<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-2024-808
Date of Submission: 2024-09-29

This report was submitted by a Other Healthcare Professional from Duarte, Warren and Davis Medical Center concerning patient ANON-PX-1115. The subject is a 19-year-old female with a significant medical history including chronic kidney disease, anxiety, type 2 diabetes, 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): Amoxicillin administered via the Intramuscular route at a dosage of 197mg, initiated on 2024-07-13 for Bacterial infection with the course ongoing.

On approximately 2024-09-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Maculopapular Rash, Diarrhea, Angioedema, Dizziness. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed everybody and advised law. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed reflect and advised imagine. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Part item speak something sound test simply hand. Product price anything near federal computer.</data>
report_id: ADR-2024-808
report_date: '2024-09-29'
patient_details:
  patient_id: ANON-PX-1115
  gender: Female
  relevant_history:
  - chronic kidney disease
  - anxiety
  - type 2 diabetes
  - hypertension
  age_at_reaction: 19
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 197mg
  route_of_administration: Intramuscular
  start_date: '2024-07-13'
  indication_for_use: Bacterial infection
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2024-09-20'
  severity: Severe
  outcome: Fatal
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2024-09-20'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-09-20'
  severity: Severe
  outcome: Unknown
  intervention_required: true
- symptom_name: Angioedema
  onset_date: '2024-09-20'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed everybody and advised law.
- symptom_name: Dizziness
  onset_date: '2024-09-20'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed reflect and advised imagine.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 2
reporting_facility: Duarte, Warren and Davis Medical Center
reporter_type: Other Healthcare Professional
notes: Part item speak something sound test simply hand. Product price anything near
  federal computer.
