<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-2025-895
Date of Submission: 2025-04-16

This report was submitted by a Other Healthcare Professional from Wolfe-Taylor Medical Center concerning patient ANON-PX-1721. The subject is an adult male with a significant medical history including anxiety, coronary artery disease. 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): Sertraline administered via the Intravenous route at a dosage of 136mg, initiated on 2025-04-05 for Major depressive disorder and discontinued on 2025-04-13; Warfarin (Anticoagulant) administered via the Oral route at a dosage of 474mg, initiated on 2025-04-05 for Thromboembolism prevention and discontinued on 2025-04-13.

On approximately 2025-04-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Stevens-Johnson syndrome, Nausea. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed exist and advised answer. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed letter and advised thing. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. 

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: Color look pattern catch federal. Wonder fill small from protect some social. Strong professor herself fast heart any.</data>
report_id: ADR-2025-895
report_date: '2025-04-16'
patient_details:
  patient_id: ANON-PX-1721
  gender: Male
  relevant_history:
  - anxiety
  - coronary artery disease
suspected_drugs:
- drug_name: Sertraline
  dosage: 136mg
  route_of_administration: Intravenous
  start_date: '2025-04-05'
  indication_for_use: Major depressive disorder
  end_date: '2025-04-13'
- drug_name: Warfarin
  dosage: 474mg
  route_of_administration: Oral
  start_date: '2025-04-05'
  indication_for_use: Thromboembolism prevention
  drug_class: Anticoagulant
  end_date: '2025-04-13'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2025-04-10'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed exist and advised answer.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-04-10'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed letter and advised thing.
- symptom_name: Nausea
  onset_date: '2025-04-10'
  severity: Moderate
  outcome: Unknown
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 4
reporting_facility: Wolfe-Taylor Medical Center
reporter_type: Other Healthcare Professional
notes: Color look pattern catch federal. Wonder fill small from protect some social.
  Strong professor herself fast heart any.
