<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-2025-478
Date of Submission: 2025-03-17

This report was submitted by a Pharmacist from Flores, Petersen and Lin Medical Center concerning patient ANON-PX-9089. The subject is a 30-year-old other with a significant medical history including seasonal allergies, anxiety. 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 (Proton-pump inhibitor) administered via the Oral route at a dosage of 394mg, initiated on 2025-02-04 for Gastroesophageal reflux disease and discontinued on 2025-03-05.

On approximately 2025-02-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Somnolence, Hepatotoxicity, Maculopapular Rash. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed cup and advised meeting. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed article and advised fish. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed health and advised two. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Risk school condition because five. Painting coach inside sign fall. Key drug discussion structure debate these.</data>
report_id: ADR-2025-478
report_date: '2025-03-17'
patient_details:
  patient_id: ANON-PX-9089
  gender: Other
  relevant_history:
  - seasonal allergies
  - anxiety
  age_at_reaction: 30
suspected_drugs:
- drug_name: Omeprazole
  dosage: 394mg
  route_of_administration: Oral
  start_date: '2025-02-04'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
  end_date: '2025-03-05'
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2025-02-08'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed cup and advised meeting.
- symptom_name: Somnolence
  onset_date: '2025-02-08'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed article and advised fish.
- symptom_name: Hepatotoxicity
  onset_date: '2025-02-08'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed health and advised two.
- symptom_name: Maculopapular Rash
  onset_date: '2025-02-08'
  severity: Mild
  outcome: Fatal
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Flores, Petersen and Lin Medical Center
reporter_type: Pharmacist
notes: Risk school condition because five. Painting coach inside sign fall. Key drug
  discussion structure debate these.
