<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-2025-373
Date of Submission: 2025-06-05

This report was submitted by a Pharmacist from Ramsey LLC Medical Center concerning patient ANON-PX-1820. The subject is an adult female with a significant medical history including anxiety, chronic kidney disease. 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 (Penicillin antibiotic) administered via the Oral route at a dosage of 221mg, initiated on 2025-03-17 for Bacterial infection and discontinued on 2025-04-22.

On approximately 2025-04-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Vomiting, Diarrhea, Pruritus. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 10 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: Development education instead provide crime wrong.</data>
report_id: ADR-2025-373
report_date: '2025-06-05'
patient_details:
  patient_id: ANON-PX-1820
  gender: Female
  relevant_history:
  - anxiety
  - chronic kidney disease
suspected_drugs:
- drug_name: Amoxicillin
  dosage: 221mg
  route_of_administration: Oral
  start_date: '2025-03-17'
  indication_for_use: Bacterial infection
  drug_class: Penicillin antibiotic
  end_date: '2025-04-22'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2025-04-02'
  severity: Severe
  outcome: Recovering
  intervention_required: true
- symptom_name: Vomiting
  onset_date: '2025-04-02'
  severity: Severe
  outcome: Unknown
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2025-04-02'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-04-02'
  severity: Moderate
  outcome: Unknown
  intervention_required: false
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 10
reporting_facility: Ramsey LLC Medical Center
reporter_type: Pharmacist
notes: Development education instead provide crime wrong.
