<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-2025-344
Date of Submission: 2025-05-22

This report was submitted by a Physician from Kim PLC Medical Center concerning patient ANON-PX-4821. The subject is a 82-year-old female with a significant medical history including hypertension, anxiety, type 2 diabetes. 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): Ibuprofen administered via the Oral route at a dosage of 353mg, initiated on 2025-03-08 for Pain and inflammation with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Intravenous route at a dosage of 316mg, initiated on 2025-03-08 for Gastroesophageal reflux disease with the course ongoing.

On approximately 2025-05-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Dizziness, Maculopapular Rash. The Somnolence 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 'Fatal'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed eat and advised it. The current patient status regarding this symptom is '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: Tv sort begin picture. Simply professor institution painting believe bill way PM. Order on into officer key.</data>
report_id: ADR-2025-344
report_date: '2025-05-22'
patient_details:
  patient_id: ANON-PX-4821
  gender: Female
  relevant_history:
  - hypertension
  - anxiety
  - type 2 diabetes
  age_at_reaction: 82
suspected_drugs:
- drug_name: Ibuprofen
  dosage: 353mg
  route_of_administration: Oral
  start_date: '2025-03-08'
  indication_for_use: Pain and inflammation
- drug_name: Omeprazole
  dosage: 316mg
  route_of_administration: Intravenous
  start_date: '2025-03-08'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2025-05-10'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-05-10'
  severity: Mild
  outcome: Fatal
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2025-05-10'
  severity: Severe
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed eat and advised it.
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 9
reporting_facility: Kim PLC Medical Center
reporter_type: Physician
notes: Tv sort begin picture. Simply professor institution painting believe bill way
  PM. Order on into officer key.
