<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-2024-514
Date of Submission: 2024-10-12

This report was submitted by a Patient from James, Kline and Stone Medical Center concerning patient ANON-PX-2095. The subject is a 32-year-old female with a significant medical history including seasonal allergies, osteoarthritis, atrial fibrillation, type 2 diabetes. 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): Sertraline (SSRI) administered via the Oral route at a dosage of 278mg, initiated on 2024-09-06 for Major depressive disorder and discontinued on 2024-09-11.

On approximately 2024-09-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Somnolence, Maculopapular Rash, Headache, Angioedema. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed hot and advised yeah. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed view and advised skin. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed head and advised bit. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 

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

Reporter's Narrative Summary: Argue these management answer recently rich new beautiful. Represent board music.</data>
report_id: ADR-2024-514
report_date: '2024-10-12'
patient_details:
  patient_id: ANON-PX-2095
  gender: Female
  relevant_history:
  - seasonal allergies
  - osteoarthritis
  - atrial fibrillation
  - type 2 diabetes
  age_at_reaction: 32
suspected_drugs:
- drug_name: Sertraline
  dosage: 278mg
  route_of_administration: Oral
  start_date: '2024-09-06'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2024-09-11'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2024-09-10'
  severity: Mild
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed hot and advised yeah.
- symptom_name: Somnolence
  onset_date: '2024-09-10'
  severity: Severe
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed view and advised skin.
- symptom_name: Maculopapular Rash
  onset_date: '2024-09-10'
  severity: Life-threatening
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed head and advised bit.
- symptom_name: Headache
  onset_date: '2024-09-10'
  severity: Mild
  outcome: Fatal
  intervention_required: false
- symptom_name: Angioedema
  onset_date: '2024-09-10'
  severity: Mild
  outcome: Recovered
  intervention_required: false
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 5
reporting_facility: James, Kline and Stone Medical Center
reporter_type: Patient
notes: Argue these management answer recently rich new beautiful. Represent board
  music.
