<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-2025-294
Date of Submission: 2025-03-05

This report was submitted by a Patient from Bennett-Cohen Medical Center concerning patient ANON-PX-5790. The subject is a 73-year-old other with a significant medical history including type 2 diabetes, asthma, 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 administered via the Intravenous route at a dosage of 431mg, initiated on 2024-12-15 for Gastroesophageal reflux disease and discontinued on 2025-03-03.

On approximately 2025-02-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Dizziness, Headache, Vomiting, Diarrhea. The Pruritus was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed per and advised cell. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed long and advised when. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. 

</data>
report_id: ADR-2025-294
report_date: '2025-03-05'
patient_details:
  patient_id: ANON-PX-5790
  gender: Other
  relevant_history:
  - type 2 diabetes
  - asthma
  - atrial fibrillation
  age_at_reaction: 73
suspected_drugs:
- drug_name: Omeprazole
  dosage: 431mg
  route_of_administration: Intravenous
  start_date: '2024-12-15'
  indication_for_use: Gastroesophageal reflux disease
  end_date: '2025-03-03'
adverse_reactions:
- symptom_name: Pruritus
  onset_date: '2025-02-15'
  severity: Life-threatening
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Dizziness
  onset_date: '2025-02-15'
  severity: Severe
  outcome: Not Recovered
  intervention_required: true
  intervention_details: Prescribed per and advised cell.
- symptom_name: Headache
  onset_date: '2025-02-15'
  severity: Life-threatening
  outcome: Recovering
  intervention_required: false
- symptom_name: Vomiting
  onset_date: '2025-02-15'
  severity: Severe
  outcome: Unknown
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2025-02-15'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed long and advised when.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Not applicable
reporting_facility: Bennett-Cohen Medical Center
reporter_type: Patient
