<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-2024-434
Date of Submission: 2024-11-29

This report was submitted by a Physician from Meyer, Burnett and Preston Medical Center concerning patient ANON-PX-6340. The subject is a 31-year-old other with a significant medical history including atrial fibrillation, seasonal allergies. 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): Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 347mg, initiated on 2024-11-05 for Hypothyroidism and discontinued on 2024-11-22; Omeprazole (Proton-pump inhibitor) administered via the Intramuscular route at a dosage of 40mg, initiated on 2024-11-05 for Gastroesophageal reflux disease and discontinued on 2024-11-22.

On approximately 2024-11-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Maculopapular Rash, Headache. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed or and advised city. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed central and advised meeting. The current patient status regarding this symptom is 'Recovering'. 

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

Reporter's Narrative Summary: College agency scientist hit story hold than. Class training lawyer prevent coach commercial admit relationship.</data>
report_id: ADR-2024-434
report_date: '2024-11-29'
patient_details:
  patient_id: ANON-PX-6340
  gender: Other
  relevant_history:
  - atrial fibrillation
  - seasonal allergies
  age_at_reaction: 31
suspected_drugs:
- drug_name: Levothyroxine
  dosage: 347mg
  route_of_administration: Intramuscular
  start_date: '2024-11-05'
  indication_for_use: Hypothyroidism
  drug_class: Thyroid hormone
  end_date: '2024-11-22'
- drug_name: Omeprazole
  dosage: 40mg
  route_of_administration: Intramuscular
  start_date: '2024-11-05'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
  end_date: '2024-11-22'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2024-11-17'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed or and advised city.
- symptom_name: Maculopapular Rash
  onset_date: '2024-11-17'
  severity: Severe
  outcome: Recovering
  intervention_required: true
- symptom_name: Headache
  onset_date: '2024-11-17'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed central and advised meeting.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 5
reporting_facility: Meyer, Burnett and Preston Medical Center
reporter_type: Physician
notes: College agency scientist hit story hold than. Class training lawyer prevent
  coach commercial admit relationship.
