
2 to 110%1
12 to 171.2%489
18 to 4456.8%23,807
45 to 644.7%1,959
65 to 740%1
75 and over0%1
Age not given37.3%15,652

Patient sex

Female89.8%37,664
Male0.3%143
Not given9.8%4,127

Who reported

Physician17.9%7,494
Pharmacist0.3%109
Other health professional37.7%15,794
Lawyer8.4%3,515
Consumer or non-health professional34.9%14,641
Not given0.9%381

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Contraception29,98971.5%
Post coital contraception440.1%
Intrauterine contraception100%
Menstruation irregular90%
Abnormal uterine bleeding50%
Heavy menstrual bleeding40%

The indication field is filled in by the reporter and is often blank; shares are of all 41,934 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of ParaGard T 380A reports
Levothyroxine5241.2%
Zoloft4721.1%
Adderall4301%
Lexapro4131%
Synthroid3960.9%
Bupropion hydrochloride3540.8%
Iron3290.8%
Metformin2960.7%
Vitamin d2950.7%
Ibuprofen2910.7%

Other products listed in reports where ParaGard T 380A 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

MeasureParaGard T 380ACopper-containing intrauterine deviceAll reports
Reports as suspect product41,93443,22320,646,523
Share of that pool—97%0.2%
Reports, latest 12 months5,356—1,332,454
Marked serious45%46.6%57.4%
Death recorded among outcomes, per 1,000 reports01491
Hospitalisation recorded, per 1,000 reports1234213
Consumer-filed share34.9%34.2%45.8%
Top term, share of reportsDevice expulsion 26.6%median 13.3%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 copper-containing intrauterine device class

DrugName typeReportsLatest 12 monthsMarked serious
Nicotinamidegeneric1,28924999%

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 ParaGard T 380A reports

How many adverse event reports has FDA received for ParaGard T 380A?

41,934 reports list ParaGard T 380A as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 5,356 of them arrived in the latest 12 months. Another 196 list it only as a concomitant medication.

What reactions are recorded in ParaGard T 380A reports?

device expulsion (26.6%), device breakage (26.6%), complication of device removal (23.8%), foreign body in reproductive tract (20.7%) and complication of device insertion (19.9%). 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 ParaGard T 380A was responsible.

How serious are the reports?

45% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 1.2% 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 (37.7%), consumer or non-health professional (34.9%) and physician (17.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for ParaGard T 380A rising?

5,356 reports in the 12 months to June 2026, up 95% from 2,750 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 ParaGard T 380A 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 ParaGard T 380A?

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 ParaGard T 380A as a suspect or interacting product; reports listing it only as a concomitant medication (196) 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.