Reported Reactions

Drugs › GLP-1 receptor agonist

Generic name

Semaglutide: adverse event reports filed with FDA

4,499 reports list it as a suspect or interacting product, 2015–2026. Class: GLP-1 receptor agonist.

4,499
reports as suspect product
0% of all reports · about 422 a year
1,830
reports, 12 months to June 2026
960 in the 12 months before
71%
marked serious by the reporter
28% across the class
2.3%
record death among outcomes, as reported
105 reports · not verified by FDA

Between November 2015 and June 2026, 4,499 adverse event reports received by FDA list semaglutide, a generic name as a suspect or interacting product. Reports that mention it only as a concomitant medication (2,737) are left out of every figure here.

In the 12 months to June 2026, 1,830 reports listed it, up 91% from 960 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 422 reports a year and 0% of the 20,646,523 reports in the database, and 1.1% of the reports for the GLP-1 receptor agonist 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 nausea (17%), vomiting (15.2%) and diarrhoea (9.1%). A report can list several reactions, so shares add to more than 100%; 863 different terms appear across these reports. Nausea is recorded in 17% of these reports, about the same share as in the median GLP-1 receptor agonist drug (15.1%).

71% of the reports are marked serious by the reporter (28% across the class); 2.3% record death among the outcomes and 35.3% record hospitalisation, as reported. 37.1% of the reports came from consumers, and the largest patient age group is 45 to 64 (29%). 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

0223446Jul 2021: 12Aug 2021: 6Sep 2021: 14Oct 2021: 27Nov 2021: 20Dec 2021: 242022Jan 2022: 20Feb 2022: 20Mar 2022: 36Apr 2022: 28May 2022: 19Jun 2022: 11Jul 2022: 12Aug 2022: 29Sep 2022: 16Oct 2022: 23Nov 2022: 9Dec 2022: 232023Jan 2023: 30Feb 2023: 26Mar 2023: 37Apr 2023: 25May 2023: 41Jun 2023: 45Jul 2023: 58Aug 2023: 53Sep 2023: 32Oct 2023: 39Nov 2023: 46Dec 2023: 562024Jan 2024: 88Feb 2024: 64Mar 2024: 41Apr 2024: 77May 2024: 83Jun 2024: 42Jul 2024: 104Aug 2024: 77Sep 2024: 70Oct 2024: 75Nov 2024: 81Dec 2024: 922025Jan 2025: 75Feb 2025: 82Mar 2025: 70Apr 2025: 78May 2025: 66Jun 2025: 90Jul 2025: 274Aug 2025: 62Sep 2025: 80Oct 2025: 63Nov 2025: 82Dec 2025: 2042026Jan 2026: 99Feb 2026: 107Mar 2026: 129Apr 2026: 446May 2026: 92Jun 2026: 192

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

06131,2262015: 120152016: 12018: 620182019: 1542020: 26220202021: 1562022: 24620222023: 4882024: 89420242025: 1,2262026: 1,0652026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Semaglutide reports recording the termmedian drug in glp-1 receptor agonist

  1. Nauseafeeling sick17%765
  2. Vomitingbeing sick15.2%684
  3. Diarrhoealoose or frequent stools9.1%408
  4. Weight decreasedweight loss5.5%248
  5. Constipationconstipation5%227
  6. Weight increasedweight gain5%227
  7. Counterfeit product administereda counterfeit product was used4.8%218
  8. Off label useused for a purpose or in a way not on the label4.7%211
  9. Drug ineffectivethe medicine did not work as expected4.6%207
  10. Fatiguetiredness4.6%205
  11. Drug interactionan interaction between medicines4.2%191
  12. Acute kidney injurysudden loss of kidney function4%179
  13. Dyspnoeashortness of breath3.9%176
  14. Abdominal painstomach or belly pain3.8%173
  15. Dizzinesslight-headedness or unsteadiness3.7%167
  16. Headachehead pain3.7%167
  17. Malaisegeneral feeling of being unwell3.6%161
  18. Suspected counterfeit product3.4%155
  19. Pancreatitisinflammation of the pancreas3.4%152
  20. Decreased appetitereduced appetite3.3%149
  21. Lactic acidosisa build-up of lactic acid in the blood3.1%138
  22. Depressionlow mood3%137
  23. Hypoglycaemialow blood sugar2.7%123
  24. Asthmaasthma2.6%117
  25. Illness2.6%117
  26. Abdominal pain upperupper stomach pain2.4%110
  27. Dehydrationdehydration2.4%110
  28. Inappropriate schedule of product administrationthe product was taken at the wrong times2.3%105
  29. Anxietyanxiety2.2%100
  30. Astheniaweakness or lack of energy2.2%98

