{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-04-28",
    "results": {
      "skip": 0,
      "limit": 1,
      "total": 88
    }
  },
  "results": [
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      "safetyreportversion": "1",
      "safetyreportid": "22957015",
      "primarysourcecountry": "US",
      "transmissiondateformat": "102",
      "transmissiondate": "20231029",
      "reporttype": "1",
      "serious": "1",
      "seriousnessdeath": "2",
      "seriousnesslifethreatening": "2",
      "seriousnesshospitalization": "1",
      "seriousnessdisabling": "1",
      "seriousnesscongenitalanomali": "2",
      "seriousnessother": "2",
      "receivedate": "20230916",
      "receiptdate": "20230916",
      "fulfillexpeditecriteria": "3",
      "authoritynumb": "FDA-CDER-CTU-2023-68453",
      "primarysource": {
        "reportercountry": "US",
        "qualification": "5"
      },
      "sender": {
        "sendertype": "2",
        "senderorganization": "FDA-Public Use"
      },
      "receiver": {
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        "receiverorganization": "FDA"
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      "patient": {
        "patientonsetage": "37",
        "patientonsetageunit": "802",
        "patientsex": "1",
        "reaction": [
          {
            "reactionmeddraversionpt": "26.0",
            "reactionmeddrapt": "Heart rate irregular"
          },
          {
            "reactionmeddraversionpt": "26.0",
            "reactionmeddrapt": "Myocardial infarction"
          },
          {
            "reactionmeddraversionpt": "26.0",
            "reactionmeddrapt": "Product quality issue"
          }
        ],
        "drug": [
          {
            "drugcharacterization": "1",
            "medicinalproduct": "TIRZEPATIDE",
            "drugstartdateformat": "102",
            "drugstartdate": "20230807",
            "drugenddateformat": "102",
            "drugenddate": "20230911",
            "drugrecurreadministration": "1",
            "drugadditional": "1",
            "activesubstance": {
              "activesubstancename": "TIRZEPATIDE"
            },
            "openfda": {
              "application_number": [
                "NDA215866",
                "NDA217806"
              ],
              "brand_name": [
                "MOUNJARO",
                "MOUNJARO KWIKPEN",
                "ZEPBOUND",
                "ZEPBOUND KWIKPEN"
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              "generic_name": [
                "TIRZEPATIDE"
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              "manufacturer_name": [
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                "0002-3522",
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              "product_type": [
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              ],
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                "TIRZEPATIDE"
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                "0002-4103-01",
                "0002-4103-11",
                "0002-4210-01",
                "0002-4210-11",
                "0002-4304-01",
                "0002-4304-11",
                "0002-4523-01",
                "0002-4523-11",
                "0002-4612-01",
                "0002-4612-11",
                "0002-3466-01",
                "0002-3466-11",
                "0002-3455-01",
                "0002-3455-11",
                "0002-3444-01",
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                "0002-2495-01",
                "0002-2495-80",
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                "0002-2484-80",
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                "0002-2471-80",
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                "0002-2457-80",
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                "0002-0152-61",
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                "0002-6103-11",
                "0002-6210-01",
                "0002-6210-11",
                "0002-6304-01",
                "0002-6304-11",
                "0002-6523-01",
                "0002-6523-11",
                "0002-6612-01",
                "0002-6612-11",
                "0002-3566-01",
                "0002-3566-11",
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                "0002-3555-01",
                "0002-3555-11",
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                "0002-3533-11",
                "0002-3522-01",
                "0002-3522-11",
                "0002-3511-01",
                "0002-3511-11"
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                "N0000194015",
                "N0000000152",
                "N0000178480",
                "N0000020058"
              ],
              "pharm_class_epc": [
