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tirzepatide Side Effects

Also known as: Mounjaro, Zepbound

Analysis of 120,921 adverse event reports submitted to the FDA from 2015 to 2025.

Total Reports

120,921

Death-Related

652

0.5% of reports

Hospitalizations

7,276

6.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

INCORRECT DOSE ADMINISTERED
25,919
INJECTION SITE PAIN
12,325
NAUSEA
12,028
EXTRA DOSE ADMINISTERED
8,027
OFF LABEL USE
7,726
DIARRHOEA
6,720
VOMITING
5,685
INJECTION SITE HAEMORRHAGE
4,746
ACCIDENTAL UNDERDOSE
4,444
INJECTION SITE ERYTHEMA
4,295
CONSTIPATION
4,190
DRUG INEFFECTIVE
3,850
PRODUCT DOSE OMISSION ISSUE
3,819
FATIGUE
3,179
INJECTION SITE BRUISING
3,002
BLOOD GLUCOSE INCREASED
2,598
ABDOMINAL PAIN UPPER
2,466
DECREASED APPETITE
2,392
HEADACHE
2,392
INJECTION SITE PRURITUS
2,281

Who Reports Side Effects

Gender Distribution

Female 74,456 (75%)
Male 24,157 (24%)
Unknown 71

Age Distribution

0-17 60 (0%)
18-44 21,550 (26%)
45-64 42,427 (50%)
65-74 14,844 (18%)
75+ 5,159 (6%)

Reporting Trend by Year

15
16
17
18
19
20
21
22
23
24
25

Reactions in Death Reports

Top reactions reported in 652 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 261
VOMITING 39
CARDIAC ARREST 34
OFF LABEL USE 33
DIARRHOEA 32
NAUSEA 31
MULTIPLE ORGAN DYSFUNCTION SYNDROME 26
MYOCARDIAL INFARCTION 25
DECREASED APPETITE 22
ACUTE KIDNEY INJURY 20
PANCREATITIS 20
PULMONARY EMBOLISM 19
SEPSIS 19
COMPLETED SUICIDE 16
HYPOGLYCAEMIA 16
PNEUMONIA 16
WEIGHT DECREASED 15
ABDOMINAL PAIN 14
DEHYDRATION 14
PANCREATIC CARCINOMA 14

Reactions in Hospitalization Reports

Top reactions in 7,276 reports where hospitalization was an outcome.

Reaction Reports
VOMITING 1,287
NAUSEA 1,147
DIARRHOEA 932
DEHYDRATION 726
ABDOMINAL PAIN 622
IMPAIRED GASTRIC EMPTYING 577
OFF LABEL USE 575
CONSTIPATION 478
PANCREATITIS 429
DECREASED APPETITE 373
ABDOMINAL PAIN UPPER 293
INTESTINAL OBSTRUCTION 289
CHOLELITHIASIS 271
ACUTE KIDNEY INJURY 268
DIZZINESS 250
WEIGHT DECREASED 226
FATIGUE 207
DYSPEPSIA 199
ANXIETY 174
PANCREATITIS ACUTE 169

Nearby — Related Medications

Compare tirzepatide vs acarbose →

What the FAERS Data Reveals About tirzepatide Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 120,921 voluntary reports linked to tirzepatide and its brand equivalents (Mounjaro, Zepbound), spanning 2015 through 2025. Of those, 652 (0.5%) listed death as an outcome and 7,276 (6.0%) 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, 75% were female and 24% male; age distribution skews toward 45-64, with 42,427 reports in that bracket. The single most reported reaction is incorrect dose administered with 25,919 submissions, followed by injection site pain and nausea.

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.