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<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-2025-111 Date of Submission: 2025-01-01 This report was submitted by a Pharmacist from Mason LLC Medical Center concerning patient ANON-PX-5449. The subject is a 74-year-old female with a significant medical history including hypertension, migraines, seasonal allergies, 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): Atorvastatin (Statin) administered via the Topical route at a dosage of 432mg, initiated on 2024-10-22 for Hypercholesterolemia and discontinued on 2024-12-16. On approximately 2024-10-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Nausea, Angioedema, Anaphylaxis, Pruritus. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Anaphylaxis was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Base participant door carry wind so certainly. Energy modern both too whose positive.</data>
report_id: ADR-2025-111 report_date: '2025-01-01' patient_details: patient_id: ANON-PX-5449 gender: Female relevant_history: - hypertension - migraines - seasonal allergies - atrial fibrillation age_at_reaction: 74 suspected_drugs: - drug_name: Atorvastatin dosage: 432mg route_of_administration: Topical start_date: '2024-10-22' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-12-16' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-10-23' severity: Moderate outcome: Not Recovered intervention_required: true - symptom_name: Nausea onset_date: '2024-10-23' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2024-10-23' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Anaphylaxis onset_date: '2024-10-23' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2024-10-23' severity: Mild outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Mason LLC Medical Center reporter_type: Pharmacist notes: Base participant door carry wind so certainly. Energy modern both too whose positive.
<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-2025-631 Date of Submission: 2025-04-07 This report was submitted by a Nurse from Williams, Collins and Ryan Medical Center concerning patient ANON-PX-5983. The subject is an adult male with a significant medical history including migraines, seasonal allergies, anxiety, hypertension. 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): Lisinopril (ACE inhibitor) administered via the Topical route at a dosage of 286mg, initiated on 2025-01-26 for Hypertension and discontinued on 2025-02-25. On approximately 2025-02-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Diarrhea, Maculopapular Rash, Vomiting, Nausea. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed mean and advised everybody. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Area article community PM want since law often. Relate staff live yeah expert with. Hit treat design themselves resource particularly.</data>
report_id: ADR-2025-631 report_date: '2025-04-07' patient_details: patient_id: ANON-PX-5983 gender: Male relevant_history: - migraines - seasonal allergies - anxiety - hypertension suspected_drugs: - drug_name: Lisinopril dosage: 286mg route_of_administration: Topical start_date: '2025-01-26' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-02-25' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-02-04' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Diarrhea onset_date: '2025-02-04' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed mean and advised everybody. - symptom_name: Maculopapular Rash onset_date: '2025-02-04' severity: Mild outcome: Recovering intervention_required: true - symptom_name: Vomiting onset_date: '2025-02-04' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Nausea onset_date: '2025-02-04' severity: Moderate outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 7 reporting_facility: Williams, Collins and Ryan Medical Center reporter_type: Nurse notes: Area article community PM want since law often. Relate staff live yeah expert with. Hit treat design themselves resource particularly.
<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-2024-189 Date of Submission: 2024-10-29 This report was submitted by a Physician from Ward-Smith Medical Center concerning patient ANON-PX-1438. The subject is a 18-year-old female with a significant medical history including chronic kidney disease, asthma. 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): Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 250mg, initiated on 2024-09-24 for Bacterial infection and discontinued on 2024-10-26; Metformin (Biguanide) administered via the Subcutaneous route at a dosage of 21mg, initiated on 2024-09-24 for Type 2 diabetes and discontinued on 2024-10-26. On approximately 2024-10-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome. The Anaphylaxis was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed join and advised foot. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 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. </data>
report_id: ADR-2024-189 report_date: '2024-10-29' patient_details: patient_id: ANON-PX-1438 gender: Female relevant_history: - chronic kidney disease - asthma age_at_reaction: 18 suspected_drugs: - drug_name: Amoxicillin dosage: 250mg route_of_administration: Subcutaneous start_date: '2024-09-24' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2024-10-26' - drug_name: Metformin dosage: 21mg route_of_administration: Subcutaneous start_date: '2024-09-24' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-10-26' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-10-17' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-10-17' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed join and advised foot. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 8 reporting_facility: Ward-Smith Medical Center reporter_type: Physician
<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.
<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-2025-954 Date of Submission: 2025-07-11 This report was submitted by a Patient from Olson-Young Medical Center concerning patient ANON-PX-9605. The subject is a 71-year-old female with a significant medical history including coronary artery disease, asthma. 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): Amoxicillin (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 280mg, initiated on 2025-06-14 for Bacterial infection with the course ongoing; Ibuprofen administered via the Intramuscular route at a dosage of 68mg, initiated on 2025-06-14 for Pain and inflammation with the course ongoing. On approximately 2025-06-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Somnolence, Diarrhea. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed star and advised night. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed growth and advised become. 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 election and advised blue. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-954 report_date: '2025-07-11' patient_details: patient_id: ANON-PX-9605 gender: Female relevant_history: - coronary artery disease - asthma age_at_reaction: 71 suspected_drugs: - drug_name: Amoxicillin dosage: 280mg route_of_administration: Intramuscular start_date: '2025-06-14' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic - drug_name: Ibuprofen dosage: 68mg route_of_administration: Intramuscular start_date: '2025-06-14' indication_for_use: Pain and inflammation adverse_reactions: - symptom_name: Headache onset_date: '2025-06-28' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed star and advised night. - symptom_name: Somnolence onset_date: '2025-06-28' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed growth and advised become. - symptom_name: Diarrhea onset_date: '2025-06-28' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed election and advised blue. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Olson-Young Medical Center reporter_type: Patient
<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-2025-504 Date of Submission: 2025-02-10 This report was submitted by a Other Healthcare Professional from Morales Inc Medical Center concerning patient ANON-PX-2307. The subject is a 87-year-old female with a significant medical history including type 2 diabetes, hypertension. 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): Ibuprofen administered via the Intramuscular route at a dosage of 361mg, initiated on 2025-01-10 for Pain and inflammation and discontinued on 2025-02-07. On approximately 2025-02-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Maculopapular Rash, Pruritus, Anaphylaxis. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Son new line sea technology. Grow nothing trial weight including.</data>
report_id: ADR-2025-504 report_date: '2025-02-10' patient_details: patient_id: ANON-PX-2307 gender: Female relevant_history: - type 2 diabetes - hypertension age_at_reaction: 87 suspected_drugs: - drug_name: Ibuprofen dosage: 361mg route_of_administration: Intramuscular start_date: '2025-01-10' indication_for_use: Pain and inflammation end_date: '2025-02-07' adverse_reactions: - symptom_name: Headache onset_date: '2025-02-06' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Maculopapular Rash onset_date: '2025-02-06' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-02-06' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-02-06' severity: Moderate outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Morales Inc Medical Center reporter_type: Other Healthcare Professional notes: Son new line sea technology. Grow nothing trial weight including.
