Reported Reactions

Drugs › Recombinant human growth hormone

Brand name · Lonapegsomatropin-tcgd

Skytrofa: adverse event reports filed with FDA

593 reports list it as a suspect or interacting product, 2022–2026. Class: Recombinant human growth hormone.

593
reports as suspect product
0% of all reports · about 137 a year
133
reports, 12 months to June 2026
47 in the 12 months before
7.6%
marked serious by the reporter
42.8% across the class
0%
record death among outcomes, as reported
0 reports · not verified by FDA

593 adverse event reports received by FDA list the brand name Skytrofa (lonapegsomatropin-tcgd) as a suspect or interacting product, from March 2022 to June 2026. A further 16 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, 133 reports listed it, up 183% from 47 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 137 reports a year and 0% of the 20,646,523 reports in the database, and 2.8% of the reports for the recombinant human growth hormone 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 product dose omission issue (19.2%), headache (11.3%) and injection site pain (7.9%). A report can list several reactions, so shares add to more than 100%; 106 different terms appear across these reports. Product dose omission issue is recorded in 19.2% of these reports, a larger share than in the median recombinant human growth hormone drug (1.8%).

7.6% of the reports are marked serious by the reporter (42.8% across the class); 0% record death among the outcomes and 2% record hospitalisation, as reported. 67.8% of the reports came from consumers, and the largest patient age group is 12 to 17 (4.4%). 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

052103Jul 2021: 0Aug 2021: 0Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 3Apr 2022: 0May 2022: 0Jun 2022: 12Jul 2022: 0Aug 2022: 0Sep 2022: 36Oct 2022: 1Nov 2022: 1Dec 2022: 462023Jan 2023: 1Feb 2023: 2Mar 2023: 42Apr 2023: 3May 2023: 3Jun 2023: 75Jul 2023: 1Aug 2023: 0Sep 2023: 44Oct 2023: 25Nov 2023: 4Dec 2023: 62024Jan 2024: 2Feb 2024: 1Mar 2024: 103Apr 2024: 0May 2024: 2Jun 2024: 0Jul 2024: 3Aug 2024: 1Sep 2024: 0Oct 2024: 35Nov 2024: 1Dec 2024: 22025Jan 2025: 1Feb 2025: 2Mar 2025: 1Apr 2025: 0May 2025: 1Jun 2025: 0Jul 2025: 0Aug 2025: 1Sep 2025: 1Oct 2025: 68Nov 2025: 1Dec 2025: 02026Jan 2026: 0Feb 2026: 1Mar 2026: 1Apr 2026: 7May 2026: 3Jun 2026: 50

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

01032062022: 9920222023: 20620232024: 15020242025: 7620252026: 622026

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Skytrofa reports recording the termmedian drug in recombinant human growth hormone

  1. Product dose omission issuea dose was missed19.2%114
  2. Headachehead pain11.3%67
  3. Injection site painpain where the injection was given7.9%47
  4. Device use errora mistake in using the device7.3%43
  5. Device malfunctionthe device did not work properly5.9%35
  6. Incorrect dose administeredthe wrong dose was given4.2%25
  7. Treatment noncompliancethe treatment was not taken as directed4.2%25
  8. Nauseafeeling sick4%24
  9. Off label useused for a purpose or in a way not on the label3.7%22
  10. Vomitingbeing sick3.4%20
  11. Fatiguetiredness3.2%19
  12. Arthralgiajoint pain2.5%15
  13. Pain in extremitypain in an arm or leg2.4%14
  14. Dizzinesslight-headedness or unsteadiness2.2%13
  15. Pyrexiafever2.2%13
  16. Rashskin rash2.2%13
  17. Abdominal pain upperupper stomach pain2%12
  18. Anxietyanxiety2%12
  19. Weight increasedweight gain2%12
  20. Abdominal painstomach or belly pain1.7%10
  21. Coughcough1.5%9
  22. Hypersensitivityan allergic-type reaction1.5%9
  23. Myalgiamuscle pain1.5%9
  24. Nasopharyngitisa cold1.5%9
  25. Product availability issuethe product was not available1.5%9
  26. Aggressionaggressive behaviour1.3%8
  27. Abdominal discomfortstomach discomfort1%6

Top 30 of 106 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 5 drugs in the recombinant human growth hormone 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%0
Life-threatening0.3%2
Hospitalisation (initial or prolonged)2%12
Disability0.2%1
Congenital anomaly0%0
Other serious5.2%31
Not serious92.4%548

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 21,450 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%0
2 to 113.7%22
12 to 174.4%26
18 to 440.2%1
45 to 640%0
65 to 740%0
75 and over0%0
Age not given91.7%544

Patient sex

Female1.7%10
Male7.4%44
Not given90.9%539

Who reported

Physician14.7%87
Pharmacist2.5%15
Other health professional14.3%85
Lawyer0%0
Consumer or non-health professional67.8%402
Not given0.7%4

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Hypopituitarism21335.9%
Growth hormone deficiency17229%
Short stature223.7%
Blood growth hormone abnormal30.5%
Growth disorder20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 593 reports.

In context

MeasureSkytrofaRecombinant human growth hormoneAll reports
Reports as suspect product59321,45020,646,523
Share of that pool—2.8%0%
Reports, latest 12 months133—1,332,454
Marked serious7.6%42.8%57.4%
Death recorded among outcomes, per 1,000 reports03291
Hospitalisation recorded, per 1,000 reports20148213
Consumer-filed share67.8%57%45.8%
Top term, share of reportsProduct dose omission issue 19.2%median 1.8%1.4%

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 recombinant human growth hormone class

DrugName typeReportsLatest 12 monthsMarked serious
Omnitropebrand11,2432,26426.8%
Somatropingeneric5,51836972%
Norditropinbrand2,89218467.5%
Ngenlabrand1,20419516%

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 Skytrofa reports

How many adverse event reports has FDA received for Skytrofa?

593 reports list Skytrofa as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 133 of them arrived in the latest 12 months. Another 16 list it only as a concomitant medication.

What reactions are recorded in Skytrofa reports?

product dose omission issue (19.2%), headache (11.3%), injection site pain (7.9%), device use error (7.3%) and device malfunction (5.9%). 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 Skytrofa was responsible.

How serious are the reports?

7.6% are marked serious by the reporter. Among the outcomes recorded, 0% of reports include death and 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?

consumer or non-health professional (67.8%), physician (14.7%) and other health professional (14.3%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Skytrofa rising?

133 reports in the 12 months to June 2026, up 183% from 47 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 Skytrofa 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 Skytrofa?

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 Skytrofa as a suspect or interacting product; reports listing it only as a concomitant medication (16) 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.