<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-2024-753
Date of Submission: 2024-09-27

This report was submitted by a Pharmacist from Crane and Sons Medical Center concerning patient ANON-PX-7647. The subject is a 22-year-old female with a significant medical history including hypertension, migraines, 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 40mg, initiated on 2024-08-23 for Hypercholesterolemia and discontinued on 2024-09-22.

On approximately 2024-09-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Pruritus, Dizziness, Hepatotoxicity. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed deep and advised audience. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed toward and advised relate. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. 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: Thank chair theory scientist civil. Write report toward receive center size decision next. According bar area direction into.</data>
report_id: ADR-2024-753
report_date: '2024-09-27'
patient_details:
  patient_id: ANON-PX-7647
  gender: Female
  relevant_history:
  - hypertension
  - migraines
  - atrial fibrillation
  age_at_reaction: 22
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 40mg
  route_of_administration: Intravenous
  start_date: '2024-08-23'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2024-09-22'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2024-09-08'
  severity: Moderate
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed deep and advised audience.
- symptom_name: Pruritus
  onset_date: '2024-09-08'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed toward and advised relate.
- symptom_name: Dizziness
  onset_date: '2024-09-08'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: false
- symptom_name: Hepatotoxicity
  onset_date: '2024-09-08'
  severity: Mild
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Crane and Sons Medical Center
reporter_type: Pharmacist
notes: Thank chair theory scientist civil. Write report toward receive center size
  decision next. According bar area direction into.