<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-2024-158 Date of Submission: 2024-12-25 This report was submitted by a Patient from Hurley-Walter Medical Center concerning patient ANON-PX-4435. The subject is an adult female with a significant medical history including migraines, atrial fibrillation, seasonal allergies, type 2 diabetes. 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 Intravenous route at a dosage of 486mg, initiated on 2024-11-30 for Gastroesophageal reflux disease and discontinued on 2024-12-17. On approximately 2024-12-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Nausea, Stevens-Johnson syndrome, Diarrhea, Anaphylaxis. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed company and advised executive. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed drug and advised smile. The current patient status regarding this symptom is 'Recovered'. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed listen and advised trip. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed beautiful and advised nature. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Billion move go quite PM draw analysis. Point sister protect be billion food.</data>
report_id: ADR-2024-158 report_date: '2024-12-25' patient_details: patient_id: ANON-PX-4435 gender: Female relevant_history: - migraines - atrial fibrillation - seasonal allergies - type 2 diabetes suspected_drugs: - drug_name: Omeprazole dosage: 486mg route_of_administration: Intravenous start_date: '2024-11-30' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2024-12-17' adverse_reactions: - symptom_name: Angioedema onset_date: '2024-12-16' severity: Severe outcome: Not Recovered intervention_required: true - symptom_name: Nausea onset_date: '2024-12-16' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed company and advised executive. - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-16' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed drug and advised smile. - symptom_name: Diarrhea onset_date: '2024-12-16' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed listen and advised trip. - symptom_name: Anaphylaxis onset_date: '2024-12-16' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed beautiful and advised nature. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 2 reporting_facility: Hurley-Walter Medical Center reporter_type: Patient notes: Billion move go quite PM draw analysis. Point sister protect be billion food.
<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-2025-699 Date of Submission: 2025-05-07 This report was submitted by a Patient from Moreno, Ross and Ramos Medical Center concerning patient ANON-PX-6289. The subject is a 77-year-old other with a significant medical history including atrial fibrillation, migraines, asthma, anxiety. 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): Levothyroxine administered via the Intramuscular route at a dosage of 274mg, initiated on 2025-02-24 for Hypothyroidism and discontinued on 2025-03-14; Ibuprofen (NSAID) administered via the Oral route at a dosage of 142mg, initiated on 2025-02-24 for Pain and inflammation and discontinued on 2025-03-14. On approximately 2025-02-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Somnolence, Diarrhea, Anaphylaxis. The Hepatotoxicity was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed voice and advised song. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Anaphylaxis was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-699 report_date: '2025-05-07' patient_details: patient_id: ANON-PX-6289 gender: Other relevant_history: - atrial fibrillation - migraines - asthma - anxiety age_at_reaction: 77 suspected_drugs: - drug_name: Levothyroxine dosage: 274mg route_of_administration: Intramuscular start_date: '2025-02-24' indication_for_use: Hypothyroidism end_date: '2025-03-14' - drug_name: Ibuprofen dosage: 142mg route_of_administration: Oral start_date: '2025-02-24' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-03-14' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-02-28' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed voice and advised song. - symptom_name: Somnolence onset_date: '2025-02-28' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Diarrhea onset_date: '2025-02-28' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-02-28' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Moreno, Ross and Ramos Medical Center reporter_type: Patient
<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-2025-209 Date of Submission: 2025-04-23 This report was submitted by a Pharmacist from Jimenez-Wilson Medical Center concerning patient ANON-PX-4847. The subject is a 76-year-old female with a significant medical history including atrial fibrillation, chronic kidney disease. 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): Atorvastatin administered via the Oral route at a dosage of 362mg, initiated on 2025-01-31 for Hypercholesterolemia and discontinued on 2025-04-20. On approximately 2025-03-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Angioedema, Anaphylaxis. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Angioedema was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Anaphylaxis was classified as Mild in severity. No specific therapeutic intervention was required. 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. </data>
report_id: ADR-2025-209 report_date: '2025-04-23' patient_details: patient_id: ANON-PX-4847 gender: Female relevant_history: - atrial fibrillation - chronic kidney disease age_at_reaction: 76 suspected_drugs: - drug_name: Atorvastatin dosage: 362mg route_of_administration: Oral start_date: '2025-01-31' indication_for_use: Hypercholesterolemia end_date: '2025-04-20' adverse_reactions: - symptom_name: Headache onset_date: '2025-03-18' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Angioedema onset_date: '2025-03-18' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-03-18' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Jimenez-Wilson Medical Center reporter_type: Pharmacist
<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-2024-686 Date of Submission: 2024-09-10 This report was submitted by a Pharmacist from Moore and Sons Medical Center concerning patient ANON-PX-8978. The subject is an adult other with a significant medical history including chronic kidney disease, hypertension. 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 Intravenous route at a dosage of 187mg, initiated on 2024-08-03 for Major depressive disorder and discontinued on 2024-08-29; Levothyroxine (Thyroid hormone) administered via the Intravenous route at a dosage of 408mg, initiated on 2024-08-03 for Hypothyroidism and discontinued on 2024-08-29. On approximately 2024-08-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Anaphylaxis. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed standard and advised everyone. The current patient status regarding this symptom is 'Recovering'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed play and advised have. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Enough truth she leg. Newspaper be prevent school style. Again south world herself six could.</data>
report_id: ADR-2024-686 report_date: '2024-09-10' patient_details: patient_id: ANON-PX-8978 gender: Other relevant_history: - chronic kidney disease - hypertension suspected_drugs: - drug_name: Sertraline dosage: 187mg route_of_administration: Intravenous start_date: '2024-08-03' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-08-29' - drug_name: Levothyroxine dosage: 408mg route_of_administration: Intravenous start_date: '2024-08-03' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-08-29' adverse_reactions: - symptom_name: Vomiting onset_date: '2024-08-24' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed standard and advised everyone. - symptom_name: Anaphylaxis onset_date: '2024-08-24' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed play and advised have. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 4 reporting_facility: Moore and Sons Medical Center reporter_type: Pharmacist notes: Enough truth she leg. Newspaper be prevent school style. Again south world herself six could.
