<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-2024-166
Date of Submission: 2024-11-28

This report was submitted by a Patient from Chapman Group Medical Center concerning patient ANON-PX-7145. The subject is an adult other with a significant medical history including osteoarthritis, asthma, chronic kidney disease, 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 Intravenous route at a dosage of 174mg, initiated on 2024-11-09 for Bacterial infection and discontinued on 2024-11-18; Sertraline (SSRI) administered via the Intravenous route at a dosage of 494mg, initiated on 2024-11-09 for Major depressive disorder and discontinued on 2024-11-18.

On approximately 2024-11-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Stevens-Johnson syndrome. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed boy and advised result. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

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report_id: ADR-2024-166
report_date: '2024-11-28'
patient_details:
  patient_id: ANON-PX-7145
  gender: Other
  relevant_history:
  - osteoarthritis
  - asthma
  - chronic kidney disease
  - type 2 diabetes
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 174mg
  route_of_administration: Intravenous
  start_date: '2024-11-09'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-11-18'
- drug_name: Sertraline
  dosage: 494mg
  route_of_administration: Intravenous
  start_date: '2024-11-09'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2024-11-18'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2024-11-16'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed boy and advised result.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-11-16'
  severity: Mild
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 10
reporting_facility: Chapman Group Medical Center
reporter_type: Patient
notes: Professional seat nearly TV environmental. Mention maybe stage coach add magazine.
  Shoulder grow something write condition. Benefit name politics contain.
