<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-2024-903
Date of Submission: 2024-10-27

This report was submitted by a Other Healthcare Professional from Hill PLC Medical Center concerning patient ANON-PX-4035. The subject is a 70-year-old male with a significant medical history including anxiety, osteoarthritis, seasonal allergies. 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): Lisinopril (ACE inhibitor) administered via the Intramuscular route at a dosage of 283mg, initiated on 2024-09-03 for Hypertension and discontinued on 2024-09-26.

On approximately 2024-09-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Pruritus, Maculopapular Rash, Dizziness, Headache. The Vomiting was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed foreign and advised thousand. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Full Mr after myself under. His hand be state. Democrat worry relationship.</data>
report_id: ADR-2024-903
report_date: '2024-10-27'
patient_details:
  patient_id: ANON-PX-4035
  gender: Male
  relevant_history:
  - anxiety
  - osteoarthritis
  - seasonal allergies
  age_at_reaction: 70
suspected_drugs:
- drug_name: Lisinopril
  dosage: 283mg
  route_of_administration: Intramuscular
  start_date: '2024-09-03'
  indication_for_use: Hypertension
  drug_class: ACE inhibitor
  end_date: '2024-09-26'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2024-09-13'
  severity: Mild
  outcome: Fatal
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2024-09-13'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed foreign and advised thousand.
- symptom_name: Maculopapular Rash
  onset_date: '2024-09-13'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2024-09-13'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
- symptom_name: Headache
  onset_date: '2024-09-13'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Not applicable
  naranjo_score: 2
reporting_facility: Hill PLC Medical Center
reporter_type: Other Healthcare Professional
notes: Full Mr after myself under. His hand be state. Democrat worry relationship.
