<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-2025-250
Date of Submission: 2025-04-18

This report was submitted by a Pharmacist from Best-Murphy Medical Center concerning patient ANON-PX-2247. The subject is a 61-year-old female with a significant medical history including osteoarthritis, asthma, seasonal allergies. 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 31mg, initiated on 2025-03-15 for Neuropathic pain and discontinued on 2025-04-02.

On approximately 2025-03-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Anaphylaxis, Stevens-Johnson syndrome, Pruritus. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed attorney and advised trial. The current patient status regarding this symptom is 'Unknown'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 10 was calculated, The assessment concluded the relationship was 'Highly 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: Increase local author commercial ever. Health night economy walk edge read fine.</data>
report_id: ADR-2025-250
report_date: '2025-04-18'
patient_details:
  patient_id: ANON-PX-2247
  gender: Female
  relevant_history:
  - osteoarthritis
  - asthma
  - seasonal allergies
  age_at_reaction: 61
suspected_drugs:
- drug_name: Gabapentin
  dosage: 31mg
  route_of_administration: Intramuscular
  start_date: '2025-03-15'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2025-04-02'
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2025-03-29'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
- symptom_name: Anaphylaxis
  onset_date: '2025-03-29'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-03-29'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-03-29'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed attorney and advised trial.
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 10
reporting_facility: Best-Murphy Medical Center
reporter_type: Pharmacist
notes: Increase local author commercial ever. Health night economy walk edge read
  fine.
