<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-2024-286
Date of Submission: 2024-11-16

This report was submitted by a Pharmacist from Taylor-Bruce Medical Center concerning patient ANON-PX-5914. The subject is an adult other with a significant medical history including migraines, 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): Gabapentin administered via the Topical route at a dosage of 75mg, initiated on 2024-08-31 for Neuropathic pain and discontinued on 2024-10-30; Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 318mg, initiated on 2024-08-31 for Pain and inflammation and discontinued on 2024-10-30.

On approximately 2024-09-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Headache, Pruritus, Nausea. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed person and advised policy. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed his and advised language. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed store and advised maintain. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 10 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Or morning half lose play beat radio. Hear ready though admit.</data>
report_id: ADR-2024-286
report_date: '2024-11-16'
patient_details:
  patient_id: ANON-PX-5914
  gender: Other
  relevant_history:
  - migraines
  - osteoarthritis
  - asthma
suspected_drugs:
- drug_name: Gabapentin
  dosage: 75mg
  route_of_administration: Topical
  start_date: '2024-08-31'
  indication_for_use: Neuropathic pain
  end_date: '2024-10-30'
- drug_name: Ibuprofen
  dosage: 318mg
  route_of_administration: Intramuscular
  start_date: '2024-08-31'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
  end_date: '2024-10-30'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2024-09-17'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed person and advised policy.
- symptom_name: Headache
  onset_date: '2024-09-17'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed his and advised language.
- symptom_name: Pruritus
  onset_date: '2024-09-17'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed store and advised maintain.
- symptom_name: Nausea
  onset_date: '2024-09-17'
  severity: Mild
  outcome: Unknown
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 10
reporting_facility: Taylor-Bruce Medical Center
reporter_type: Pharmacist
notes: Or morning half lose play beat radio. Hear ready though admit.
