<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-2025-653
Date of Submission: 2025-03-12

This report was submitted by a Other Healthcare Professional from Rush-Nunez Medical Center concerning patient ANON-PX-6226. The subject is a 60-year-old other with a significant medical history including migraines, 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): Lisinopril administered via the Oral route at a dosage of 402mg, initiated on 2024-12-17 for Hypertension and discontinued on 2025-03-06.

On approximately 2025-02-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Dizziness, Vomiting, Headache. The Anaphylaxis was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed art and advised away. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed generation and advised individual. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Allow power strong budget rise. Visit family true accept charge go marriage.</data>
report_id: ADR-2025-653
report_date: '2025-03-12'
patient_details:
  patient_id: ANON-PX-6226
  gender: Other
  relevant_history:
  - migraines
  - hypertension
  age_at_reaction: 60
suspected_drugs:
- drug_name: Lisinopril
  dosage: 402mg
  route_of_administration: Oral
  start_date: '2024-12-17'
  indication_for_use: Hypertension
  end_date: '2025-03-06'
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2025-02-15'
  severity: Moderate
  outcome: Unknown
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-02-15'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Vomiting
  onset_date: '2025-02-15'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed art and advised away.
- symptom_name: Headache
  onset_date: '2025-02-15'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed generation and advised individual.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Rush-Nunez Medical Center
reporter_type: Other Healthcare Professional
notes: Allow power strong budget rise. Visit family true accept charge go marriage.
