<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-2025-161
Date of Submission: 2025-05-11

This report was submitted by a Pharmacist from Crawford, Norris and Hanson Medical Center concerning patient ANON-PX-2427. The subject is an adult female with a significant medical history including hypertension, anxiety, chronic kidney disease. 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): Lisinopril administered via the Oral route at a dosage of 338mg, initiated on 2025-03-23 for Hypertension and discontinued on 2025-05-07; Sertraline (SSRI) administered via the Subcutaneous route at a dosage of 79mg, initiated on 2025-03-23 for Major depressive disorder and discontinued on 2025-05-07.

On approximately 2025-03-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Stevens-Johnson syndrome, Pruritus, Headache. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed car and advised left. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed provide and advised player. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: News the church result themselves staff soon grow. Represent baby where walk.</data>
report_id: ADR-2025-161
report_date: '2025-05-11'
patient_details:
  patient_id: ANON-PX-2427
  gender: Female
  relevant_history:
  - hypertension
  - anxiety
  - chronic kidney disease
suspected_drugs:
- drug_name: Lisinopril
  dosage: 338mg
  route_of_administration: Oral
  start_date: '2025-03-23'
  indication_for_use: Hypertension
  end_date: '2025-05-07'
- drug_name: Sertraline
  dosage: 79mg
  route_of_administration: Subcutaneous
  start_date: '2025-03-23'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2025-05-07'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2025-03-31'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-03-31'
  severity: Mild
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed car and advised left.
- symptom_name: Pruritus
  onset_date: '2025-03-31'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Headache
  onset_date: '2025-03-31'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed provide and advised player.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Crawford, Norris and Hanson Medical Center
reporter_type: Pharmacist
notes: News the church result themselves staff soon grow. Represent baby where walk.
