Reported Reactions

Drugs › GLP-1 receptor agonist

Brand name · Dulaglutide

Trulicity: adverse event reports filed with FDA

75,864 reports list it as a suspect or interacting product, 2012–2026. Class: GLP-1 receptor agonist. Also reported as Trulicity Inj.

75,864
reports as suspect product
0.4% of all reports · about 5,265 a year
4,282
reports, 12 months to June 2026
4,832 in the 12 months before
20.7%
marked serious by the reporter
28% across the class
1.5%
record death among outcomes, as reported
1,101 reports · not verified by FDA

75,864 adverse event reports received by FDA list the brand name Trulicity (dulaglutide) as a suspect or interacting product, from February 2012 to June 2026. A further 10,101 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, 4,282 reports listed it, down 11% from 4,832 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 5,265 reports a year and 0.4% of the 20,646,523 reports in the database, and 18.7% 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 MedDRA terms listed most often are injection site pain (12.7%), nausea (12.6%) and blood glucose increased (12.2%). A report can list several reactions, so shares add to more than 100%; 1,559 different terms appear across these reports. Injection site pain is recorded in 12.7% of these reports, a larger share than in the median GLP-1 receptor agonist drug (1.9%).

20.7% of the reports are marked serious by the reporter (28% across the class); 1.5% record death among the outcomes and 9% record hospitalisation, as reported. 87.6% of the reports came from consumers, and the largest patient age group is 45 to 64 (19.7%). 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

05371,073Jul 2021: 1,021Aug 2021: 1,028Sep 2021: 1,057Oct 2021: 868Nov 2021: 856Dec 2021: 7452022Jan 2022: 744Feb 2022: 755Mar 2022: 974Apr 2022: 919May 2022: 1,073Jun 2022: 987Jul 2022: 875Aug 2022: 891Sep 2022: 764Oct 2022: 585Nov 2022: 578Dec 2022: 4312023Jan 2023: 525Feb 2023: 741Mar 2023: 818Apr 2023: 622May 2023: 783Jun 2023: 777Jul 2023: 725Aug 2023: 762Sep 2023: 558Oct 2023: 541Nov 2023: 540Dec 2023: 5122024Jan 2024: 559Feb 2024: 584Mar 2024: 532Apr 2024: 541May 2024: 557Jun 2024: 454Jul 2024: 488Aug 2024: 570Sep 2024: 432Oct 2024: 443Nov 2024: 318Dec 2024: 3202025Jan 2025: 428Feb 2025: 367Mar 2025: 408Apr 2025: 371May 2025: 324Jun 2025: 363Jul 2025: 573Aug 2025: 706Sep 2025: 312Oct 2025: 277Nov 2025: 279Dec 2025: 2742026Jan 2026: 257Feb 2026: 325Mar 2026: 266Apr 2026: 389May 2026: 278Jun 2026: 346

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

05,54711,0942012: 120122014: 122015: 1,58020152016: 3,5872017: 5,62820172018: 6,6082019: 8,25720192020: 9,2762021: 11,09420212022: 9,5762023: 7,90420232024: 5,7982025: 4,68220252026: 1,861

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

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

  1. Injection site painpain where the injection was given12.7%9,664
  2. Nauseafeeling sick12.6%9,526
  3. Blood glucose increasedraised blood sugar reading12.2%9,239
  4. Incorrect dose administeredthe wrong dose was given7.1%5,413
  5. Diarrhoealoose or frequent stools7.1%5,361
  6. Vomitingbeing sick6.9%5,241
  7. Inappropriate schedule of product administrationthe product was taken at the wrong times4.8%3,633
  8. Drug ineffectivethe medicine did not work as expected4.1%3,136
  9. Injection site haemorrhagebleeding where the injection was given4%3,065
  10. Weight decreasedweight loss4%3,037
  11. Decreased appetitereduced appetite3.9%2,960
  12. Glycosylated haemoglobin increaseda raised HbA1c, the long-term sugar measure3.6%2,732
  13. Abdominal pain upperupper stomach pain3%2,282
  14. Abdominal painstomach or belly pain2.8%2,155
  15. Constipationconstipation2.8%2,099
  16. Injection site bruisingbruising where the injection was given2.5%1,879
  17. Accidental overdosean accidental overdose2.5%1,860
  18. Product dose omission issuea dose was missed2.4%1,857
  19. Malaisegeneral feeling of being unwell2.3%1,778
  20. Fatiguetiredness2.3%1,755
  21. Blood glucose decreasedlow blood sugar reading2.2%1,673
  22. Abdominal discomfortstomach discomfort2.1%1,575
  23. Injection site erythemaredness where the injection was given2.1%1,563
  24. Dizzinesslight-headedness or unsteadiness2%1,485
  25. Pancreatitisinflammation of the pancreas1.9%1,438
  26. Off label useused for a purpose or in a way not on the label1.9%1,409
  27. Dyspepsiaindigestion1.8%1,379

