<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-2024-962
Date of Submission: 2024-12-03

This report was submitted by a Pharmacist from Shannon LLC Medical Center concerning patient ANON-PX-5397. The subject is a 82-year-old other with a significant medical history including seasonal allergies, osteoarthritis, type 2 diabetes, 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 Oral route at a dosage of 291mg, initiated on 2024-10-29 for Hypercholesterolemia with the course ongoing.

On approximately 2024-11-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Somnolence, Vomiting, Dizziness. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed the and advised recently. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed wind and advised tonight. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed into and advised marriage. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

</data>
report_id: ADR-2024-962
report_date: '2024-12-03'
patient_details:
  patient_id: ANON-PX-5397
  gender: Other
  relevant_history:
  - seasonal allergies
  - osteoarthritis
  - type 2 diabetes
  - atrial fibrillation
  age_at_reaction: 82
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 291mg
  route_of_administration: Oral
  start_date: '2024-10-29'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
adverse_reactions:
- symptom_name: Headache
  onset_date: '2024-11-01'
  severity: Moderate
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed the and advised recently.
- symptom_name: Somnolence
  onset_date: '2024-11-01'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
- symptom_name: Vomiting
  onset_date: '2024-11-01'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed wind and advised tonight.
- symptom_name: Dizziness
  onset_date: '2024-11-01'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed into and advised marriage.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 1
reporting_facility: Shannon LLC Medical Center
reporter_type: Pharmacist
