<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-2024-769
Date of Submission: 2024-09-23

This report was submitted by a Nurse from Sawyer, Watts and Simpson Medical Center concerning patient ANON-PX-6574. The subject is a 23-year-old other with a significant medical history including chronic kidney disease, hypertension, atrial fibrillation. 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 (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 23mg, initiated on 2024-09-04 for Gastroesophageal reflux disease and discontinued on 2024-09-20; Gabapentin (Anticonvulsant) administered via the Oral route at a dosage of 261mg, initiated on 2024-09-04 for Neuropathic pain and discontinued on 2024-09-20.

On approximately 2024-09-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Anaphylaxis, Headache, Somnolence, Dizziness. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed technology and advised class. 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 rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Gas model environment hear push. Draw much fund institution. Second simple certain school.</data>
report_id: ADR-2024-769
report_date: '2024-09-23'
patient_details:
  patient_id: ANON-PX-6574
  gender: Other
  relevant_history:
  - chronic kidney disease
  - hypertension
  - atrial fibrillation
  age_at_reaction: 23
suspected_drugs:
- drug_name: Omeprazole
  dosage: 23mg
  route_of_administration: Subcutaneous
  start_date: '2024-09-04'
  indication_for_use: Gastroesophageal reflux disease
  drug_class: Proton-pump inhibitor
  end_date: '2024-09-20'
- drug_name: Gabapentin
  dosage: 261mg
  route_of_administration: Oral
  start_date: '2024-09-04'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
  end_date: '2024-09-20'
adverse_reactions:
- symptom_name: Pruritus
  onset_date: '2024-09-19'
  severity: Moderate
  outcome: Recovered
  intervention_required: false
- symptom_name: Anaphylaxis
  onset_date: '2024-09-19'
  severity: Life-threatening
  outcome: Fatal
  intervention_required: false
- symptom_name: Headache
  onset_date: '2024-09-19'
  severity: Mild
  outcome: Not Recovered
  intervention_required: true
- symptom_name: Somnolence
  onset_date: '2024-09-19'
  severity: Moderate
  outcome: Recovering
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2024-09-19'
  severity: Severe
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed technology and advised class.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Positive rechallenge
  naranjo_score: 5
reporting_facility: Sawyer, Watts and Simpson Medical Center
reporter_type: Nurse
notes: Gas model environment hear push. Draw much fund institution. Second simple
  certain school.
