<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-2024-899
Date of Submission: 2024-09-20

This report was submitted by a Other Healthcare Professional from Novak-Molina Medical Center concerning patient ANON-PX-5164. The subject is a 27-year-old male with a significant medical history including asthma, 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): Levothyroxine administered via the Intravenous route at a dosage of 499mg, initiated on 2024-07-11 for Hypothyroidism and discontinued on 2024-07-29; Gabapentin (Anticonvulsant) administered via the Intravenous route at a dosage of 142mg, initiated on 2024-07-11 for Neuropathic pain and discontinued on 2024-07-29.

On approximately 2024-07-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Headache, Dizziness, Angioedema. The Nausea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed benefit and advised thought. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 7 was calculated, The assessment concluded the relationship was '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-2024-899
report_date: '2024-09-20'
patient_details:
  patient_id: ANON-PX-5164
  gender: Male
  relevant_history:
  - asthma
  - hypertension
  age_at_reaction: 27
suspected_drugs:
- drug_name: Levothyroxine
  dosage: 499mg
  route_of_administration: Intravenous
  start_date: '2024-07-11'
  indication_for_use: Hypothyroidism
  end_date: '2024-07-29'
- drug_name: Gabapentin
  dosage: 142mg
  route_of_administration: Intravenous
  start_date: '2024-07-11'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2024-07-29'
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-07-18'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: false
- symptom_name: Headache
  onset_date: '2024-07-18'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed benefit and advised thought.
- symptom_name: Dizziness
  onset_date: '2024-07-18'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Angioedema
  onset_date: '2024-07-18'
  severity: Mild
  outcome: Fatal
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 7
reporting_facility: Novak-Molina Medical Center
reporter_type: Other Healthcare Professional
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