<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-2024-275
Date of Submission: 2024-10-26

This report was submitted by a Physician from Jones-Lee Medical Center concerning patient ANON-PX-8263. The subject is a 32-year-old male with a significant medical history including chronic kidney disease, anxiety. 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 288mg, initiated on 2024-08-12 for Bacterial infection and discontinued on 2024-10-05.

On approximately 2024-10-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Anaphylaxis, Dizziness. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed actually and advised sometimes. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly 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: Of probably financial another purpose likely range politics. Have benefit religious. Family contain free under occur.</data>
report_id: ADR-2024-275
report_date: '2024-10-26'
patient_details:
  patient_id: ANON-PX-8263
  gender: Male
  relevant_history:
  - chronic kidney disease
  - anxiety
  age_at_reaction: 32
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 288mg
  route_of_administration: Intravenous
  start_date: '2024-08-12'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-10-05'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2024-10-04'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed actually and advised sometimes.
- symptom_name: Anaphylaxis
  onset_date: '2024-10-04'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2024-10-04'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 9
reporting_facility: Jones-Lee Medical Center
reporter_type: Physician
notes: Of probably financial another purpose likely range politics. Have benefit religious.
  Family contain free under occur.
