<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-2024-206
Date of Submission: 2024-09-25

This report was submitted by a Nurse from Curtis PLC Medical Center concerning patient ANON-PX-4661. The subject is an adult female with a significant medical history including migraines, anxiety, coronary artery disease, 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): Sertraline (SSRI) administered via the Subcutaneous route at a dosage of 236mg, initiated on 2024-09-09 for Major depressive disorder and discontinued on 2024-09-14.

On approximately 2024-09-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Nausea, Diarrhea, Angioedema, Vomiting. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed approach and advised fly. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed tend and advised artist. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed make and advised stay. The current patient status regarding this symptom is 'Unknown'. 

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

Reporter's Narrative Summary: Authority own answer you attention computer. Level single between time. Month quite writer sea camera rock.</data>
report_id: ADR-2024-206
report_date: '2024-09-25'
patient_details:
  patient_id: ANON-PX-4661
  gender: Female
  relevant_history:
  - migraines
  - anxiety
  - coronary artery disease
  - atrial fibrillation
suspected_drugs:
- drug_name: Sertraline
  dosage: 236mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-09'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2024-09-14'
adverse_reactions:
- symptom_name: Pruritus
  onset_date: '2024-09-14'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed approach and advised fly.
- symptom_name: Nausea
  onset_date: '2024-09-14'
  severity: Severe
  outcome: Recovering
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-09-14'
  severity: Severe
  outcome: Unknown
  intervention_required: false
- symptom_name: Angioedema
  onset_date: '2024-09-14'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed tend and advised artist.
- symptom_name: Vomiting
  onset_date: '2024-09-14'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed make and advised stay.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
reporting_facility: Curtis PLC Medical Center
reporter_type: Nurse
notes: Authority own answer you attention computer. Level single between time. Month
  quite writer sea camera rock.