<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-2025-977 Date of Submission: 2025-02-18 This report was submitted by a Other Healthcare Professional from Mendoza-Mccormick Medical Center concerning patient ANON-PX-9127. The subject is a 36-year-old other with a significant medical history including seasonal allergies, 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): Amoxicillin (Penicillin antibiotic) administered via the Intramuscular route at a dosage of 158mg, initiated on 2024-12-24 for Bacterial infection and discontinued on 2025-02-04. On approximately 2025-02-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Hepatotoxicity, Diarrhea, Nausea, Vomiting. 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 Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed anything and advised six. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed prevent and advised performance. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-977 report_date: '2025-02-18' patient_details: patient_id: ANON-PX-9127 gender: Other relevant_history: - seasonal allergies - hypertension - atrial fibrillation age_at_reaction: 36 suspected_drugs: - drug_name: Amoxicillin dosage: 158mg route_of_administration: Intramuscular start_date: '2024-12-24' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-02-04' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-02-04' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-02-04' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Diarrhea onset_date: '2025-02-04' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed anything and advised six. - symptom_name: Nausea onset_date: '2025-02-04' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed prevent and advised performance. - symptom_name: Vomiting onset_date: '2025-02-04' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Mendoza-Mccormick Medical Center reporter_type: Other Healthcare Professional
<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-2025-394 Date of Submission: 2025-07-11 This report was submitted by a Physician from Ferguson Inc Medical Center concerning patient ANON-PX-7559. The subject is a 44-year-old male with a significant medical history including seasonal allergies, chronic kidney disease, osteoarthritis. 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): Metformin (Biguanide) administered via the Oral route at a dosage of 73mg, initiated on 2025-04-24 for Type 2 diabetes with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Intravenous route at a dosage of 53mg, initiated on 2025-04-24 for Gastroesophageal reflux disease with the course ongoing. On approximately 2025-05-05, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Maculopapular Rash, Nausea. The Anaphylaxis was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed left and advised deep. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. 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: Pressure improve power data somebody watch measure matter. Building party push box.</data>
report_id: ADR-2025-394 report_date: '2025-07-11' patient_details: patient_id: ANON-PX-7559 gender: Male relevant_history: - seasonal allergies - chronic kidney disease - osteoarthritis age_at_reaction: 44 suspected_drugs: - drug_name: Metformin dosage: 73mg route_of_administration: Oral start_date: '2025-04-24' indication_for_use: Type 2 diabetes drug_class: Biguanide - drug_name: Omeprazole dosage: 53mg route_of_administration: Intravenous start_date: '2025-04-24' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-05-05' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-05-05' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed left and advised deep. - symptom_name: Nausea onset_date: '2025-05-05' severity: Moderate outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Ferguson Inc Medical Center reporter_type: Physician notes: Pressure improve power data somebody watch measure matter. Building party push box.
<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-2024-130 Date of Submission: 2024-10-04 This report was submitted by a Nurse from Smith, Smith and Mclaughlin Medical Center concerning patient ANON-PX-5745. The subject is an adult other with a significant medical history including migraines, hypertension. 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): Lisinopril administered via the Intravenous route at a dosage of 298mg, initiated on 2024-07-08 for Hypertension and discontinued on 2024-09-02. On approximately 2024-08-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Diarrhea, Stevens-Johnson syndrome, Hepatotoxicity, Dizziness. The Somnolence was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed contain and advised place. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Life-threatening 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. 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: Huge individual sound can be. Relationship discover more cup power message.</data>
report_id: ADR-2024-130 report_date: '2024-10-04' patient_details: patient_id: ANON-PX-5745 gender: Other relevant_history: - migraines - hypertension suspected_drugs: - drug_name: Lisinopril dosage: 298mg route_of_administration: Intravenous start_date: '2024-07-08' indication_for_use: Hypertension end_date: '2024-09-02' adverse_reactions: - symptom_name: Somnolence onset_date: '2024-08-30' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2024-08-30' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-30' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed contain and advised place. - symptom_name: Hepatotoxicity onset_date: '2024-08-30' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Dizziness onset_date: '2024-08-30' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Smith, Smith and Mclaughlin Medical Center reporter_type: Nurse notes: Huge individual sound can be. Relationship discover more cup power message.
