<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-2024-169
Date of Submission: 2024-12-09

This report was submitted by a Other Healthcare Professional from Lopez, Gonzalez and Stewart Medical Center concerning patient ANON-PX-9488. The subject is a 88-year-old other with a significant medical history including migraines, anxiety, atrial fibrillation, 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): Omeprazole administered via the Intramuscular route at a dosage of 196mg, initiated on 2024-10-20 for Gastroesophageal reflux disease with the course ongoing; Ibuprofen (NSAID) administered via the Intravenous route at a dosage of 366mg, initiated on 2024-10-20 for Pain and inflammation with the course ongoing.

On approximately 2024-11-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Headache, Dizziness, Angioedema. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed race and advised really. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed work and advised edge. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed recognize and advised leave. The current patient status regarding this symptom is 'Recovering'. 

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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Happen than safe land again common feeling foot. Technology society assume crime. Instead particular culture yeah.</data>
report_id: ADR-2024-169
report_date: '2024-12-09'
patient_details:
  patient_id: ANON-PX-9488
  gender: Other
  relevant_history:
  - migraines
  - anxiety
  - atrial fibrillation
  - asthma
  age_at_reaction: 88
suspected_drugs:
- drug_name: Omeprazole
  dosage: 196mg
  route_of_administration: Intramuscular
  start_date: '2024-10-20'
  indication_for_use: Gastroesophageal reflux disease
- drug_name: Ibuprofen
  dosage: 366mg
  route_of_administration: Intravenous
  start_date: '2024-10-20'
  indication_for_use: Pain and inflammation
  drug_class: NSAID
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2024-11-06'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Headache
  onset_date: '2024-11-06'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed race and advised really.
- symptom_name: Dizziness
  onset_date: '2024-11-06'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed work and advised edge.
- symptom_name: Angioedema
  onset_date: '2024-11-06'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed recognize and advised leave.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 8
reporting_facility: Lopez, Gonzalez and Stewart Medical Center
reporter_type: Other Healthcare Professional
notes: Happen than safe land again common feeling foot. Technology society assume
  crime. Instead particular culture yeah.
