<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-2025-375
Date of Submission: 2025-07-30

This report was submitted by a Patient from Hood, Thompson and Goodwin Medical Center concerning patient ANON-PX-2134. The subject is a 37-year-old other with a significant medical history including osteoarthritis, 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): Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 166mg, initiated on 2025-06-30 for Gastroesophageal reflux disease and discontinued on 2025-07-21; Atorvastatin (Statin) administered via the Subcutaneous route at a dosage of 375mg, initiated on 2025-06-30 for Hypercholesterolemia and discontinued on 2025-07-21.

On approximately 2025-07-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Nausea, Anaphylaxis, Diarrhea. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed author and advised look. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Song too likely play dog. News themselves artist. Technology social standard family indicate church.</data>
report_id: ADR-2025-375
report_date: '2025-07-30'
patient_details:
  patient_id: ANON-PX-2134
  gender: Other
  relevant_history:
  - osteoarthritis
  - anxiety
  age_at_reaction: 37
suspected_drugs:
- drug_name: Omeprazole
  dosage: 166mg
  route_of_administration: Subcutaneous
  start_date: '2025-06-30'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
  end_date: '2025-07-21'
- drug_name: Atorvastatin
  dosage: 375mg
  route_of_administration: Subcutaneous
  start_date: '2025-06-30'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2025-07-21'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2025-07-01'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
- symptom_name: Nausea
  onset_date: '2025-07-01'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Anaphylaxis
  onset_date: '2025-07-01'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed author and advised look.
- symptom_name: Diarrhea
  onset_date: '2025-07-01'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 1
reporting_facility: Hood, Thompson and Goodwin Medical Center
reporter_type: Patient
notes: Song too likely play dog. News themselves artist. Technology social standard
  family indicate church.
