<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-2024-119
Date of Submission: 2024-12-15

This report was submitted by a Patient from Burke-Porter Medical Center concerning patient ANON-PX-1010. The subject is a 36-year-old female with a significant medical history including osteoarthritis, hypertension, 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): Metformin administered via the Intravenous route at a dosage of 123mg, initiated on 2024-10-07 for Type 2 diabetes and discontinued on 2024-12-09; Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 380mg, initiated on 2024-10-07 for Pain and inflammation and discontinued on 2024-12-09.

On approximately 2024-12-03, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Headache, Pruritus. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed professor and advised several. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed sing and advised condition. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. 

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: Skin I dinner something hotel. Beautiful throughout blood buy low. Including space bring training foreign such.</data>
report_id: ADR-2024-119
report_date: '2024-12-15'
patient_details:
  patient_id: ANON-PX-1010
  gender: Female
  relevant_history:
  - osteoarthritis
  - hypertension
  - anxiety
  age_at_reaction: 36
suspected_drugs:
- drug_name: Metformin
  dosage: 123mg
  route_of_administration: Intravenous
  start_date: '2024-10-07'
  indication_for_use: Type 2 diabetes
  end_date: '2024-12-09'
- drug_name: Ibuprofen
  dosage: 380mg
  route_of_administration: Intramuscular
  start_date: '2024-10-07'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
  end_date: '2024-12-09'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2024-12-03'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed professor and advised several.
- symptom_name: Headache
  onset_date: '2024-12-03'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed sing and advised condition.
- symptom_name: Pruritus
  onset_date: '2024-12-03'
  severity: Mild
  outcome: Recovering
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Burke-Porter Medical Center
reporter_type: Patient
notes: Skin I dinner something hotel. Beautiful throughout blood buy low. Including
  space bring training foreign such.
