<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-2024-798
Date of Submission: 2024-12-02

This report was submitted by a Patient from Robinson-Martinez Medical Center concerning patient ANON-PX-1694. The subject is a 44-year-old other with a significant medical history including atrial fibrillation, osteoarthritis, asthma. 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): Atorvastatin (Statin) administered via the Oral route at a dosage of 78mg, initiated on 2024-10-09 for Hypercholesterolemia with the course ongoing.

On approximately 2024-11-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Somnolence, Maculopapular Rash, Vomiting, Nausea. The Anaphylaxis was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed fund and advised data. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed effort and advised send. The current patient status regarding this symptom is 'Not Recovered'. 

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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Few together out mention son word serious act. Themselves look environmental suggest continue paper. May people quickly talk.</data>
report_id: ADR-2024-798
report_date: '2024-12-02'
patient_details:
  patient_id: ANON-PX-1694
  gender: Other
  relevant_history:
  - atrial fibrillation
  - osteoarthritis
  - asthma
  age_at_reaction: 44
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 78mg
  route_of_administration: Oral
  start_date: '2024-10-09'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2024-11-25'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2024-11-25'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed fund and advised data.
- symptom_name: Maculopapular Rash
  onset_date: '2024-11-25'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
- symptom_name: Vomiting
  onset_date: '2024-11-25'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
- symptom_name: Nausea
  onset_date: '2024-11-25'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed effort and advised send.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 5
reporting_facility: Robinson-Martinez Medical Center
reporter_type: Patient
notes: Few together out mention son word serious act. Themselves look environmental
  suggest continue paper. May people quickly talk.
