<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-2024-944
Date of Submission: 2024-09-09

This report was submitted by a Nurse from Richardson, Jones and Potter Medical Center concerning patient ANON-PX-2647. The subject is an adult other with a significant medical history including coronary artery disease, chronic kidney disease, hypertension. 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 Subcutaneous route at a dosage of 17mg, initiated on 2024-07-03 for Hypercholesterolemia and discontinued on 2024-08-31; Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 58mg, initiated on 2024-07-03 for Bacterial infection and discontinued on 2024-08-31.

On approximately 2024-07-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Maculopapular Rash, Diarrhea. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed also and advised than. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed sing and advised small. The current patient status regarding this symptom is 'Fatal'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 8 was calculated, 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: Push operation throw item still your group.</data>
report_id: ADR-2024-944
report_date: '2024-09-09'
patient_details:
  patient_id: ANON-PX-2647
  gender: Other
  relevant_history:
  - coronary artery disease
  - chronic kidney disease
  - hypertension
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 17mg
  route_of_administration: Subcutaneous
  start_date: '2024-07-03'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2024-08-31'
- drug_name: Amoxicillin
  dosage: 58mg
  route_of_administration: Topical
  start_date: '2024-07-03'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2024-08-31'
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-07-13'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed also and advised than.
- symptom_name: Maculopapular Rash
  onset_date: '2024-07-13'
  severity: Mild
  outcome: Recovering
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-07-13'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed sing and advised small.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 8
reporting_facility: Richardson, Jones and Potter Medical Center
reporter_type: Nurse
notes: Push operation throw item still your group.
