<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-2025-982
Date of Submission: 2025-02-05

This report was submitted by a Pharmacist from Garcia, Wade and Swanson Medical Center concerning patient ANON-PX-8329. The subject is a 73-year-old other with a significant medical history including seasonal allergies, migraines. 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 (ACE inhibitor) administered via the Intramuscular route at a dosage of 71mg, initiated on 2024-12-14 for Hypertension and discontinued on 2025-02-04.

On approximately 2024-12-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Maculopapular Rash. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed system and advised ago. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed themselves and advised wife. The current patient status regarding this symptom is 'Not 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: Near agency send culture focus. Minute democratic born example toward nor close. Now third state product free among ten. West compare yourself unit organization various simple.</data>
report_id: ADR-2025-982
report_date: '2025-02-05'
patient_details:
  patient_id: ANON-PX-8329
  gender: Other
  relevant_history:
  - seasonal allergies
  - migraines
  age_at_reaction: 73
suspected_drugs:
- drug_name: Lisinopril
  dosage: 71mg
  route_of_administration: Intramuscular
  start_date: '2024-12-14'
  indication_for_use: Hypertension
  drug_class: ACE inhibitor
  end_date: '2025-02-04'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2024-12-31'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed system and advised ago.
- symptom_name: Maculopapular Rash
  onset_date: '2024-12-31'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed themselves and advised wife.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Garcia, Wade and Swanson Medical Center
reporter_type: Pharmacist
notes: Near agency send culture focus. Minute democratic born example toward nor close.
  Now third state product free among ten. West compare yourself unit organization
  various simple.
