<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-2024-571
Date of Submission: 2024-11-13

This report was submitted by a Other Healthcare Professional from Nelson Ltd Medical Center concerning patient ANON-PX-4103. The subject is a 63-year-old other with a significant medical history including type 2 diabetes, seasonal allergies, chronic kidney disease, 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 administered via the Intramuscular route at a dosage of 338mg, initiated on 2024-08-16 for Major depressive disorder and discontinued on 2024-10-24; Omeprazole administered via the Intramuscular route at a dosage of 66mg, initiated on 2024-08-16 for Gastroesophageal reflux disease and discontinued on 2024-10-24.

On approximately 2024-08-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Diarrhea, Maculopapular Rash, Headache. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed bag and advised focus. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed who and advised although. The current patient status regarding this symptom is 'Unknown'. 

CAUSALITY ASSESSMENT:
An evaluation of causality was performed. 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: Lot stop everybody behind another try throw almost. Car land final mean almost I. Spring shake participant wonder yet professional. At before put.</data>
report_id: ADR-2024-571
report_date: '2024-11-13'
patient_details:
  patient_id: ANON-PX-4103
  gender: Other
  relevant_history:
  - type 2 diabetes
  - seasonal allergies
  - chronic kidney disease
  - migraines
  age_at_reaction: 63
suspected_drugs:
- drug_name: Sertraline
  dosage: 338mg
  route_of_administration: Intramuscular
  start_date: '2024-08-16'
  indication_for_use: Major depressive disorder
  end_date: '2024-10-24'
- drug_name: Omeprazole
  dosage: 66mg
  route_of_administration: Intramuscular
  start_date: '2024-08-16'
  indication_for_use: Gastroesophageal reflux disease
  end_date: '2024-10-24'
adverse_reactions:
- symptom_name: Dizziness
  onset_date: '2024-08-23'
  severity: Severe
  outcome: Not Recovered
  intervention_required: false
- symptom_name: Diarrhea
  onset_date: '2024-08-23'
  severity: Severe
  outcome: Fatal
  intervention_required: false
- symptom_name: Maculopapular Rash
  onset_date: '2024-08-23'
  severity: Moderate
  outcome: Recovering
  intervention_required: true
  intervention_details: Prescribed bag and advised focus.
- symptom_name: Headache
  onset_date: '2024-08-23'
  severity: Life-threatening
  outcome: Unknown
  intervention_required: true
  intervention_details: Prescribed who and advised although.
causality_assessment:
  assessment_conclusion: Probable
  dechallenge_rechallenge: Rechallenge not performed
reporting_facility: Nelson Ltd Medical Center
reporter_type: Other Healthcare Professional
notes: Lot stop everybody behind another try throw almost. Car land final mean almost
  I. Spring shake participant wonder yet professional. At before put.
