<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-2025-954
Date of Submission: 2025-07-11

This report was submitted by a Patient from Olson-Young Medical Center concerning patient ANON-PX-9605. The subject is a 71-year-old female with a significant medical history including coronary artery disease, asthma. 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 (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 280mg, initiated on 2025-06-14 for Bacterial infection with the course ongoing; Ibuprofen administered via the Intramuscular route at a dosage of 68mg, initiated on 2025-06-14 for Pain and inflammation with the course ongoing.

On approximately 2025-06-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Somnolence, Diarrhea. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed star and advised night. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed growth and advised become. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed election and advised blue. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 6 was calculated, 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. 

</data>
report_id: ADR-2025-954
report_date: '2025-07-11'
patient_details:
  patient_id: ANON-PX-9605
  gender: Female
  relevant_history:
  - coronary artery disease
  - asthma
  age_at_reaction: 71
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 280mg
  route_of_administration: Intramuscular
  start_date: '2025-06-14'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
- drug_name: Ibuprofen
  dosage: 68mg
  route_of_administration: Intramuscular
  start_date: '2025-06-14'
  indication_for_use: Pain and inflammation
adverse_reactions:
- symptom_name: Headache
  onset_date: '2025-06-28'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed star and advised night.
- symptom_name: Somnolence
  onset_date: '2025-06-28'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed growth and advised become.
- symptom_name: Diarrhea
  onset_date: '2025-06-28'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed election and advised blue.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 6
reporting_facility: Olson-Young Medical Center
reporter_type: Patient
