<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-2025-704
Date of Submission: 2025-05-26

This report was submitted by a Pharmacist from Grant Group Medical Center concerning patient ANON-PX-5825. The subject is an adult other with a significant medical history including anxiety, 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 366mg, initiated on 2025-05-17 for Hypercholesterolemia and discontinued on 2025-05-24.

On approximately 2025-05-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Anaphylaxis, Dizziness, Hepatotoxicity, Pruritus. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly Probable'. 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: Thousand week adult hold everybody mission some. Cover yet stock red change ever remember news.</data>
report_id: ADR-2025-704
report_date: '2025-05-26'
patient_details:
  patient_id: ANON-PX-5825
  gender: Other
  relevant_history:
  - anxiety
  - asthma
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 366mg
  route_of_administration: Intravenous
  start_date: '2025-05-17'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2025-05-24'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2025-05-24'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: false
- symptom_name: Anaphylaxis
  onset_date: '2025-05-24'
  severity: Severe
  outcome: Recovering
  intervention_required: true
- symptom_name: Dizziness
  onset_date: '2025-05-24'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Hepatotoxicity
  onset_date: '2025-05-24'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-05-24'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Not applicable
  naranjo_score: 9
reporting_facility: Grant Group Medical Center
reporter_type: Pharmacist
notes: Thousand week adult hold everybody mission some. Cover yet stock red change
  ever remember news.
