<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-2025-311
Date of Submission: 2025-05-11

This report was submitted by a Pharmacist from Lewis-Pugh Medical Center concerning patient ANON-PX-7690. The subject is a 48-year-old other with a significant medical history including asthma, coronary artery disease. 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 Intravenous route at a dosage of 93mg, initiated on 2025-03-22 for Bacterial infection with the course ongoing; Atorvastatin administered via the Topical route at a dosage of 182mg, initiated on 2025-03-22 for Hypercholesterolemia with the course ongoing.

On approximately 2025-04-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Dizziness. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed piece and advised never. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. 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: Everything nothing fast despite eight. Guy sing support suddenly almost bad catch find.</data>
report_id: ADR-2025-311
report_date: '2025-05-11'
patient_details:
  patient_id: ANON-PX-7690
  gender: Other
  relevant_history:
  - asthma
  - coronary artery disease
  age_at_reaction: 48
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 93mg
  route_of_administration: Intravenous
  start_date: '2025-03-22'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
- drug_name: Atorvastatin
  dosage: 182mg
  route_of_administration: Topical
  start_date: '2025-03-22'
  indication_for_use: Hypercholesterolemia
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2025-04-30'
  severity: Mild
  outcome: Recovering
  intervention_required: true
- symptom_name: Dizziness
  onset_date: '2025-04-30'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed piece and advised never.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 4
reporting_facility: Lewis-Pugh Medical Center
reporter_type: Pharmacist
notes: Everything nothing fast despite eight. Guy sing support suddenly almost bad
  catch find.
