<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-2025-558
Date of Submission: 2025-06-23

This report was submitted by a Nurse from Robertson-Zuniga Medical Center concerning patient ANON-PX-7978. The subject is an adult male with a significant medical history including seasonal allergies, asthma, 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): Levothyroxine administered via the Intravenous route at a dosage of 368mg, initiated on 2025-03-25 for Hypothyroidism and discontinued on 2025-06-14; Atorvastatin administered via the Oral route at a dosage of 334mg, initiated on 2025-03-25 for Hypercholesterolemia and discontinued on 2025-06-14.

On approximately 2025-06-11, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Stevens-Johnson syndrome, Diarrhea, Pruritus, Somnolence. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed face and advised mention. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed black and advised wall. The current patient status regarding this symptom is 'Recovered'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 5 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: Light he tend girl beyond eat behavior tonight. Question per idea body administration society.</data>
report_id: ADR-2025-558
report_date: '2025-06-23'
patient_details:
  patient_id: ANON-PX-7978
  gender: Male
  relevant_history:
  - seasonal allergies
  - asthma
  - anxiety
  - chronic kidney disease
suspected_drugs:
- drug_name: Levothyroxine
  dosage: 368mg
  route_of_administration: Intravenous
  start_date: '2025-03-25'
  indication_for_use: Hypothyroidism
  end_date: '2025-06-14'
- drug_name: Atorvastatin
  dosage: 334mg
  route_of_administration: Oral
  start_date: '2025-03-25'
  indication_for_use: Hypercholesterolemia
  end_date: '2025-06-14'
adverse_reactions:
- symptom_name: Vomiting
  onset_date: '2025-06-11'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed face and advised mention.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-06-11'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed black and advised wall.
- symptom_name: Diarrhea
  onset_date: '2025-06-11'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: false
- symptom_name: Pruritus
  onset_date: '2025-06-11'
  severity: Severe
  outcome: Fatal
  intervention_required: false
- symptom_name: Somnolence
  onset_date: '2025-06-11'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive dechallenge
  naranjo_score: 5
reporting_facility: Robertson-Zuniga Medical Center
reporter_type: Nurse
notes: Light he tend girl beyond eat behavior tonight. Question per idea body administration
  society.
