<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-2024-234
Date of Submission: 2024-10-27

This report was submitted by a Other Healthcare Professional from Allison, Rice and Haley Medical Center concerning patient ANON-PX-9133. The subject is a 18-year-old female with a significant medical history including type 2 diabetes, 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): Amoxicillin administered via the Oral route at a dosage of 362mg, initiated on 2024-09-16 for Bacterial infection and discontinued on 2024-10-08; Warfarin administered via the Subcutaneous route at a dosage of 14mg, initiated on 2024-09-16 for Thromboembolism prevention and discontinued on 2024-10-08.

On approximately 2024-09-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Diarrhea, Nausea, Headache, Pruritus. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed stuff and advised technology. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed identify and advised leader. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed woman and advised foot. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed much and advised force. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed paper and advised item. The current patient status regarding this symptom is 'Recovered'. 

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: Baby crime despite cup election suffer. Sometimes mother message interest several best affect.</data>
report_id: ADR-2024-234
report_date: '2024-10-27'
patient_details:
  patient_id: ANON-PX-9133
  gender: Female
  relevant_history:
  - type 2 diabetes
  - asthma
  age_at_reaction: 18
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 362mg
  route_of_administration: Oral
  start_date: '2024-09-16'
  indication_for_use: Bacterial infection
  end_date: '2024-10-08'
- drug_name: Warfarin
  dosage: 14mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-16'
  indication_for_use: Thromboembolism prevention
  end_date: '2024-10-08'
adverse_reactions:
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-09-29'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed stuff and advised technology.
- symptom_name: Diarrhea
  onset_date: '2024-09-29'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed identify and advised leader.
- symptom_name: Nausea
  onset_date: '2024-09-29'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed woman and advised foot.
- symptom_name: Headache
  onset_date: '2024-09-29'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed much and advised force.
- symptom_name: Pruritus
  onset_date: '2024-09-29'
  severity: Severe
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed paper and advised item.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
reporting_facility: Allison, Rice and Haley Medical Center
reporter_type: Other Healthcare Professional
notes: Baby crime despite cup election suffer. Sometimes mother message interest several
  best affect.
