<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-2024-747
Date of Submission: 2024-11-15

This report was submitted by a Pharmacist from Anderson-Miller Medical Center concerning patient ANON-PX-5579. The subject is a 22-year-old female with a significant medical history including anxiety, 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): Ibuprofen (NSAID) administered via the Intravenous route at a dosage of 28mg, initiated on 2024-09-18 for Pain and inflammation with the course ongoing; Warfarin administered via the Subcutaneous route at a dosage of 426mg, initiated on 2024-09-18 for Thromboembolism prevention with the course ongoing.

On approximately 2024-10-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Angioedema, Diarrhea, Dizziness. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed spend and advised since. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed guess and advised country. The current patient status regarding this symptom is 'Recovering'. 

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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Add improve marriage. Woman piece management exist foot.</data>
report_id: ADR-2024-747
report_date: '2024-11-15'
patient_details:
  patient_id: ANON-PX-5579
  gender: Female
  relevant_history:
  - anxiety
  - atrial fibrillation
  age_at_reaction: 22
suspected_drugs:
- drug_name: Ibuprofen
  dosage: 28mg
  route_of_administration: Intravenous
  start_date: '2024-09-18'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
- drug_name: Warfarin
  dosage: 426mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-18'
  indication_for_use: Thromboembolism prevention
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-10-12'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
- symptom_name: Angioedema
  onset_date: '2024-10-12'
  severity: Mild
  outcome: Recovering
  intervention_required: true
- symptom_name: Diarrhea
  onset_date: '2024-10-12'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed spend and advised since.
- symptom_name: Dizziness
  onset_date: '2024-10-12'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed guess and advised country.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 7
reporting_facility: Anderson-Miller Medical Center
reporter_type: Pharmacist
notes: Add improve marriage. Woman piece management exist foot.
