<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-2024-914
Date of Submission: 2024-11-02

This report was submitted by a Patient from Reyes, Gross and Robinson Medical Center concerning patient ANON-PX-8697. The subject is a 63-year-old other with a significant medical history including atrial fibrillation, osteoarthritis, coronary artery disease, hypertension. 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): Omeprazole administered via the Intravenous route at a dosage of 330mg, initiated on 2024-09-14 for Gastroesophageal reflux disease and discontinued on 2024-10-09; Amoxicillin (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 314mg, initiated on 2024-09-14 for Bacterial infection and discontinued on 2024-10-09.

On approximately 2024-09-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Vomiting. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed spring and advised really. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 7 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: The over skill first. With perform she. Process memory suffer hotel send office conference.</data>
report_id: ADR-2024-914
report_date: '2024-11-02'
patient_details:
  patient_id: ANON-PX-8697
  gender: Other
  relevant_history:
  - atrial fibrillation
  - osteoarthritis
  - coronary artery disease
  - hypertension
  age_at_reaction: 63
suspected_drugs:
- drug_name: Omeprazole
  dosage: 330mg
  route_of_administration: Intravenous
  start_date: '2024-09-14'
  indication_for_use: Gastroesophageal reflux disease
  end_date: '2024-10-09'
- drug_name: Amoxicillin
  dosage: 314mg
  route_of_administration: Intramuscular
  start_date: '2024-09-14'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-10-09'
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2024-09-25'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed spring and advised really.
- symptom_name: Vomiting
  onset_date: '2024-09-25'
  severity: Severe
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 7
reporting_facility: Reyes, Gross and Robinson Medical Center
reporter_type: Patient
notes: The over skill first. With perform she. Process memory suffer hotel send office
  conference.
