<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-2025-977
Date of Submission: 2025-02-18

This report was submitted by a Other Healthcare Professional from Mendoza-Mccormick Medical Center concerning patient ANON-PX-9127. The subject is a 36-year-old other with a significant medical history including seasonal allergies, hypertension, 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): Amoxicillin (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 158mg, initiated on 2024-12-24 for Bacterial infection and discontinued on 2025-02-04.

On approximately 2025-02-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Hepatotoxicity, Diarrhea, Nausea, Vomiting. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed anything and advised six. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed prevent and advised performance. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Moderate 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. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

</data>
report_id: ADR-2025-977
report_date: '2025-02-18'
patient_details:
  patient_id: ANON-PX-9127
  gender: Other
  relevant_history:
  - seasonal allergies
  - hypertension
  - atrial fibrillation
  age_at_reaction: 36
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 158mg
  route_of_administration: Intramuscular
  start_date: '2024-12-24'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-02-04'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2025-02-04'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Hepatotoxicity
  onset_date: '2025-02-04'
  severity: Mild
  outcome: Unknown
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2025-02-04'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed anything and advised six.
- symptom_name: Nausea
  onset_date: '2025-02-04'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed prevent and advised performance.
- symptom_name: Vomiting
  onset_date: '2025-02-04'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
reporting_facility: Mendoza-Mccormick Medical Center
reporter_type: Other Healthcare Professional
