<format type="yaml">{report_id: string, report_date: date, patient_details: {patient_id: string, age_at_reaction: number optional, gender: string, relevant_history: list[string]}, suspected_drugs: list[{drug_name: string, drug_class: string optional, dosage: string, route_of_administration: string, start_date: date, end_date: date optional, indication_for_use: string}], adverse_reactions: list[{symptom_name: string, onset_date: date, severity: string, outcome: string, intervention_required: boolean, intervention_details: string optional}], causality_assessment: {naranjo_score: number optional, assessment_conclusion: string, dechallenge_rechallenge: string}, reporting_facility: string, reporter_type: string, notes: string optional}</format> <data>PHARMACOVIGILANCE CASE REPORT - CONFIDENTIAL
Report Identifier: ADR-2025-693
Date of Submission: 2025-03-19

This report was submitted by a Other Healthcare Professional from Wright, White and Stewart Medical Center concerning patient ANON-PX-1414. The subject is an adult other with a significant medical history including anxiety, atrial fibrillation. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. 

Current medication review revealed the following suspected agent(s): Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 79mg, initiated on 2025-02-01 for Hypertension and discontinued on 2025-03-15.

On approximately 2025-02-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Pruritus, Somnolence, Dizziness. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed certainly and advised act. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed throughout and advised pull. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed possible and advised husband. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Dinner account mission instead current until memory. Reach organization safe let. Degree born play policy fight.</data>
report_id: ADR-2025-693
report_date: '2025-03-19'
patient_details:
  patient_id: ANON-PX-1414
  gender: Other
  relevant_history:
  - anxiety
  - atrial fibrillation
suspected_drugs:
- drug_name: Lisinopril
  dosage: 79mg
  route_of_administration: Intravenous
  start_date: '2025-02-01'
  indication_for_use: Hypertension
  drug_class: ACE inhibitor
  end_date: '2025-03-15'
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2025-02-19'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed certainly and advised act.
- symptom_name: Pruritus
  onset_date: '2025-02-19'
  severity: Mild
  outcome: Fatal
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2025-02-19'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed throughout and advised pull.
- symptom_name: Dizziness
  onset_date: '2025-02-19'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed possible and advised husband.
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 9
reporting_facility: Wright, White and Stewart Medical Center
reporter_type: Other Healthcare Professional
notes: Dinner account mission instead current until memory. Reach organization safe
  let. Degree born play policy fight.
