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semaglutide Side Effects

Also known as: Ozempic, Wegovy, Rybelsus

Analysis of 72,117 adverse event reports submitted to the FDA from 2013 to 2025.

Total Reports

72,117

Death-Related

1,213

1.7% of reports

Hospitalizations

14,700

20.4% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

NAUSEA
10,666
VOMITING
6,913
OFF LABEL USE
6,532
DIARRHOEA
6,093
DECREASED APPETITE
4,428
CONSTIPATION
4,344
WEIGHT DECREASED
3,931
FATIGUE
3,312
HEADACHE
3,156
PRODUCT USE IN UNAPPROVED INDICATION
2,881
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS
2,774
BLOOD GLUCOSE INCREASED
2,752
ABDOMINAL PAIN UPPER
2,751
IMPAIRED GASTRIC EMPTYING
2,711
DIZZINESS
2,631
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION
2,575
WEIGHT INCREASED
2,446
ABDOMINAL PAIN
2,233
DEHYDRATION
1,959
MALAISE
1,908

Who Reports Side Effects

Gender Distribution

Female 43,872 (67%)
Male 21,741 (33%)
Unknown 39

Age Distribution

0-17 244 (1%)
18-44 6,424 (16%)
45-64 17,703 (44%)
65-74 10,577 (27%)
75+ 4,884 (12%)

Reporting Trend by Year

13
14
15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 1,213 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 384
NAUSEA 84
LACTIC ACIDOSIS 75
VOMITING 68
CARDIAC ARREST 63
OFF LABEL USE 58
DIARRHOEA 54
MYOCARDIAL INFARCTION 52
ACUTE KIDNEY INJURY 48
MULTIPLE ORGAN DYSFUNCTION SYNDROME 46
COMPLETED SUICIDE 45
PANCREATIC CARCINOMA 42
WEIGHT DECREASED 42
RENAL FAILURE 40
DECREASED APPETITE 39
ABDOMINAL PAIN 36
PRODUCT USE IN UNAPPROVED INDICATION 35
DEHYDRATION 32
SEPTIC SHOCK 32
DYSPNOEA 31

Reactions in Hospitalization Reports

Top reactions in 14,700 reports where hospitalization was an outcome.

Reaction Reports
NAUSEA 2,470
VOMITING 2,446
DIARRHOEA 1,753
IMPAIRED GASTRIC EMPTYING 1,585
OFF LABEL USE 1,503
DEHYDRATION 1,249
CONSTIPATION 1,101
DECREASED APPETITE 1,051
ABDOMINAL PAIN 973
INTESTINAL OBSTRUCTION 686
ABDOMINAL PAIN UPPER 682
WEIGHT DECREASED 663
PANCREATITIS 618
ACUTE KIDNEY INJURY 612
FATIGUE 602
FALL 596
DIZZINESS 570
ASTHENIA 537
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION 529
HEADACHE 509

Nearby — Related Medications

Compare semaglutide vs acarbose →

What the FAERS Data Reveals About semaglutide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 72,117 voluntary reports linked to semaglutide and its brand equivalents (Ozempic, Wegovy, Rybelsus), spanning 2013 through 2025. Of those, 1,213 (1.7%) listed death as an outcome and 14,700 (20.4%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 67% were female and 33% male; age distribution skews toward 45-64, with 17,703 reports in that bracket. The single most reported reaction is nausea with 10,666 submissions, followed by vomiting and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.