<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-2024-992
Date of Submission: 2024-09-14

This report was submitted by a Patient from Kim, Porter and Odom Medical Center concerning patient ANON-PX-9390. The subject is a 69-year-old female with a significant medical history including chronic kidney disease, type 2 diabetes, 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): Amoxicillin (Penicillin antibiotic) administered via the Intravenous route at a dosage of 47mg, initiated on 2024-08-28 for Bacterial infection and discontinued on 2024-09-01.

On approximately 2024-08-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Stevens-Johnson syndrome. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed stuff and advised above. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 7 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: Field ten ground. Dream left attorney report bill even. Table exist election road low ready letter read.</data>
report_id: ADR-2024-992
report_date: '2024-09-14'
patient_details:
  patient_id: ANON-PX-9390
  gender: Female
  relevant_history:
  - chronic kidney disease
  - type 2 diabetes
  - migraines
  age_at_reaction: 69
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 47mg
  route_of_administration: Intravenous
  start_date: '2024-08-28'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-09-01'
adverse_reactions:
- symptom_name: Diarrhea
  onset_date: '2024-08-31'
  severity: Mild
  outcome: Fatal
  intervention_required: true
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-08-31'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed stuff and advised above.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 7
reporting_facility: Kim, Porter and Odom Medical Center
reporter_type: Patient
notes: Field ten ground. Dream left attorney report bill even. Table exist election
  road low ready letter read.
