<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-2025-319
Date of Submission: 2025-03-03

This report was submitted by a Physician from Black-Hicks Medical Center concerning patient ANON-PX-6644. The subject is a 31-year-old female with a significant medical history including anxiety, atrial fibrillation, hypertension, asthma. 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 Intramuscular route at a dosage of 457mg, initiated on 2025-01-27 for Pain and inflammation with the course ongoing; Omeprazole administered via the Oral route at a dosage of 288mg, initiated on 2025-01-27 for Gastroesophageal reflux disease with the course ongoing.

On approximately 2025-01-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Somnolence, Stevens-Johnson syndrome, Pruritus. The Vomiting was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 5 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: Bed where either need anyone energy stop. Why family western election color.</data>
report_id: ADR-2025-319
report_date: '2025-03-03'
patient_details:
  patient_id: ANON-PX-6644
  gender: Female
  relevant_history:
  - anxiety
  - atrial fibrillation
  - hypertension
  - asthma
  age_at_reaction: 31
suspected_drugs:
- drug_name: Ibuprofen
  dosage: 457mg
  route_of_administration: Intramuscular
  start_date: '2025-01-27'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
- drug_name: Omeprazole
  dosage: 288mg
  route_of_administration: Oral
  start_date: '2025-01-27'
  indication_for_use: Gastroesophageal reflux disease
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2025-01-30'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2025-01-30'
  severity: Severe
  outcome: Unknown
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-01-30'
  severity: Severe
  outcome: Recovering
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-01-30'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 5
reporting_facility: Black-Hicks Medical Center
reporter_type: Physician
notes: Bed where either need anyone energy stop. Why family western election color.
