<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-2025-680
Date of Submission: 2025-01-09

This report was submitted by a Other Healthcare Professional from Moore, Kim and Harmon Medical Center concerning patient ANON-PX-3358. The subject is a 85-year-old other with a significant medical history including hypertension, migraines. 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): Sertraline (SSRI) administered via the Topical route at a dosage of 307mg, initiated on 2024-12-10 for Major depressive disorder and discontinued on 2025-01-05.

On approximately 2024-12-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Dizziness. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed none and advised PM. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Mild 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 8 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: Military star western after. Soon enter effort life color door suggest. Present read whole card military. Resource however skill.</data>
report_id: ADR-2025-680
report_date: '2025-01-09'
patient_details:
  patient_id: ANON-PX-3358
  gender: Other
  relevant_history:
  - hypertension
  - migraines
  age_at_reaction: 85
suspected_drugs:
- drug_name: Sertraline
  dosage: 307mg
  route_of_administration: Topical
  start_date: '2024-12-10'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2025-01-05'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2024-12-20'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed none and advised PM.
- symptom_name: Dizziness
  onset_date: '2024-12-20'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 8
reporting_facility: Moore, Kim and Harmon Medical Center
reporter_type: Other Healthcare Professional
notes: Military star western after. Soon enter effort life color door suggest. Present
  read whole card military. Resource however skill.
