<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-2024-167
Date of Submission: 2024-09-05

This report was submitted by a Other Healthcare Professional from Davis, Acosta and Jenkins Medical Center concerning patient ANON-PX-9235. The subject is an adult other with a significant medical history including coronary artery disease, anxiety, 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): Lisinopril administered via the Intramuscular route at a dosage of 116mg, initiated on 2024-06-19 for Hypertension and discontinued on 2024-08-31; Atorvastatin (Statin) administered via the Subcutaneous route at a dosage of 498mg, initiated on 2024-06-19 for Hypercholesterolemia and discontinued on 2024-08-31.

On approximately 2024-08-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Somnolence, Headache, Pruritus. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed small and advised leader. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed should and advised anyone. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. 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: School increase my hope least ground. Take season article wish take around water.</data>
report_id: ADR-2024-167
report_date: '2024-09-05'
patient_details:
  patient_id: ANON-PX-9235
  gender: Other
  relevant_history:
  - coronary artery disease
  - anxiety
  - atrial fibrillation
  - asthma
suspected_drugs:
- drug_name: Lisinopril
  dosage: 116mg
  route_of_administration: Intramuscular
  start_date: '2024-06-19'
  indication_for_use: Hypertension
  end_date: '2024-08-31'
- drug_name: Atorvastatin
  dosage: 498mg
  route_of_administration: Subcutaneous
  start_date: '2024-06-19'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
  end_date: '2024-08-31'
adverse_reactions:
- symptom_name: Diarrhea
  onset_date: '2024-08-27'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed small and advised leader.
- symptom_name: Somnolence
  onset_date: '2024-08-27'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed should and advised anyone.
- symptom_name: Headache
  onset_date: '2024-08-27'
  severity: Mild
  outcome: Fatal
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2024-08-27'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Davis, Acosta and Jenkins Medical Center
reporter_type: Other Healthcare Professional
notes: School increase my hope least ground. Take season article wish take around
  water.
