<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-2025-115
Date of Submission: 2025-04-28

This report was submitted by a Pharmacist from Cameron-Green Medical Center concerning patient ANON-PX-9173. The subject is an adult male with a significant medical history including coronary artery disease, atrial fibrillation, 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): Gabapentin (Anticonvulsant) administered via the Topical route at a dosage of 410mg, initiated on 2025-02-23 for Neuropathic pain and discontinued on 2025-04-18; Atorvastatin (Statin) administered via the Intramuscular route at a dosage of 76mg, initiated on 2025-02-23 for Hypercholesterolemia and discontinued on 2025-04-18.

On approximately 2025-04-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Somnolence, Pruritus, Dizziness, Angioedema. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed most and advised road. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed scientist and advised bank. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed once and advised way. The current patient status regarding this symptom is 'Recovering'. 

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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Worker morning bar truth fly raise. Day public worry guess exist camera. Here marriage television seven. Whole ok expect live authority.</data>
report_id: ADR-2025-115
report_date: '2025-04-28'
patient_details:
  patient_id: ANON-PX-9173
  gender: Male
  relevant_history:
  - coronary artery disease
  - atrial fibrillation
  - asthma
suspected_drugs:
- drug_name: Gabapentin
  dosage: 410mg
  route_of_administration: Topical
  start_date: '2025-02-23'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2025-04-18'
- drug_name: Atorvastatin
  dosage: 76mg
  route_of_administration: Intramuscular
  start_date: '2025-02-23'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2025-04-18'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2025-04-18'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed most and advised road.
- symptom_name: Somnolence
  onset_date: '2025-04-18'
  severity: Severe
  outcome: Recovered
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-04-18'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
- symptom_name: Dizziness
  onset_date: '2025-04-18'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed scientist and advised bank.
- symptom_name: Angioedema
  onset_date: '2025-04-18'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed once and advised way.
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 4
reporting_facility: Cameron-Green Medical Center
reporter_type: Pharmacist
notes: Worker morning bar truth fly raise. Day public worry guess exist camera. Here
  marriage television seven. Whole ok expect live authority.
