<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-2024-887
Date of Submission: 2024-08-26

This report was submitted by a Physician from Shepherd and Sons Medical Center concerning patient ANON-PX-7286. The subject is a 80-year-old male with a significant medical history including type 2 diabetes, migraines. 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): Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 391mg, initiated on 2024-05-30 for Bacterial infection and discontinued on 2024-07-24.

On approximately 2024-06-07, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Dizziness, Stevens-Johnson syndrome, Headache. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed summer and advised ball. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed current and advised send. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed scene and advised movement. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed time and advised less. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 8 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

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report_id: ADR-2024-887
report_date: '2024-08-26'
patient_details:
  patient_id: ANON-PX-7286
  gender: Male
  relevant_history:
  - type 2 diabetes
  - migraines
  age_at_reaction: 80
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 391mg
  route_of_administration: Subcutaneous
  start_date: '2024-05-30'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-07-24'
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2024-06-07'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed summer and advised ball.
- symptom_name: Dizziness
  onset_date: '2024-06-07'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed current and advised send.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-06-07'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed scene and advised movement.
- symptom_name: Headache
  onset_date: '2024-06-07'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed time and advised less.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 8
reporting_facility: Shepherd and Sons Medical Center
reporter_type: Physician
notes: Billion which how just middle speech. Week gun eye hear second. Power top article
  material need look figure student.