                "Glucose-dependent Insulinotropic Polypeptide Receptor Agonist [EPC]",
                "GLP-1 Receptor Agonist [EPC]"
              ],
              "pharm_class_moa": [
                "G-Protein-linked Receptor Interactions [MoA]",
                "Glucagon-like Peptide-1 (GLP-1) Agonists [MoA]"
              ],
              "unii": [
                "OYN3CCI6QE"
              ]
            }
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          {
            "drugcharacterization": "1",
            "medicinalproduct": "SEMAGLUTIDE",
            "activesubstance": {
              "activesubstancename": "SEMAGLUTIDE"
            },
            "openfda": {
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                "NDA209637",
                "NDA218316",
                "NDA215256"
              ],
              "brand_name": [
                "OZEMPIC",
                "WEGOVY"
              ],
              "generic_name": [
                "SEMAGLUTIDE"
              ],
              "manufacturer_name": [
                "Novo Nordisk Pharmaceutical Industries, LP"
              ],
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                "0169-4136",
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                "0169-4404",
                "0169-4415",
                "0169-4425"
              ],
              "product_type": [
                "HUMAN PRESCRIPTION DRUG"
              ],
              "route": [
                "SUBCUTANEOUS",
                "ORAL"
              ],
              "substance_name": [
                "SEMAGLUTIDE"
              ],
              "rxcui": [
                "1991306",
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                "1991316",
                "1991317",
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                "2554102",
                "2554104",
                "2707547",
                "2707551",
                "2707555",
                "2730161",
                "2730163",
                "2730165",
                "2730167",
                "2730169",
                "2739768",
                "2739771"
              ],
              "spl_id": [
                "852fff2d-704e-4b01-9244-439a28094202",
                "2cf550fd-3019-4202-b112-2009de398600"
              ],
              "spl_set_id": [
                "adec4fd2-6858-4c99-91d4-531f5f2a2d79",
                "ee06186f-2aa3-4990-a760-757579d8f77b"
              ],
              "package_ndc": [
                "0169-4136-11",
                "0169-4136-02",
                "0169-4132-90",
                "0169-4132-97",
                "0169-4132-11",
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                "0169-4130-01",
                "0169-4130-13",
                "0169-4772-11",
                "0169-4772-12",
                "0169-4772-90",
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                "0169-4181-13",
                "0169-4181-90",
                "0169-4181-97",
                "0169-1302-01",
                "0169-1302-14",
                "0169-1302-90",
                "0169-1302-94",
                "0169-1305-01",
                "0169-1305-14",
                "0169-1310-01",
                "0169-1310-14",
                "0169-4525-01",
                "0169-4525-14",
                "0169-4525-90",
                "0169-4525-94",
                "0169-4505-01",
                "0169-4505-14",
                "0169-4501-01",
                "0169-4501-14",
                "0169-4517-01",
                "0169-4517-14",
                "0169-4524-01",
                "0169-4524-14",
                "0169-4572-01",
                "0169-4572-14",
                "0169-1602-01",
                "0169-1602-14",
                "0169-1602-90",
                "0169-1602-94",
                "0169-1605-01",
                "0169-1605-14",
                "0169-1610-01",
                "0169-1610-14",
                "0169-1617-01",
                "0169-1617-14",
                "0169-1624-01",
                "0169-1624-14",
                "0169-4404-31",
                "0169-4415-31",
                "0169-4415-92",
                "0169-4409-31",
                "0169-4425-31"
              ],
              "nui": [
                "N0000178480",
                "M0160181",
                "N0000020058"
              ],
              "pharm_class_epc": [
                "GLP-1 Receptor Agonist [EPC]"
              ],
              "pharm_class_cs": [
                "Glucagon-Like Peptide 1 [CS]"
              ],
              "pharm_class_moa": [
                "Glucagon-like Peptide-1 (GLP-1) Agonists [MoA]"
              ],
              "unii": [
                "53AXN4NNHX"
              ]
            }
          }
        ],
        "summary": {
          "narrativeincludeclinical": "CASE EVENT DATE: 20230911"
        }
      }
    }
  ]
}