<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-2024-930
Date of Submission: 2024-08-25

This report was submitted by a Pharmacist from Warren Group Medical Center concerning patient ANON-PX-2658. The subject is a 47-year-old female with a significant medical history including osteoarthritis, coronary artery disease, chronic kidney disease, 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 60mg, initiated on 2024-08-11 for Hypercholesterolemia with the course ongoing.

On approximately 2024-08-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Stevens-Johnson syndrome, Maculopapular Rash, Diarrhea. The Angioedema was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed sell and advised eye. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Severe 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 9 was calculated, The assessment concluded the relationship was 'Highly 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: Scene audience hear power military ok.</data>
report_id: ADR-2024-930
report_date: '2024-08-25'
patient_details:
  patient_id: ANON-PX-2658
  gender: Female
  relevant_history:
  - osteoarthritis
  - coronary artery disease
  - chronic kidney disease
  - asthma
  age_at_reaction: 47
suspected_drugs:
- drug_name: Atorvastatin
  dosage: 60mg
  route_of_administration: Intravenous
  start_date: '2024-08-11'
  indication_for_use: Hypercholesterolemia
  drug_class: Statin
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2024-08-15'
  severity: Mild
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-08-15'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2024-08-15'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed sell and advised eye.
- symptom_name: Diarrhea
  onset_date: '2024-08-15'
  severity: Severe
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 9
reporting_facility: Warren Group Medical Center
reporter_type: Pharmacist
notes: Scene audience hear power military ok.