<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-2025-828 Date of Submission: 2025-05-28 This report was submitted by a Nurse from Brewer and Sons Medical Center concerning patient ANON-PX-8238. The subject is a 78-year-old male with a significant medical history including asthma, seasonal allergies, 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 Oral route at a dosage of 141mg, initiated on 2025-03-30 for Major depressive disorder and discontinued on 2025-05-09. On approximately 2025-05-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Vomiting, Nausea. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Life-threatening in severity. No specific therapeutic intervention was required. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-828 report_date: '2025-05-28' patient_details: patient_id: ANON-PX-8238 gender: Male relevant_history: - asthma - seasonal allergies - migraines age_at_reaction: 78 suspected_drugs: - drug_name: Sertraline dosage: 141mg route_of_administration: Oral start_date: '2025-03-30' indication_for_use: Major depressive disorder end_date: '2025-05-09' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-05-08' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Vomiting onset_date: '2025-05-08' severity: Mild outcome: Fatal intervention_required: true - symptom_name: Nausea onset_date: '2025-05-08' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 5 reporting_facility: Brewer and Sons Medical Center reporter_type: Nurse
<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-2025-755 Date of Submission: 2025-07-15 This report was submitted by a Pharmacist from Smith-Swanson Medical Center concerning patient ANON-PX-9326. The subject is a 47-year-old other with a significant medical history including hypertension, coronary artery disease, seasonal allergies. 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): Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 52mg, initiated on 2025-06-28 for Pain and inflammation and discontinued on 2025-07-09. On approximately 2025-06-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Stevens-Johnson syndrome, Dizziness, Hepatotoxicity, Anaphylaxis. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed leader and advised task. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Hepatotoxicity was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed hundred and advised attack. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-755 report_date: '2025-07-15' patient_details: patient_id: ANON-PX-9326 gender: Other relevant_history: - hypertension - coronary artery disease - seasonal allergies age_at_reaction: 47 suspected_drugs: - drug_name: Ibuprofen dosage: 52mg route_of_administration: Intramuscular start_date: '2025-06-28' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-07-09' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-06-29' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed leader and advised task. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-29' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Dizziness onset_date: '2025-06-29' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-06-29' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-06-29' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed hundred and advised attack. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 9 reporting_facility: Smith-Swanson Medical Center reporter_type: Pharmacist
<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-2025-883 Date of Submission: 2025-04-05 This report was submitted by a Physician from Parks LLC Medical Center concerning patient ANON-PX-7208. The subject is a 36-year-old male with a significant medical history including coronary artery disease, chronic kidney disease. 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): Lisinopril (ACE inhibitor) administered via the Oral route at a dosage of 86mg, initiated on 2025-02-09 for Hypertension with the course ongoing. On approximately 2025-03-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Diarrhea, Headache, Pruritus, Vomiting. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed future and advised civil. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed east and advised I. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed policy and advised visit. The current patient status regarding this symptom is 'Unknown'. 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: Treatment only across stuff responsibility. Body recognize few together mean unit material.</data>
report_id: ADR-2025-883 report_date: '2025-04-05' patient_details: patient_id: ANON-PX-7208 gender: Male relevant_history: - coronary artery disease - chronic kidney disease age_at_reaction: 36 suspected_drugs: - drug_name: Lisinopril dosage: 86mg route_of_administration: Oral start_date: '2025-02-09' indication_for_use: Hypertension drug_class: ACE inhibitor adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-03-24' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Diarrhea onset_date: '2025-03-24' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-03-24' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed future and advised civil. - symptom_name: Pruritus onset_date: '2025-03-24' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed east and advised I. - symptom_name: Vomiting onset_date: '2025-03-24' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed policy and advised visit. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 7 reporting_facility: Parks LLC Medical Center reporter_type: Physician notes: Treatment only across stuff responsibility. Body recognize few together mean unit material.
<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-2025-667 Date of Submission: 2025-02-19 This report was submitted by a Nurse from Ramirez, Hubbard and Preston Medical Center concerning patient ANON-PX-4283. The subject is a 48-year-old other with a significant medical history including coronary artery disease, seasonal allergies. 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): Levothyroxine administered via the Topical route at a dosage of 500mg, initiated on 2024-12-16 for Hypothyroidism with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Oral route at a dosage of 261mg, initiated on 2024-12-16 for Gastroesophageal reflux disease with the course ongoing. On approximately 2025-02-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Vomiting, Pruritus. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Other remember set arm security. Need deep yourself color.</data>
report_id: ADR-2025-667 report_date: '2025-02-19' patient_details: patient_id: ANON-PX-4283 gender: Other relevant_history: - coronary artery disease - seasonal allergies age_at_reaction: 48 suspected_drugs: - drug_name: Levothyroxine dosage: 500mg route_of_administration: Topical start_date: '2024-12-16' indication_for_use: Hypothyroidism - drug_name: Omeprazole dosage: 261mg route_of_administration: Oral start_date: '2024-12-16' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-02-04' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Vomiting onset_date: '2025-02-04' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Pruritus onset_date: '2025-02-04' severity: Life-threatening outcome: Recovering intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 5 reporting_facility: Ramirez, Hubbard and Preston Medical Center reporter_type: Nurse notes: Other remember set arm security. Need deep yourself color.
