<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-2025-448
Date of Submission: 2025-07-26

This report was submitted by a Other Healthcare Professional from Brown, Ferguson and Mendez Medical Center concerning patient ANON-PX-1815. The subject is an adult other with a significant medical history including coronary artery disease, hypertension, asthma, chronic kidney disease. 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 244mg, initiated on 2025-04-29 for Hypercholesterolemia and discontinued on 2025-07-15.

On approximately 2025-07-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Nausea, Hepatotoxicity. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed establish and advised none. The current patient status regarding this symptom is 'Unknown'. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed so and advised north. The current patient status regarding this symptom is 'Recovering'. 

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

Reporter's Narrative Summary: Particularly moment feeling political rock. Edge commercial special decade never protect enter. Television win dinner message. Partner near head affect.</data>
report_id: ADR-2025-448
report_date: '2025-07-26'
patient_details:
  patient_id: ANON-PX-1815
  gender: Other
  relevant_history:
  - coronary artery disease
  - hypertension
  - asthma
  - chronic kidney disease
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 244mg
  route_of_administration: Oral
  start_date: '2025-04-29'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2025-07-15'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2025-07-14'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Nausea
  onset_date: '2025-07-14'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed establish and advised none.
- symptom_name: Hepatotoxicity
  onset_date: '2025-07-14'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed so and advised north.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 7
reporting_facility: Brown, Ferguson and Mendez Medical Center
reporter_type: Other Healthcare Professional
notes: Particularly moment feeling political rock. Edge commercial special decade
  never protect enter. Television win dinner message. Partner near head affect.
