<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-2025-530
Date of Submission: 2025-07-20

This report was submitted by a Nurse from Adams PLC Medical Center concerning patient ANON-PX-3065. The subject is an adult female with a significant medical history including asthma, chronic kidney disease. 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 administered via the Subcutaneous route at a dosage of 126mg, initiated on 2025-04-21 for Neuropathic pain and discontinued on 2025-07-19.

On approximately 2025-07-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Maculopapular Rash, Somnolence, Diarrhea, Stevens-Johnson syndrome. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Maculopapular Rash was classified as Life-threatening 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 current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening 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 3 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: Western thing candidate environmental pick. Great trade offer voice end food hair.</data>
report_id: ADR-2025-530
report_date: '2025-07-20'
patient_details:
  patient_id: ANON-PX-3065
  gender: Female
  relevant_history:
  - asthma
  - chronic kidney disease
suspected_drugs:
- drug_name: Gabapentin
  dosage: 126mg
  route_of_administration: Subcutaneous
  start_date: '2025-04-21'
  indication_for_use: Neuropathic pain
  end_date: '2025-07-19'
adverse_reactions:
- symptom_name: Hepatotoxicity
  onset_date: '2025-07-06'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
- symptom_name: Maculopapular Rash
  onset_date: '2025-07-06'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2025-07-06'
  severity: Mild
  outcome: Fatal
  intervention_required: true
- symptom_name: Diarrhea
  onset_date: '2025-07-06'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-07-06'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 3
reporting_facility: Adams PLC Medical Center
reporter_type: Nurse
notes: Western thing candidate environmental pick. Great trade offer voice end food
  hair.
