<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-2025-821
Date of Submission: 2025-01-06

This report was submitted by a Pharmacist from Smith-Mitchell Medical Center concerning patient ANON-PX-3802. The subject is an adult male with a significant medical history including asthma, atrial fibrillation. 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 Oral route at a dosage of 200mg, initiated on 2024-10-25 for Neuropathic pain and discontinued on 2024-12-25; Sertraline administered via the Subcutaneous route at a dosage of 210mg, initiated on 2024-10-25 for Major depressive disorder and discontinued on 2024-12-25.

On approximately 2024-11-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Dizziness, Stevens-Johnson syndrome, Nausea. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Moderate 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. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 6 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: Begin with air west entire let. Student conference too.</data>
report_id: ADR-2025-821
report_date: '2025-01-06'
patient_details:
  patient_id: ANON-PX-3802
  gender: Male
  relevant_history:
  - asthma
  - atrial fibrillation
suspected_drugs:
- drug_name: Gabapentin
  dosage: 200mg
  route_of_administration: Oral
  start_date: '2024-10-25'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2024-12-25'
- drug_name: Sertraline
  dosage: 210mg
  route_of_administration: Subcutaneous
  start_date: '2024-10-25'
  indication_for_use: Major depressive disorder
  end_date: '2024-12-25'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2024-11-10'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2024-11-10'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-11-10'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
- symptom_name: Nausea
  onset_date: '2024-11-10'
  severity: Severe
  outcome: Recovered
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 6
reporting_facility: Smith-Mitchell Medical Center
reporter_type: Pharmacist
notes: Begin with air west entire let. Student conference too.
