<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-2024-606
Date of Submission: 2024-10-08

This report was submitted by a Other Healthcare Professional from Hays, Sutton and Haynes Medical Center concerning patient ANON-PX-7241. The subject is an adult male with a significant medical history including osteoarthritis, seasonal allergies, type 2 diabetes. 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): Atorvastatin (Statin) administered via the Topical route at a dosage of 398mg, initiated on 2024-08-23 for Hypercholesterolemia and discontinued on 2024-09-10; Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 402mg, initiated on 2024-08-23 for Hypertension and discontinued on 2024-09-10.

On approximately 2024-09-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Diarrhea, Dizziness. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed address and advised soon. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed war and advised address. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Sister me reality manage within produce. Condition wide activity score account them executive. Nation especially husband life save task.</data>
report_id: ADR-2024-606
report_date: '2024-10-08'
patient_details:
  patient_id: ANON-PX-7241
  gender: Male
  relevant_history:
  - osteoarthritis
  - seasonal allergies
  - type 2 diabetes
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 398mg
  route_of_administration: Topical
  start_date: '2024-08-23'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2024-09-10'
- drug_name: Lisinopril
  dosage: 402mg
  route_of_administration: Intravenous
  start_date: '2024-08-23'
  indication_for_use: Hypertension
  drug_class: ACE inhibitor
  end_date: '2024-09-10'
adverse_reactions:
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-09-08'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed address and advised soon.
- symptom_name: Diarrhea
  onset_date: '2024-09-08'
  severity: Mild
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed war and advised address.
- symptom_name: Dizziness
  onset_date: '2024-09-08'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 6
reporting_facility: Hays, Sutton and Haynes Medical Center
reporter_type: Other Healthcare Professional
notes: Sister me reality manage within produce. Condition wide activity score account
  them executive. Nation especially husband life save task.
