<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-2024-857
Date of Submission: 2024-12-03

This report was submitted by a Pharmacist from Hernandez-Terrell Medical Center concerning patient ANON-PX-9926. The subject is a 61-year-old other with a significant medical history including anxiety, hypertension. 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): Omeprazole administered via the Topical route at a dosage of 55mg, initiated on 2024-09-07 for Gastroesophageal reflux disease and discontinued on 2024-11-26.

On approximately 2024-11-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Somnolence, Diarrhea, Headache. The Maculopapular Rash was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed either and advised certain. The current patient status regarding this symptom is 'Recovered'. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed expect and advised however. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 8 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Finish better speak. Everything improve American high read pass feel. Magazine officer difference sound western fly natural.</data>
report_id: ADR-2024-857
report_date: '2024-12-03'
patient_details:
  patient_id: ANON-PX-9926
  gender: Other
  relevant_history:
  - anxiety
  - hypertension
  age_at_reaction: 61
suspected_drugs:
- drug_name: Omeprazole
  dosage: 55mg
  route_of_administration: Topical
  start_date: '2024-09-07'
  indication_for_use: Gastroesophageal reflux disease
  end_date: '2024-11-26'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2024-11-19'
  severity: Severe
  outcome: Recovered
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2024-11-19'
  severity: Severe
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed either and advised certain.
- symptom_name: Diarrhea
  onset_date: '2024-11-19'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed expect and advised however.
- symptom_name: Headache
  onset_date: '2024-11-19'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 8
reporting_facility: Hernandez-Terrell Medical Center
reporter_type: Pharmacist
notes: Finish better speak. Everything improve American high read pass feel. Magazine
  officer difference sound western fly natural.
