<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-2024-724
Date of Submission: 2024-10-19

This report was submitted by a Patient from Berry, Chavez and Johnson Medical Center concerning patient ANON-PX-3249. The subject is an adult male with a significant medical history including asthma, 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): Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 419mg, initiated on 2024-09-29 for Bacterial infection and discontinued on 2024-10-08; Gabapentin (Anticonvulsant) administered via the Subcutaneous route at a dosage of 72mg, initiated on 2024-09-29 for Neuropathic pain and discontinued on 2024-10-08.

On approximately 2024-10-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Diarrhea, Somnolence, Vomiting. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed tell and advised likely. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed machine and advised Democrat. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed land and advised stand. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 7 was calculated, The assessment concluded the relationship was 'Probable'. 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: Watch wall show front. Cold character argue least north.</data>
report_id: ADR-2024-724
report_date: '2024-10-19'
patient_details:
  patient_id: ANON-PX-3249
  gender: Male
  relevant_history:
  - asthma
  - type 2 diabetes
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 419mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-29'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-10-08'
- drug_name: Gabapentin
  dosage: 72mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-29'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2024-10-08'
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2024-10-02'
  severity: Mild
  outcome: Unknown
  intervention_required: true
- symptom_name: Diarrhea
  onset_date: '2024-10-02'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed tell and advised likely.
- symptom_name: Somnolence
  onset_date: '2024-10-02'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed machine and advised Democrat.
- symptom_name: Vomiting
  onset_date: '2024-10-02'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed land and advised stand.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 7
reporting_facility: Berry, Chavez and Johnson Medical Center
reporter_type: Patient
notes: Watch wall show front. Cold character argue least north.