Top 30 of 1,559 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

Death1.5%1,101
Life-threatening0.7%514
Hospitalisation (initial or prolonged)9%6,850
Disability0.6%428
Congenital anomaly0%6
Other serious12.7%9,623
Not serious79.3%60,164

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%15
2 to 110%13
12 to 170%32
18 to 443.8%2,852
45 to 6419.7%14,956
65 to 7412%9,139
75 and over6.3%4,742
Age not given58.2%44,115

Patient sex

Female51.8%39,268
Male37.2%28,251
Not given11%8,345

Who reported

Physician4%3,031
Pharmacist2.4%1,833
Other health professional4.5%3,384
Lawyer1.3%986
Consumer or non-health professional87.6%66,478
Not given0.2%152

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 93.9% 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 mellitus22,96730.3%
Diabetes mellitus7,1009.4%
Glucose tolerance impaired3430.5%
Type 1 diabetes mellitus2480.3%
Weight decreased2420.3%
Glycosylated haemoglobin increased2130.3%

The indication field is filled in by the reporter and is often blank; shares are of all 75,864 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Trulicity reports
Metformin11,99615.8%
Lantus2,6803.5%
Jardiance2,4403.2%
Humalog2,1122.8%
Glipizide2,0362.7%
Ozempic1,6582.2%
Glimepiride1,4471.9%
Insulin glargine1,3891.8%
Novolog1,3691.8%
Tresiba1,1431.5%

Other products listed in reports where Trulicity 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

MeasureTrulicityGLP-1 receptor agonistAll reports
Reports as suspect product75,864404,85320,646,523
Share of that pool—18.7%0.4%
Reports, latest 12 months4,282—1,332,454
Marked serious20.7%28%57.4%
Death recorded among outcomes, per 1,000 reports151591
Hospitalisation recorded, per 1,000 reports90113213
Consumer-filed share87.6%82%45.8%
Top term, share of reportsInjection site pain 12.7%median 1.9%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 glp-1 receptor agonist class

DrugName typeReportsLatest 12 monthsMarked serious
Mounjarobrand85,84226,33423.6%
Zepboundbrand63,62840,9006.2%
Ozempicbrand52,88121,70448.8%
Byettabrand47,9281224.7%
Victozabrand28,89999841.8%
Wegovybrand19,50911,95845.4%
Saxendabrand6,59847147.3%
Rybelsusbrand6,0551,53256%
Semaglutidegeneric4,4991,83071%
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 Trulicity reports

How many adverse event reports has FDA received for Trulicity?

75,864 reports list Trulicity as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 4,282 of them arrived in the latest 12 months. Another 10,101 list it only as a concomitant medication.

What reactions are recorded in Trulicity reports?

injection site pain (12.7%), nausea (12.6%), blood glucose increased (12.2%), incorrect dose administered (7.1%) and diarrhoea (7.1%). 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 Trulicity was responsible.

How serious are the reports?

20.7% are marked serious by the reporter. Among the outcomes recorded, 1.5% of reports include death and 9% 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 (87.6%), other health professional (4.5%) and physician (4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Trulicity rising?

4,282 reports in the 12 months to June 2026, down 11% from 4,832 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 Trulicity 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 Trulicity?

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 Trulicity as a suspect or interacting product; reports listing it only as a concomitant medication (10,101) 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.