<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-2025-674
Date of Submission: 2025-05-07

This report was submitted by a Nurse from Rivera, West and Williams Medical Center concerning patient ANON-PX-7213. The subject is an adult female with a significant medical history including seasonal allergies, anxiety, 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): Omeprazole (Proton-pump inhibitor) administered via the Topical route at a dosage of 54mg, initiated on 2025-03-16 for Gastroesophageal reflux disease and discontinued on 2025-05-04.

On approximately 2025-04-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Diarrhea. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed action and advised after. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 

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: Finally take this add instead scene range. Each fast nature activity. Consider third despite audience house edge bill.</data>
report_id: ADR-2025-674
report_date: '2025-05-07'
patient_details:
  patient_id: ANON-PX-7213
  gender: Female
  relevant_history:
  - seasonal allergies
  - anxiety
  - osteoarthritis
suspected_drugs:
- drug_name: Omeprazole
  dosage: 54mg
  route_of_administration: Topical
  start_date: '2025-03-16'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
  end_date: '2025-05-04'
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2025-04-06'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed action and advised after.
- symptom_name: Diarrhea
  onset_date: '2025-04-06'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Rivera, West and Williams Medical Center
reporter_type: Nurse
notes: Finally take this add instead scene range. Each fast nature activity. Consider
  third despite audience house edge bill.
