<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-2025-914
Date of Submission: 2025-03-30

This report was submitted by a Pharmacist from Knight Inc Medical Center concerning patient ANON-PX-3217. The subject is an adult male with a significant medical history including seasonal allergies, migraines. 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): Gabapentin administered via the Intramuscular route at a dosage of 474mg, initiated on 2025-03-15 for Neuropathic pain and discontinued on 2025-03-29.

On approximately 2025-03-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Maculopapular Rash, Somnolence, Stevens-Johnson syndrome, Vomiting. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed approach and advised sit. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed control and advised job. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 6 was calculated, 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: Accept hit go recent make trouble. Contain away particular about.</data>
report_id: ADR-2025-914
report_date: '2025-03-30'
patient_details:
  patient_id: ANON-PX-3217
  gender: Male
  relevant_history:
  - seasonal allergies
  - migraines
suspected_drugs:
- drug_name: Gabapentin
  dosage: 474mg
  route_of_administration: Intramuscular
  start_date: '2025-03-15'
  indication_for_use: Neuropathic pain
  end_date: '2025-03-29'
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2025-03-25'
  severity: Severe
  outcome: Recovered
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2025-03-25'
  severity: Severe
  outcome: Unknown
  intervention_required: true
- symptom_name: Somnolence
  onset_date: '2025-03-25'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed approach and advised sit.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-03-25'
  severity: Moderate
  outcome: Unknown
  intervention_required: false
- symptom_name: Vomiting
  onset_date: '2025-03-25'
  severity: Severe
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed control and advised job.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 6
reporting_facility: Knight Inc Medical Center
reporter_type: Pharmacist
notes: Accept hit go recent make trouble. Contain away particular about.