<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-2025-633 Date of Submission: 2025-02-09 This report was submitted by a Nurse from Lozano, Weber and Weber Medical Center concerning patient ANON-PX-8255. The subject is an adult other with a significant medical history including hypertension, asthma, type 2 diabetes. 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 Intramuscular route at a dosage of 50mg, initiated on 2024-12-03 for Gastroesophageal reflux disease and discontinued on 2025-01-20; Levothyroxine administered via the Topical route at a dosage of 10mg, initiated on 2024-12-03 for Hypothyroidism and discontinued on 2025-01-20. On approximately 2024-12-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Diarrhea, Angioedema, Hepatotoxicity. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed age and advised couple. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Pull likely its go yard. Play certainly read after PM. Training knowledge sign action.</data>
report_id: ADR-2025-633 report_date: '2025-02-09' patient_details: patient_id: ANON-PX-8255 gender: Other relevant_history: - hypertension - asthma - type 2 diabetes suspected_drugs: - drug_name: Omeprazole dosage: 50mg route_of_administration: Intramuscular start_date: '2024-12-03' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-01-20' - drug_name: Levothyroxine dosage: 10mg route_of_administration: Topical start_date: '2024-12-03' indication_for_use: Hypothyroidism end_date: '2025-01-20' adverse_reactions: - symptom_name: Pruritus onset_date: '2024-12-30' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2024-12-30' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Angioedema onset_date: '2024-12-30' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed age and advised couple. - symptom_name: Hepatotoxicity onset_date: '2024-12-30' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 2 reporting_facility: Lozano, Weber and Weber Medical Center reporter_type: Nurse notes: Pull likely its go yard. Play certainly read after PM. Training knowledge sign action.
<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-2025-451 Date of Submission: 2025-05-17 This report was submitted by a Nurse from Harris, Kent and Wilcox Medical Center concerning patient ANON-PX-4500. The subject is a 18-year-old female with a significant medical history including type 2 diabetes, seasonal allergies. 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): Levothyroxine administered via the Intravenous route at a dosage of 196mg, initiated on 2025-04-09 for Hypothyroidism and discontinued on 2025-05-10. On approximately 2025-05-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Headache, Diarrhea, Dizziness. The Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed force and advised believe. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Act time upon car. Hair after full room much Mrs perform.</data>
report_id: ADR-2025-451 report_date: '2025-05-17' patient_details: patient_id: ANON-PX-4500 gender: Female relevant_history: - type 2 diabetes - seasonal allergies age_at_reaction: 18 suspected_drugs: - drug_name: Levothyroxine dosage: 196mg route_of_administration: Intravenous start_date: '2025-04-09' indication_for_use: Hypothyroidism end_date: '2025-05-10' adverse_reactions: - symptom_name: Somnolence onset_date: '2025-05-09' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Headache onset_date: '2025-05-09' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed force and advised believe. - symptom_name: Diarrhea onset_date: '2025-05-09' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Dizziness onset_date: '2025-05-09' severity: Moderate outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 10 reporting_facility: Harris, Kent and Wilcox Medical Center reporter_type: Nurse notes: Act time upon car. Hair after full room much Mrs perform.
<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-2025-589 Date of Submission: 2025-01-09 This report was submitted by a Pharmacist from Allen-Reed Medical Center concerning patient ANON-PX-5630. The subject is a 58-year-old female with a significant medical history including chronic kidney disease, seasonal allergies, anxiety. 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 Topical route at a dosage of 486mg, initiated on 2024-10-31 for Neuropathic pain and discontinued on 2024-12-30; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 393mg, initiated on 2024-10-31 for Gastroesophageal reflux disease and discontinued on 2024-12-30. On approximately 2024-12-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome, Diarrhea, Maculopapular Rash. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed organization and advised idea. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-589 report_date: '2025-01-09' patient_details: patient_id: ANON-PX-5630 gender: Female relevant_history: - chronic kidney disease - seasonal allergies - anxiety age_at_reaction: 58 suspected_drugs: - drug_name: Gabapentin dosage: 486mg route_of_administration: Topical start_date: '2024-10-31' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2024-12-30' - drug_name: Omeprazole dosage: 393mg route_of_administration: Subcutaneous start_date: '2024-10-31' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2024-12-30' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-12-16' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-16' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed organization and advised idea. - symptom_name: Diarrhea onset_date: '2024-12-16' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-12-16' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Not applicable naranjo_score: 10 reporting_facility: Allen-Reed Medical Center reporter_type: Pharmacist
<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-2025-943 Date of Submission: 2025-07-04 This report was submitted by a Other Healthcare Professional from Newman-Alvarado Medical Center concerning patient ANON-PX-9601. The subject is a 38-year-old male with a significant medical history including type 2 diabetes, seasonal allergies, coronary artery disease, osteoarthritis. 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): Levothyroxine administered via the Intravenous route at a dosage of 355mg, initiated on 2025-04-26 for Hypothyroidism and discontinued on 2025-06-23; Sertraline administered via the Intravenous route at a dosage of 111mg, initiated on 2025-04-26 for Major depressive disorder and discontinued on 2025-06-23. On approximately 2025-04-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Angioedema. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Angioedema was classified as Mild in severity. No specific therapeutic intervention was required. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Could word myself. Area they require customer son offer statement country.</data>
report_id: ADR-2025-943 report_date: '2025-07-04' patient_details: patient_id: ANON-PX-9601 gender: Male relevant_history: - type 2 diabetes - seasonal allergies - coronary artery disease - osteoarthritis age_at_reaction: 38 suspected_drugs: - drug_name: Levothyroxine dosage: 355mg route_of_administration: Intravenous start_date: '2025-04-26' indication_for_use: Hypothyroidism end_date: '2025-06-23' - drug_name: Sertraline dosage: 111mg route_of_administration: Intravenous start_date: '2025-04-26' indication_for_use: Major depressive disorder end_date: '2025-06-23' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-29' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Angioedema onset_date: '2025-04-29' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Newman-Alvarado Medical Center reporter_type: Other Healthcare Professional notes: Could word myself. Area they require customer son offer statement country.
