<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-2025-470
Date of Submission: 2025-03-12

This report was submitted by a Physician from Meyer-Harrison Medical Center concerning patient ANON-PX-8936. The subject is a 29-year-old male with a significant medical history including asthma, atrial fibrillation. 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 Oral route at a dosage of 165mg, initiated on 2025-02-28 for Bacterial infection with the course ongoing.

On approximately 2025-03-03, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Headache, Vomiting. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed risk and advised story. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 

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: Both until kitchen focus. Mention else apply window pay lose travel. Design hope expect place.</data>
report_id: ADR-2025-470
report_date: '2025-03-12'
patient_details:
  patient_id: ANON-PX-8936
  gender: Male
  relevant_history:
  - asthma
  - atrial fibrillation
  age_at_reaction: 29
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 165mg
  route_of_administration: Oral
  start_date: '2025-02-28'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
adverse_reactions:
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-03-03'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed risk and advised story.
- symptom_name: Headache
  onset_date: '2025-03-03'
  severity: Mild
  outcome: Unknown
  intervention_required: false
- symptom_name: Vomiting
  onset_date: '2025-03-03'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Meyer-Harrison Medical Center
reporter_type: Physician
notes: Both until kitchen focus. Mention else apply window pay lose travel. Design
  hope expect place.
