<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-2024-990
Date of Submission: 2024-09-01

This report was submitted by a Pharmacist from Boyd, Martin and Underwood Medical Center concerning patient ANON-PX-8410. The subject is an adult female with a significant medical history including migraines, hypertension. 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): Omeprazole administered via the Intramuscular route at a dosage of 224mg, initiated on 2024-06-08 for Gastroesophageal reflux disease and discontinued on 2024-08-27.

On approximately 2024-08-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Headache, Stevens-Johnson syndrome, Anaphylaxis, Dizziness. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed drive and advised beautiful. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed meet and advised child. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 5 was calculated, The assessment concluded the relationship was 'Probable'. 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: President quickly environmental evening look official. Event identify last sense. Indicate over difference policy relate.</data>
report_id: ADR-2024-990
report_date: '2024-09-01'
patient_details:
  patient_id: ANON-PX-8410
  gender: Female
  relevant_history:
  - migraines
  - hypertension
suspected_drugs:
- drug_name: Omeprazole
  dosage: 224mg
  route_of_administration: Intramuscular
  start_date: '2024-06-08'
  indication_for_use: Gastroesophageal reflux disease
  end_date: '2024-08-27'
adverse_reactions:
- symptom_name: Diarrhea
  onset_date: '2024-08-24'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed drive and advised beautiful.
- symptom_name: Headache
  onset_date: '2024-08-24'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-08-24'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed meet and advised child.
- symptom_name: Anaphylaxis
  onset_date: '2024-08-24'
  severity: Mild
  outcome: Unknown
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2024-08-24'
  severity: Severe
  outcome: Recovering
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 5
reporting_facility: Boyd, Martin and Underwood Medical Center
reporter_type: Pharmacist
notes: President quickly environmental evening look official. Event identify last
  sense. Indicate over difference policy relate.
