<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-2024-669
Date of Submission: 2024-09-08

This report was submitted by a Nurse from Thomas, Campbell and Williams Medical Center concerning patient ANON-PX-1274. The subject is a 35-year-old female with a significant medical history including chronic kidney disease, 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): Sertraline administered via the Intramuscular route at a dosage of 30mg, initiated on 2024-07-07 for Major depressive disorder with the course ongoing.

On approximately 2024-08-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Vomiting, Maculopapular Rash, Diarrhea, Angioedema. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed yet and advised resource. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed less and advised could. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. 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 rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Give Mr five listen. Although here paper even.</data>
report_id: ADR-2024-669
report_date: '2024-09-08'
patient_details:
  patient_id: ANON-PX-1274
  gender: Female
  relevant_history:
  - chronic kidney disease
  - atrial fibrillation
  age_at_reaction: 35
suspected_drugs:
- drug_name: Sertraline
  dosage: 30mg
  route_of_administration: Intramuscular
  start_date: '2024-07-07'
  indication_for_use: Major depressive disorder
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-08-13'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed yet and advised resource.
- symptom_name: Vomiting
  onset_date: '2024-08-13'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2024-08-13'
  severity: Severe
  outcome: Recovering
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-08-13'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed less and advised could.
- symptom_name: Angioedema
  onset_date: '2024-08-13'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
reporting_facility: Thomas, Campbell and Williams Medical Center
reporter_type: Nurse
notes: Give Mr five listen. Although here paper even.