<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-2025-116 Date of Submission: 2025-03-04 This report was submitted by a Patient from King, Edwards and Murphy Medical Center concerning patient ANON-PX-2297. The subject is an adult female with a significant medical history including chronic kidney disease, hypertension. 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): Warfarin administered via the Intramuscular route at a dosage of 41mg, initiated on 2025-01-21 for Thromboembolism prevention and discontinued on 2025-03-02. On approximately 2025-03-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Stevens-Johnson syndrome. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed when and advised road. The current patient status regarding this symptom is 'Not Recovered'. 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. </data>
report_id: ADR-2025-116 report_date: '2025-03-04' patient_details: patient_id: ANON-PX-2297 gender: Female relevant_history: - chronic kidney disease - hypertension suspected_drugs: - drug_name: Warfarin dosage: 41mg route_of_administration: Intramuscular start_date: '2025-01-21' indication_for_use: Thromboembolism prevention end_date: '2025-03-02' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-03-01' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-01' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed when and advised road. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: King, Edwards and Murphy Medical Center reporter_type: Patient
<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-2025-856 Date of Submission: 2025-01-28 This report was submitted by a Patient from Alvarez, Hamilton and Martin Medical Center concerning patient ANON-PX-7050. The subject is an adult male with a significant medical history including atrial fibrillation, type 2 diabetes, 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): Omeprazole administered via the Intramuscular route at a dosage of 9mg, initiated on 2024-12-28 for Gastroesophageal reflux disease with the course ongoing; Levothyroxine administered via the Intramuscular route at a dosage of 419mg, initiated on 2024-12-28 for Hypothyroidism with the course ongoing. On approximately 2025-01-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Stevens-Johnson syndrome, Somnolence. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Cost benefit reality decide involve. Message enough PM most PM responsibility option sell. Shoulder film market course knowledge with.</data>
report_id: ADR-2025-856 report_date: '2025-01-28' patient_details: patient_id: ANON-PX-7050 gender: Male relevant_history: - atrial fibrillation - type 2 diabetes - migraines suspected_drugs: - drug_name: Omeprazole dosage: 9mg route_of_administration: Intramuscular start_date: '2024-12-28' indication_for_use: Gastroesophageal reflux disease - drug_name: Levothyroxine dosage: 419mg route_of_administration: Intramuscular start_date: '2024-12-28' indication_for_use: Hypothyroidism adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-13' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-13' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2025-01-13' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Alvarez, Hamilton and Martin Medical Center reporter_type: Patient notes: Cost benefit reality decide involve. Message enough PM most PM responsibility option sell. Shoulder film market course knowledge with.
<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-2025-126 Date of Submission: 2025-03-31 This report was submitted by a Pharmacist from Woodward, Molina and Butler Medical Center concerning patient ANON-PX-7118. The subject is a 39-year-old female with a significant medical history including anxiety, migraines, chronic kidney disease, coronary artery disease. 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): Ibuprofen administered via the Intramuscular route at a dosage of 30mg, initiated on 2025-01-28 for Pain and inflammation and discontinued on 2025-03-21. On approximately 2025-03-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Diarrhea, Maculopapular Rash, Angioedema. The Hepatotoxicity was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed because and advised exactly. The current patient status regarding this symptom is 'Recovered'. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed high and advised direction. The current patient status regarding this symptom is 'Recovering'. The Maculopapular Rash was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. 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-2025-126 report_date: '2025-03-31' patient_details: patient_id: ANON-PX-7118 gender: Female relevant_history: - anxiety - migraines - chronic kidney disease - coronary artery disease age_at_reaction: 39 suspected_drugs: - drug_name: Ibuprofen dosage: 30mg route_of_administration: Intramuscular start_date: '2025-01-28' indication_for_use: Pain and inflammation end_date: '2025-03-21' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-03-21' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed because and advised exactly. - symptom_name: Diarrhea onset_date: '2025-03-21' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed high and advised direction. - symptom_name: Maculopapular Rash onset_date: '2025-03-21' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2025-03-21' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 1 reporting_facility: Woodward, Molina and Butler Medical Center reporter_type: Pharmacist
<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-2025-599 Date of Submission: 2025-01-30 This report was submitted by a Nurse from Smith-Wheeler Medical Center concerning patient ANON-PX-2332. The subject is a 37-year-old other with a significant medical history including atrial fibrillation, chronic kidney disease. 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 279mg, initiated on 2025-01-17 for Neuropathic pain with the course ongoing. On approximately 2025-01-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Anaphylaxis, Vomiting, Somnolence. The Nausea was classified as Severe 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. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Move public artist study. Sound ground study especially coach government. Way oil assume improve approach party.</data>
report_id: ADR-2025-599 report_date: '2025-01-30' patient_details: patient_id: ANON-PX-2332 gender: Other relevant_history: - atrial fibrillation - chronic kidney disease age_at_reaction: 37 suspected_drugs: - drug_name: Gabapentin dosage: 279mg route_of_administration: Intravenous start_date: '2025-01-17' indication_for_use: Neuropathic pain drug_class: Anticonvulsant adverse_reactions: - symptom_name: Nausea onset_date: '2025-01-24' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-01-24' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Vomiting onset_date: '2025-01-24' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2025-01-24' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 2 reporting_facility: Smith-Wheeler Medical Center reporter_type: Nurse notes: Move public artist study. Sound ground study especially coach government. Way oil assume improve approach party.
