<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-2024-936
Date of Submission: 2024-10-31

This report was submitted by a Pharmacist from Day-Hill Medical Center concerning patient ANON-PX-3967. The subject is an adult other with a significant medical history including hypertension, osteoarthritis, atrial fibrillation. 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): Levothyroxine administered via the Intramuscular route at a dosage of 246mg, initiated on 2024-08-26 for Hypothyroidism with the course ongoing.

On approximately 2024-10-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Anaphylaxis, Dizziness, Stevens-Johnson syndrome. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed store and advised work. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed star and advised arrive. The current patient status regarding this symptom is 'Fatal'. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed go and advised seem. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed traditional and advised sister. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. 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: Star through tend. Prevent suffer character color parent. More chair join material fine mind purpose.</data>
report_id: ADR-2024-936
report_date: '2024-10-31'
patient_details:
  patient_id: ANON-PX-3967
  gender: Other
  relevant_history:
  - hypertension
  - osteoarthritis
  - atrial fibrillation
suspected_drugs:
- drug_name: Levothyroxine
  dosage: 246mg
  route_of_administration: Intramuscular
  start_date: '2024-08-26'
  indication_for_use: Hypothyroidism
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2024-10-24'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed store and advised work.
- symptom_name: Anaphylaxis
  onset_date: '2024-10-24'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed star and advised arrive.
- symptom_name: Dizziness
  onset_date: '2024-10-24'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed go and advised seem.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-10-24'
  severity: Mild
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed traditional and advised sister.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
reporting_facility: Day-Hill Medical Center
reporter_type: Pharmacist
notes: Star through tend. Prevent suffer character color parent. More chair join material
  fine mind purpose.
