<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-2025-514
Date of Submission: 2025-06-30

This report was submitted by a Pharmacist from Hanson, Lewis and Lewis Medical Center concerning patient ANON-PX-5025. The subject is an adult other with a significant medical history including seasonal allergies, osteoarthritis, chronic kidney disease. 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 (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 348mg, initiated on 2025-05-02 for Bacterial infection and discontinued on 2025-06-23.

On approximately 2025-06-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Anaphylaxis. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed vote and advised Mr. 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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Run whom personal box fire own. Push energy matter much just.</data>
report_id: ADR-2025-514
report_date: '2025-06-30'
patient_details:
  patient_id: ANON-PX-5025
  gender: Other
  relevant_history:
  - seasonal allergies
  - osteoarthritis
  - chronic kidney disease
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 348mg
  route_of_administration: Subcutaneous
  start_date: '2025-05-02'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-06-23'
adverse_reactions:
- symptom_name: Somnolence
  onset_date: '2025-06-22'
  severity: Severe
  outcome: Recovered
  intervention_required: true
- symptom_name: Anaphylaxis
  onset_date: '2025-06-22'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed vote and advised Mr.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
reporting_facility: Hanson, Lewis and Lewis Medical Center
reporter_type: Pharmacist
notes: Run whom personal box fire own. Push energy matter much just.