Top 30 of 863 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 18 drugs in the glp-1 receptor agonist 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

Death2.3%105
Life-threatening6.9%309
Hospitalisation (initial or prolonged)35.3%1,587
Disability2.8%127
Congenital anomaly0.1%6
Other serious50%2,248
Not serious29%1,306

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 404,853 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%6
2 to 110.1%5
12 to 170.3%12
18 to 4416%721
45 to 6429%1,304
65 to 7417.6%794
75 and over7.8%349
Age not given29.1%1,308

Patient sex

Female52.7%2,371
Male35.3%1,587
Not given12%541

Who reported

Physician19.8%893
Pharmacist16.3%732
Other health professional25.9%1,167
Lawyer0%1
Consumer or non-health professional37.1%1,667
Not given0.9%39

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 64.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Diabetes mellitus62113.8%
Type 2 diabetes mellitus54612.1%
Weight control52011.6%
Obesity3798.4%
Weight decreased3217.1%
Overweight431%

The indication field is filled in by the reporter and is often blank; shares are of all 4,499 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Semaglutide reports
Metformin57912.9%
Wegovy2425.4%
Metformin hydrochloride1974.4%
Atorvastatin1763.9%
Aspirin1683.7%
Rosuvastatin1593.5%
Prednisone1493.3%
Acetaminophen1463.2%
Amlodipine1403.1%
Lisinopril1302.9%

Other products listed in reports where Semaglutide 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

MeasureSemaglutideGLP-1 receptor agonistAll reports
Reports as suspect product4,499404,85320,646,523
Share of that pool—1.1%0%
Reports, latest 12 months1,830—1,332,454
Marked serious71%28%57.4%
Death recorded among outcomes, per 1,000 reports231591
Hospitalisation recorded, per 1,000 reports353113213
Consumer-filed share37.1%82%45.8%
Top term, share of reportsNausea 17%median 15.1%3.8%

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 glp-1 receptor agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Mounjarobrand85,84226,33423.6%
Trulicitybrand75,8644,28220.7%
Zepboundbrand63,62840,9006.2%
Ozempicbrand52,88121,70448.8%
Byettabrand47,9281224.7%
Victozabrand28,89999841.8%
Wegovybrand19,50911,95845.4%
Saxendabrand6,59847147.3%
Rybelsusbrand6,0551,53256%
Soliqua 100/33brand3,15341314.6%
Tirzepatidegeneric2,5221,25758.4%
Zepbound Kwikpenbrand2,3962,3965.1%
Liraglutidegeneric1,44647566.2%
Insulin degludec and liraglutidegeneric1,19714172.9%
Dulaglutidegeneric99410468.3%

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 Semaglutide reports

How many adverse event reports has FDA received for Semaglutide?

4,499 reports list Semaglutide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 1,830 of them arrived in the latest 12 months. Another 2,737 list it only as a concomitant medication.

What reactions are recorded in Semaglutide reports?

nausea (17%), vomiting (15.2%), diarrhoea (9.1%), weight decreased (5.5%) and constipation (5%). 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 Semaglutide was responsible.

How serious are the reports?

71% are marked serious by the reporter. Among the outcomes recorded, 2.3% of reports include death and 35.3% 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 (37.1%), other health professional (25.9%) and physician (19.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Semaglutide rising?

1,830 reports in the 12 months to June 2026, up 91% from 960 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 Semaglutide 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 Semaglutide?

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 Semaglutide as a suspect or interacting product; reports listing it only as a concomitant medication (2,737) 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.