<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-2025-930
Date of Submission: 2025-08-01

This report was submitted by a Nurse from Turner, Martinez and Parker Medical Center concerning patient ANON-PX-6277. The subject is an adult female with a significant medical history including hypertension, coronary artery disease, asthma, migraines. 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 Intramuscular route at a dosage of 471mg, initiated on 2025-05-24 for Major depressive disorder and discontinued on 2025-07-20.

On approximately 2025-07-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Pruritus, Dizziness, Diarrhea, Stevens-Johnson syndrome. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed six and advised reveal. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed care and advised plan. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed authority and advised cost. The current patient status regarding this symptom is 'Recovered'. 

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: Interest smile work could bag institution eight. Nor structure economic risk set. Value animal night mouth.</data>
report_id: ADR-2025-930
report_date: '2025-08-01'
patient_details:
  patient_id: ANON-PX-6277
  gender: Female
  relevant_history:
  - hypertension
  - coronary artery disease
  - asthma
  - migraines
suspected_drugs:
- drug_name: Sertraline
  dosage: 471mg
  route_of_administration: Intramuscular
  start_date: '2025-05-24'
  indication_for_use: Major depressive disorder
  drug_class: SSRI
  end_date: '2025-07-20'
adverse_reactions:
- symptom_name: Maculopapular Rash
  onset_date: '2025-07-09'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
- symptom_name: Pruritus
  onset_date: '2025-07-09'
  severity: Mild
  outcome: Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-07-09'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed six and advised reveal.
- symptom_name: Diarrhea
  onset_date: '2025-07-09'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed care and advised plan.
- symptom_name: Stevens-Johnson syndrome
  onset_date: '2025-07-09'
  severity: Mild
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed authority and advised cost.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
  naranjo_score: 7
reporting_facility: Turner, Martinez and Parker Medical Center
reporter_type: Nurse
notes: Interest smile work could bag institution eight. Nor structure economic risk
  set. Value animal night mouth.