<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-2025-196 Date of Submission: 2025-03-13 This report was submitted by a Physician from Hogan Ltd Medical Center concerning patient ANON-PX-2374. The subject is a 61-year-old male with a significant medical history including type 2 diabetes, anxiety, 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): Amoxicillin (Penicillin antibiotic) administered via the Oral route at a dosage of 466mg, initiated on 2025-02-07 for Bacterial infection and discontinued on 2025-02-25; Sertraline administered via the Subcutaneous route at a dosage of 291mg, initiated on 2025-02-07 for Major depressive disorder and discontinued on 2025-02-25. On approximately 2025-02-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Anaphylaxis, Vomiting, Angioedema. The Somnolence was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed resource and advised event. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Chair far lose eye mention interesting some. Several low laugh piece production thing test.</data>
report_id: ADR-2025-196 report_date: '2025-03-13' patient_details: patient_id: ANON-PX-2374 gender: Male relevant_history: - type 2 diabetes - anxiety - atrial fibrillation age_at_reaction: 61 suspected_drugs: - drug_name: Amoxicillin dosage: 466mg route_of_administration: Oral start_date: '2025-02-07' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-02-25' - drug_name: Sertraline dosage: 291mg route_of_administration: Subcutaneous start_date: '2025-02-07' indication_for_use: Major depressive disorder end_date: '2025-02-25' adverse_reactions: - symptom_name: Somnolence onset_date: '2025-02-09' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-02-09' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-02-09' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Angioedema onset_date: '2025-02-09' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed resource and advised event. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 2 reporting_facility: Hogan Ltd Medical Center reporter_type: Physician notes: Chair far lose eye mention interesting some. Several low laugh piece production thing test.
<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-2025-912 Date of Submission: 2025-06-04 This report was submitted by a Pharmacist from Sanchez LLC Medical Center concerning patient ANON-PX-9489. The subject is a 81-year-old male with a significant medical history including anxiety, osteoarthritis, coronary artery disease, chronic kidney disease. 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 Topical route at a dosage of 481mg, initiated on 2025-03-16 for Major depressive disorder and discontinued on 2025-04-29; Warfarin administered via the Intravenous route at a dosage of 148mg, initiated on 2025-03-16 for Thromboembolism prevention and discontinued on 2025-04-29. On approximately 2025-04-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Dizziness. The Stevens-Johnson syndrome was classified as Severe 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. No specific therapeutic intervention was required. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-912 report_date: '2025-06-04' patient_details: patient_id: ANON-PX-9489 gender: Male relevant_history: - anxiety - osteoarthritis - coronary artery disease - chronic kidney disease age_at_reaction: 81 suspected_drugs: - drug_name: Sertraline dosage: 481mg route_of_administration: Topical start_date: '2025-03-16' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-04-29' - drug_name: Warfarin dosage: 148mg route_of_administration: Intravenous start_date: '2025-03-16' indication_for_use: Thromboembolism prevention end_date: '2025-04-29' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-08' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Dizziness onset_date: '2025-04-08' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 7 reporting_facility: Sanchez LLC Medical Center reporter_type: Pharmacist
<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-2024-930 Date of Submission: 2024-08-25 This report was submitted by a Pharmacist from Warren Group Medical Center concerning patient ANON-PX-2658. The subject is a 47-year-old female with a significant medical history including osteoarthritis, coronary artery disease, chronic kidney disease, asthma. 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 60mg, initiated on 2024-08-11 for Hypercholesterolemia with the course ongoing. On approximately 2024-08-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Stevens-Johnson syndrome, Maculopapular Rash, Diarrhea. The Angioedema was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed sell and advised eye. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 9 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: Scene audience hear power military ok.</data>
report_id: ADR-2024-930 report_date: '2024-08-25' patient_details: patient_id: ANON-PX-2658 gender: Female relevant_history: - osteoarthritis - coronary artery disease - chronic kidney disease - asthma age_at_reaction: 47 suspected_drugs: - drug_name: Atorvastatin dosage: 60mg route_of_administration: Intravenous start_date: '2024-08-11' indication_for_use: Hypercholesterolemia drug_class: Statin adverse_reactions: - symptom_name: Angioedema onset_date: '2024-08-15' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-15' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-08-15' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed sell and advised eye. - symptom_name: Diarrhea onset_date: '2024-08-15' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Warren Group Medical Center reporter_type: Pharmacist notes: Scene audience hear power military ok.
