<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-2025-944
Date of Submission: 2025-08-03

This report was submitted by a Physician from Moore and Sons Medical Center concerning patient ANON-PX-2599. The subject is an adult male with a significant medical history including type 2 diabetes, anxiety, osteoarthritis. 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 (Anticonvulsant) administered via the Intramuscular route at a dosage of 43mg, initiated on 2025-06-20 for Neuropathic pain with the course ongoing.

On approximately 2025-06-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Hepatotoxicity, Somnolence, Stevens-Johnson syndrome, Headache. The Nausea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed house and advised create. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed history and advised thus. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. 

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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Win fly serious peace. Media true risk training production reduce consider. Happy begin relate.</data>
report_id: ADR-2025-944
report_date: '2025-08-03'
patient_details:
  patient_id: ANON-PX-2599
  gender: Male
  relevant_history:
  - type 2 diabetes
  - anxiety
  - osteoarthritis
suspected_drugs:
- drug_name: Gabapentin
  dosage: 43mg
  route_of_administration: Intramuscular
  start_date: '2025-06-20'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2025-06-27'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Hepatotoxicity
  onset_date: '2025-06-27'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2025-06-27'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed house and advised create.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-06-27'
  severity: Severe
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed history and advised thus.
- symptom_name: Headache
  onset_date: '2025-06-27'
  severity: Mild
  outcome: Fatal
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 1
reporting_facility: Moore and Sons Medical Center
reporter_type: Physician
notes: Win fly serious peace. Media true risk training production reduce consider.
  Happy begin relate.
