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
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
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
- Device expulsionthe device came out26.6%11,175
- Device breakagethe device broke26.6%11,138
- Complication of device removal23.8%9,998
- Foreign body in reproductive tract20.7%8,693
- Complication of device insertion19.9%8,348
- Device dislocationthe device moved out of position17.3%7,242
- Painpain, site not specified13.7%5,752
- Embedded device11.1%4,641
- Reproductive complication associated with device8.2%3,447
- Anxietyanxiety6.9%2,894
- Emotional distressemotional distress6.9%2,886
- Off label useused for a purpose or in a way not on the label6.4%2,695
- Injury associated with device6.3%2,634
- Pelvic pain6.2%2,588
- Procedural painpain from a procedure6.1%2,547
- Muscle spasmsmuscle cramps5.9%2,494
- Abnormal uterine bleeding4.6%1,911
- Discomfortdiscomfort3.9%1,638
- Vaginal haemorrhagevaginal bleeding3.8%1,598
- Device use issue3.7%1,568
- Pregnancy with contraceptive device3.5%1,480
- Heavy menstrual bleeding3.5%1,470
- Dysmenorrhoea3.3%1,380
- Drug ineffectivethe medicine did not work as expected3.2%1,342
- Deformity3.2%1,339
- Abdominal painstomach or belly pain3.2%1,335
- Device placement issue3.1%1,300
- Sensation of foreign body2.8%1,181
- 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
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
Patient sex
Who reported
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) | Reports | Share |
|---|---|---|
| Contraception | 29,989 | 71.5% |
| Post coital contraception | 44 | 0.1% |
| Intrauterine contraception | 10 | 0% |
| Menstruation irregular | 9 | 0% |
| Abnormal uterine bleeding | 5 | 0% |
| Heavy menstrual bleeding | 4 | 0% |
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) | Reports | Share of ParaGard T 380A reports |
|---|---|---|
| Levothyroxine | 524 | 1.2% |
| Zoloft | 472 | 1.1% |
| Adderall | 430 | 1% |
| Lexapro | 413 | 1% |
| Synthroid | 396 | 0.9% |
| Bupropion hydrochloride | 354 | 0.8% |
| Iron | 329 | 0.8% |
| Metformin | 296 | 0.7% |
| Vitamin d | 295 | 0.7% |
| Ibuprofen | 291 | 0.7% |
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
| Measure | ParaGard T 380A | Copper-containing intrauterine device | All reports |
|---|---|---|---|
| Reports as suspect product | 41,934 | 43,223 | 20,646,523 |
| Share of that pool | — | 97% | 0.2% |
| Reports, latest 12 months | 5,356 | — | 1,332,454 |
| Marked serious | 45% | 46.6% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 0 | 14 | 91 |
| Hospitalisation recorded, per 1,000 reports | 12 | 34 | 213 |
| Consumer-filed share | 34.9% | 34.2% | 45.8% |
| Top term, share of reports | Device 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
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Nicotinamide | generic | 1,289 | 249 | 99% |
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.