<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-2024-430
Date of Submission: 2024-09-24

This report was submitted by a Nurse from Nichols LLC Medical Center concerning patient ANON-PX-2089. The subject is a 64-year-old other with a significant medical history including hypertension, anxiety, coronary artery disease, 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): Amoxicillin administered via the Intramuscular route at a dosage of 185mg, initiated on 2024-08-23 for Bacterial infection with the course ongoing.

On approximately 2024-09-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Anaphylaxis. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed hour and advised apply. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. 

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

Reporter's Narrative Summary: Rule involve peace information.</data>
report_id: ADR-2024-430
report_date: '2024-09-24'
patient_details:
  patient_id: ANON-PX-2089
  gender: Other
  relevant_history:
  - hypertension
  - anxiety
  - coronary artery disease
  - asthma
  age_at_reaction: 64
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 185mg
  route_of_administration: Intramuscular
  start_date: '2024-08-23'
  indication_for_use: Bacterial infection
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-09-06'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed hour and advised apply.
- symptom_name: Anaphylaxis
  onset_date: '2024-09-06'
  severity: Mild
  outcome: Unknown
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Nichols LLC Medical Center
reporter_type: Nurse
notes: Rule involve peace information.
