<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-2025-575
Date of Submission: 2025-08-12

This report was submitted by a Other Healthcare Professional from Murray-Boyd Medical Center concerning patient ANON-PX-5445. The subject is an adult other with a significant medical history including type 2 diabetes, anxiety, migraines. 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): Amoxicillin (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 264mg, initiated on 2025-07-20 for Bacterial infection and discontinued on 2025-07-31.

On approximately 2025-07-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Somnolence, Diarrhea. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Step research school entire process watch. Use between forward wait yeah nation. With many what person film I.</data>
report_id: ADR-2025-575
report_date: '2025-08-12'
patient_details:
  patient_id: ANON-PX-5445
  gender: Other
  relevant_history:
  - type 2 diabetes
  - anxiety
  - migraines
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 264mg
  route_of_administration: Intramuscular
  start_date: '2025-07-20'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-07-31'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2025-07-24'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
- symptom_name: Somnolence
  onset_date: '2025-07-24'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2025-07-24'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 4
reporting_facility: Murray-Boyd Medical Center
reporter_type: Other Healthcare Professional
notes: Step research school entire process watch. Use between forward wait yeah nation.
  With many what person film I.
