<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-2025-141
Date of Submission: 2025-03-23

This report was submitted by a Nurse from Wood-Cummings Medical Center concerning patient ANON-PX-8837. The subject is an adult male with a significant medical history including seasonal allergies, 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 Subcutaneous route at a dosage of 322mg, initiated on 2025-01-10 for Bacterial infection and discontinued on 2025-03-07.

On approximately 2025-03-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Stevens-Johnson syndrome. The Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Moderate 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. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Ten street window reflect. Help purpose data Congress consider. To real skin certainly according themselves through.</data>
report_id: ADR-2025-141
report_date: '2025-03-23'
patient_details:
  patient_id: ANON-PX-8837
  gender: Male
  relevant_history:
  - seasonal allergies
  - atrial fibrillation
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 322mg
  route_of_administration: Subcutaneous
  start_date: '2025-01-10'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-03-07'
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2025-03-04'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-03-04'
  severity: Moderate
  outcome: Fatal
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 3
reporting_facility: Wood-Cummings Medical Center
reporter_type: Nurse
notes: Ten street window reflect. Help purpose data Congress consider. To real skin
  certainly according themselves through.
