<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-2024-647
Date of Submission: 2024-11-03

This report was submitted by a Patient from Mercado-Quinn Medical Center concerning patient ANON-PX-2670. The subject is a 62-year-old other with a significant medical history including coronary artery disease, osteoarthritis, migraines, 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): Sertraline (SSRI) administered via the Intravenous route at a dosage of 162mg, initiated on 2024-10-05 for Major depressive disorder and discontinued on 2024-10-31; Levothyroxine administered via the Topical route at a dosage of 454mg, initiated on 2024-10-05 for Hypothyroidism and discontinued on 2024-10-31.

On approximately 2024-10-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Dizziness. The Hepatotoxicity was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed go and advised politics. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 8 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. 

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report_id: ADR-2024-647
report_date: '2024-11-03'
patient_details:
  patient_id: ANON-PX-2670
  gender: Other
  relevant_history:
  - coronary artery disease
  - osteoarthritis
  - migraines
  - seasonal allergies
  age_at_reaction: 62
suspected_drugs:
- drug_name: Sertraline
  dosage: 162mg
  route_of_administration: Intravenous
  start_date: '2024-10-05'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2024-10-31'
- drug_name: Levothyroxine
  dosage: 454mg
  route_of_administration: Topical
  start_date: '2024-10-05'
  indication_for_use: Hypothyroidism
  end_date: '2024-10-31'
adverse_reactions:
- symptom_name: Hepatotoxicity
  onset_date: '2024-10-25'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed go and advised politics.
- symptom_name: Dizziness
  onset_date: '2024-10-25'
  severity: Severe
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 8
reporting_facility: Mercado-Quinn Medical Center
reporter_type: Patient
notes: Always short million value side matter team government. Country impact meeting
  whole there sell administration. Son leader perform job. Seek alone manager candidate
  because possible where capital.
