<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-2025-822
Date of Submission: 2025-04-07

This report was submitted by a Other Healthcare Professional from Farmer-Mejia Medical Center concerning patient ANON-PX-1191. The subject is a 53-year-old female with a significant medical history including chronic kidney disease, coronary artery 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): Lisinopril administered via the Intramuscular route at a dosage of 84mg, initiated on 2025-01-22 for Hypertension and discontinued on 2025-03-22; Gabapentin administered via the Subcutaneous route at a dosage of 301mg, initiated on 2025-01-22 for Neuropathic pain and discontinued on 2025-03-22.

On approximately 2025-02-26, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Headache, Dizziness, Angioedema. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed computer and advised federal. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Angioedema was classified as Life-threatening 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 7 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Many answer first claim bar race. Letter ok station look age industry. Section marriage decade black from.</data>
report_id: ADR-2025-822
report_date: '2025-04-07'
patient_details:
  patient_id: ANON-PX-1191
  gender: Female
  relevant_history:
  - chronic kidney disease
  - coronary artery disease
  age_at_reaction: 53
suspected_drugs:
- drug_name: Lisinopril
  dosage: 84mg
  route_of_administration: Intramuscular
  start_date: '2025-01-22'
  indication_for_use: Hypertension
  end_date: '2025-03-22'
- drug_name: Gabapentin
  dosage: 301mg
  route_of_administration: Subcutaneous
  start_date: '2025-01-22'
  indication_for_use: Neuropathic pain
  end_date: '2025-03-22'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2025-02-26'
  severity: Mild
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed computer and advised federal.
- symptom_name: Headache
  onset_date: '2025-02-26'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-02-26'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
- symptom_name: Angioedema
  onset_date: '2025-02-26'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 7
reporting_facility: Farmer-Mejia Medical Center
reporter_type: Other Healthcare Professional
notes: Many answer first claim bar race. Letter ok station look age industry. Section
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