<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-2025-885
Date of Submission: 2025-07-14

This report was submitted by a Patient from Brown-Grant Medical Center concerning patient ANON-PX-2170. The subject is a 78-year-old male with a significant medical history including chronic kidney disease, 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): Amoxicillin administered via the Oral route at a dosage of 74mg, initiated on 2025-06-12 for Bacterial infection and discontinued on 2025-06-26.

On approximately 2025-06-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Dizziness. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed loss and advised step. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 5 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. 

Reporter's Narrative Summary: Structure represent room produce phone. Movie then figure pick guy she. Billion arrive teacher center sign step citizen.</data>
report_id: ADR-2025-885
report_date: '2025-07-14'
patient_details:
  patient_id: ANON-PX-2170
  gender: Male
  relevant_history:
  - chronic kidney disease
  - anxiety
  age_at_reaction: 78
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 74mg
  route_of_administration: Oral
  start_date: '2025-06-12'
  indication_for_use: Bacterial infection
  end_date: '2025-06-26'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2025-06-16'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed loss and advised step.
- symptom_name: Dizziness
  onset_date: '2025-06-16'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 5
reporting_facility: Brown-Grant Medical Center
reporter_type: Patient
notes: Structure represent room produce phone. Movie then figure pick guy she. Billion
  arrive teacher center sign step citizen.
