<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-2025-818
Date of Submission: 2025-01-04

This report was submitted by a Patient from Camacho-Lane Medical Center concerning patient ANON-PX-8054. The subject is a 37-year-old other with a significant medical history including 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): Gabapentin (Anticonvulsant) administered via the Intravenous route at a dosage of 240mg, initiated on 2024-10-07 for Neuropathic pain with the course ongoing; Amoxicillin administered via the Intravenous route at a dosage of 56mg, initiated on 2024-10-07 for Bacterial infection with the course ongoing.

On approximately 2024-12-07, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Diarrhea, Headache. The Angioedema 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed similar and advised avoid. The current patient status regarding this symptom is 'Recovered'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. A Naranjo score of 10 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. 

Reporter's Narrative Summary: Agent magazine listen common smile trade. Campaign to none each.</data>
report_id: ADR-2025-818
report_date: '2025-01-04'
patient_details:
  patient_id: ANON-PX-8054
  gender: Other
  relevant_history:
  - asthma
  - migraines
  age_at_reaction: 37
suspected_drugs:
- drug_name: Gabapentin
  dosage: 240mg
  route_of_administration: Intravenous
  start_date: '2024-10-07'
  indication_for_use: Neuropathic pain
  drug_class: Anticonvulsant
- drug_name: Amoxicillin
  dosage: 56mg
  route_of_administration: Intravenous
  start_date: '2024-10-07'
  indication_for_use: Bacterial infection
adverse_reactions:
- symptom_name: Angioedema
  onset_date: '2024-12-07'
  severity: Severe
  outcome: Unknown
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-12-07'
  severity: Moderate
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Headache
  onset_date: '2024-12-07'
  severity: Moderate
  outcome: Recovered
  intervention_required: true
  intervention_details: Prescribed similar and advised avoid.
causality_assessment:
  assessment_conclusion: Highly Probable
  dechallenge_rechallenge: Negative dechallenge
  naranjo_score: 10
reporting_facility: Camacho-Lane Medical Center
reporter_type: Patient
notes: Agent magazine listen common smile trade. Campaign to none each.
