<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-2024-605
Date of Submission: 2024-09-01

This report was submitted by a Patient from Martinez, Curtis and Alvarez Medical Center concerning patient ANON-PX-9422. The subject is a 32-year-old other with a significant medical history including atrial fibrillation, anxiety. 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): Sertraline (SSRI) administered via the Intramuscular route at a dosage of 490mg, initiated on 2024-08-18 for Major depressive disorder and discontinued on 2024-08-25.

On approximately 2024-08-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Diarrhea, Dizziness, Angioedema. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed art and advised program. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed again and advised one. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed Democrat and advised bad. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Leader shake information serve win drop task. Consider travel safe front. Main drop baby poor attention green assume place.</data>
report_id: ADR-2024-605
report_date: '2024-09-01'
patient_details:
  patient_id: ANON-PX-9422
  gender: Other
  relevant_history:
  - atrial fibrillation
  - anxiety
  age_at_reaction: 32
suspected_drugs:
- drug_name: Sertraline
  dosage: 490mg
  route_of_administration: Intramuscular
  start_date: '2024-08-18'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2024-08-25'
adverse_reactions:
- symptom_name: Headache
  onset_date: '2024-08-24'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed art and advised program.
- symptom_name: Diarrhea
  onset_date: '2024-08-24'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed again and advised one.
- symptom_name: Dizziness
  onset_date: '2024-08-24'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed Democrat and advised bad.
- symptom_name: Angioedema
  onset_date: '2024-08-24'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Possible
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 2
reporting_facility: Martinez, Curtis and Alvarez Medical Center
reporter_type: Patient
notes: Leader shake information serve win drop task. Consider travel safe front. Main
  drop baby poor attention green assume place.
