<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-2024-597
Date of Submission: 2024-12-29

This report was submitted by a Pharmacist from Bailey PLC Medical Center concerning patient ANON-PX-5981. The subject is an adult male with a significant medical history including migraines, seasonal allergies, 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): Warfarin (Anticoagulant) administered via the Oral route at a dosage of 326mg, initiated on 2024-11-16 for Thromboembolism prevention and discontinued on 2024-12-12.

On approximately 2024-12-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Stevens-Johnson syndrome. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed another and advised PM. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed good and advised let. The current patient status regarding this symptom is 'Unknown'. 

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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: True brother discuss job order organization society. Same image off just. Wind identify forget then benefit.</data>
report_id: ADR-2024-597
report_date: '2024-12-29'
patient_details:
  patient_id: ANON-PX-5981
  gender: Male
  relevant_history:
  - migraines
  - seasonal allergies
  - asthma
suspected_drugs:
- drug_name: Warfarin
  dosage: 326mg
  route_of_administration: Oral
  start_date: '2024-11-16'
  indication_for_use: Thromboembolism prevention
  drug_class: Anticoagulant
  end_date: '2024-12-12'
adverse_reactions:
- symptom_name: Nausea
  onset_date: '2024-12-04'
  severity: Mild
  outcome: Fatal
  intervention_required: true
  intervention_details: Prescribed another and advised PM.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2024-12-04'
  severity: Moderate
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed good and advised let.
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 9
reporting_facility: Bailey PLC Medical Center
reporter_type: Pharmacist
notes: True brother discuss job order organization society. Same image off just. Wind
  identify forget then benefit.
