<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-2025-119
Date of Submission: 2025-07-19

This report was submitted by a Pharmacist from Wright, Gregory and Harris Medical Center concerning patient ANON-PX-9908. The subject is a 57-year-old male with a significant medical history including hypertension, asthma. 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): Ibuprofen (NSAID) administered via the Oral route at a dosage of 104mg, initiated on 2025-05-01 for Pain and inflammation and discontinued on 2025-06-21; Gabapentin administered via the Subcutaneous route at a dosage of 318mg, initiated on 2025-05-01 for Neuropathic pain and discontinued on 2025-06-21.

On approximately 2025-06-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Dizziness, Headache. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed fish and advised method. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 2 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. 

Reporter's Narrative Summary: And difficult during middle capital. When action bill shoulder eye past speech. Half bring society. Account sure reality health rate often.</data>
report_id: ADR-2025-119
report_date: '2025-07-19'
patient_details:
  patient_id: ANON-PX-9908
  gender: Male
  relevant_history:
  - hypertension
  - asthma
  age_at_reaction: 57
suspected_drugs:
- drug_name: Ibuprofen
  dosage: 104mg
  route_of_administration: Oral
  start_date: '2025-05-01'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
  end_date: '2025-06-21'
- drug_name: Gabapentin
  dosage: 318mg
  route_of_administration: Subcutaneous
  start_date: '2025-05-01'
  indication_for_use: Neuropathic pain
  end_date: '2025-06-21'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2025-06-13'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-06-13'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Headache
  onset_date: '2025-06-13'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed fish and advised method.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 2
reporting_facility: Wright, Gregory and Harris Medical Center
reporter_type: Pharmacist
notes: And difficult during middle capital. When action bill shoulder eye past speech.
  Half bring society. Account sure reality health rate often.
