<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-2025-770
Date of Submission: 2025-07-15

This report was submitted by a Physician from Weaver Ltd Medical Center concerning patient ANON-PX-4219. The subject is a 30-year-old male with a significant medical history including type 2 diabetes, anxiety. 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 administered via the Oral route at a dosage of 402mg, initiated on 2025-04-23 for Major depressive disorder and discontinued on 2025-06-15; Amoxicillin (Penicillin antibiotic) administered via the Oral route at a dosage of 314mg, initiated on 2025-04-23 for Bacterial infection and discontinued on 2025-06-15.

On approximately 2025-05-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome, Pruritus, Dizziness. The Anaphylaxis was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus 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 Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed catch and advised media. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Discussion room tell college page perhaps their. Amount seek compare up.</data>
report_id: ADR-2025-770
report_date: '2025-07-15'
patient_details:
  patient_id: ANON-PX-4219
  gender: Male
  relevant_history:
  - type 2 diabetes
  - anxiety
  age_at_reaction: 30
suspected_drugs:
- drug_name: Sertraline
  dosage: 402mg
  route_of_administration: Oral
  start_date: '2025-04-23'
  indication_for_use: Major depressive disorder
  end_date: '2025-06-15'
- drug_name: Amoxicillin
  dosage: 314mg
  route_of_administration: Oral
  start_date: '2025-04-23'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-06-15'
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2025-05-08'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-05-08'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-05-08'
  severity: Moderate
  outcome: Unknown
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-05-08'
  severity: Mild
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed catch and advised media.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 4
reporting_facility: Weaver Ltd Medical Center
reporter_type: Physician
notes: Discussion room tell college page perhaps their. Amount seek compare up.
