<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-2024-327
Date of Submission: 2024-11-15

This report was submitted by a Patient from Jones-Castillo Medical Center concerning patient ANON-PX-2836. The subject is a 72-year-old female with a significant medical history including chronic kidney disease, type 2 diabetes, migraines, osteoarthritis. 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): Gabapentin (Anticonvulsant) administered via the Subcutaneous route at a dosage of 379mg, initiated on 2024-10-04 for Neuropathic pain and discontinued on 2024-10-28.

On approximately 2024-10-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Somnolence, Dizziness, Maculopapular Rash, Vomiting. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed buy and advised discuss. The current patient status regarding this symptom is 'Recovered'. The Vomiting was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Similar three rate bed present keep. Sister huge can interesting picture commercial thank.</data>
report_id: ADR-2024-327
report_date: '2024-11-15'
patient_details:
  patient_id: ANON-PX-2836
  gender: Female
  relevant_history:
  - chronic kidney disease
  - type 2 diabetes
  - migraines
  - osteoarthritis
  age_at_reaction: 72
suspected_drugs:
- drug_name: Gabapentin
  dosage: 379mg
  route_of_administration: Subcutaneous
  start_date: '2024-10-04'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2024-10-28'
adverse_reactions:
- symptom_name: Anaphylaxis
  onset_date: '2024-10-21'
  severity: Mild
  outcome: Recovering
  intervention_required: true
- symptom_name: Somnolence
  onset_date: '2024-10-21'
  severity: Severe
  outcome: Recovering
  intervention_required: true
- symptom_name: Dizziness
  onset_date: '2024-10-21'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2024-10-21'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed buy and advised discuss.
- symptom_name: Vomiting
  onset_date: '2024-10-21'
  severity: Mild
  outcome: Fatal
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
reporting_facility: Jones-Castillo Medical Center
reporter_type: Patient
notes: Similar three rate bed present keep. Sister huge can interesting picture commercial
  thank.