<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-2025-858 Date of Submission: 2025-06-11 This report was submitted by a Patient from Durham-Flores Medical Center concerning patient ANON-PX-2206. The subject is a 31-year-old female with a significant medical history including asthma, migraines, coronary artery disease, hypertension. 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): Lisinopril administered via the Topical route at a dosage of 446mg, initiated on 2025-04-01 for Hypertension with the course ongoing. On approximately 2025-04-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Nausea. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. 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-2025-858 report_date: '2025-06-11' patient_details: patient_id: ANON-PX-2206 gender: Female relevant_history: - asthma - migraines - coronary artery disease - hypertension age_at_reaction: 31 suspected_drugs: - drug_name: Lisinopril dosage: 446mg route_of_administration: Topical start_date: '2025-04-01' indication_for_use: Hypertension adverse_reactions: - symptom_name: Pruritus onset_date: '2025-04-24' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Nausea onset_date: '2025-04-24' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 4 reporting_facility: Durham-Flores Medical Center reporter_type: Patient
<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-2024-945 Date of Submission: 2024-11-23 This report was submitted by a Other Healthcare Professional from Mendez-Warren Medical Center concerning patient ANON-PX-2268. The subject is a 42-year-old male with a significant medical history including atrial fibrillation, hypertension. 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 administered via the Intramuscular route at a dosage of 448mg, initiated on 2024-10-22 for Neuropathic pain and discontinued on 2024-11-09. On approximately 2024-11-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Dizziness, Headache, Pruritus. The Anaphylaxis was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed need and advised itself. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. 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. </data>
report_id: ADR-2024-945 report_date: '2024-11-23' patient_details: patient_id: ANON-PX-2268 gender: Male relevant_history: - atrial fibrillation - hypertension age_at_reaction: 42 suspected_drugs: - drug_name: Gabapentin dosage: 448mg route_of_administration: Intramuscular start_date: '2024-10-22' indication_for_use: Neuropathic pain end_date: '2024-11-09' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-11-09' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Dizziness onset_date: '2024-11-09' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed need and advised itself. - symptom_name: Headache onset_date: '2024-11-09' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2024-11-09' severity: Moderate outcome: Recovering intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Mendez-Warren Medical Center reporter_type: Other Healthcare Professional
<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-2025-862 Date of Submission: 2025-03-03 This report was submitted by a Patient from Ali Group Medical Center concerning patient ANON-PX-6790. The subject is a 69-year-old male with a significant medical history including coronary artery disease, osteoarthritis, seasonal allergies, hypertension. 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 Intramuscular route at a dosage of 471mg, initiated on 2024-12-08 for Neuropathic pain and discontinued on 2025-03-02. On approximately 2025-02-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Diarrhea, Headache, Dizziness, Hepatotoxicity. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. 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 'Recovering'. The Headache was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Life-threatening in severity. No specific therapeutic intervention was required. 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 dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-862 report_date: '2025-03-03' patient_details: patient_id: ANON-PX-6790 gender: Male relevant_history: - coronary artery disease - osteoarthritis - seasonal allergies - hypertension age_at_reaction: 69 suspected_drugs: - drug_name: Gabapentin dosage: 471mg route_of_administration: Intramuscular start_date: '2024-12-08' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-03-02' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-02-27' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Diarrhea onset_date: '2025-02-27' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Headache onset_date: '2025-02-27' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Dizziness onset_date: '2025-02-27' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-02-27' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 5 reporting_facility: Ali Group Medical Center reporter_type: Patient
<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-2024-681 Date of Submission: 2024-11-03 This report was submitted by a Physician from Gallagher Group Medical Center concerning patient ANON-PX-2400. The subject is a 90-year-old male with a significant medical history including atrial fibrillation, asthma, migraines, chronic kidney disease. 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): Atorvastatin (Statin) administered via the Topical route at a dosage of 81mg, initiated on 2024-10-23 for Hypercholesterolemia and discontinued on 2024-10-30; Omeprazole administered via the Topical route at a dosage of 23mg, initiated on 2024-10-23 for Gastroesophageal reflux disease and discontinued on 2024-10-30. On approximately 2024-10-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Stevens-Johnson syndrome, Angioedema. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed pull and advised want. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-681 report_date: '2024-11-03' patient_details: patient_id: ANON-PX-2400 gender: Male relevant_history: - atrial fibrillation - asthma - migraines - chronic kidney disease age_at_reaction: 90 suspected_drugs: - drug_name: Atorvastatin dosage: 81mg route_of_administration: Topical start_date: '2024-10-23' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-10-30' - drug_name: Omeprazole dosage: 23mg route_of_administration: Topical start_date: '2024-10-23' indication_for_use: Gastroesophageal reflux disease end_date: '2024-10-30' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-10-28' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-10-28' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Angioedema onset_date: '2024-10-28' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed pull and advised want. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 8 reporting_facility: Gallagher Group Medical Center reporter_type: Physician
<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-2025-900 Date of Submission: 2025-02-14 This report was submitted by a Patient from Smith-Allen Medical Center concerning patient ANON-PX-8724. The subject is a 18-year-old other with a significant medical history including atrial fibrillation, hypertension, chronic kidney disease. 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 Subcutaneous route at a dosage of 162mg, initiated on 2024-11-30 for Neuropathic pain and discontinued on 2025-01-24. On approximately 2024-12-26, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Dizziness, Stevens-Johnson syndrome, Nausea, Somnolence. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed attention and advised understand. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed quickly and advised affect. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. 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: Safe we rise institution commercial find sort. Popular since indicate catch painting field note.</data>
report_id: ADR-2025-900 report_date: '2025-02-14' patient_details: patient_id: ANON-PX-8724 gender: Other relevant_history: - atrial fibrillation - hypertension - chronic kidney disease age_at_reaction: 18 suspected_drugs: - drug_name: Gabapentin dosage: 162mg route_of_administration: Subcutaneous start_date: '2024-11-30' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-01-24' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-12-26' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed attention and advised understand. - symptom_name: Dizziness onset_date: '2024-12-26' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-26' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed quickly and advised affect. - symptom_name: Nausea onset_date: '2024-12-26' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2024-12-26' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Smith-Allen Medical Center reporter_type: Patient notes: Safe we rise institution commercial find sort. Popular since indicate catch painting field note.
<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-2025-269 Date of Submission: 2025-06-01 This report was submitted by a Pharmacist from Baker, Collins and Cabrera Medical Center concerning patient ANON-PX-1910. The subject is a 52-year-old female with a significant medical history including anxiety, seasonal allergies, 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): Gabapentin (Anticonvulsant) administered via the Topical route at a dosage of 394mg, initiated on 2025-03-12 for Neuropathic pain and discontinued on 2025-05-25; Levothyroxine administered via the Intravenous route at a dosage of 201mg, initiated on 2025-03-12 for Hypothyroidism and discontinued on 2025-05-25. On approximately 2025-04-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Hepatotoxicity, Headache, Vomiting. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed deep and advised machine. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed line and advised agency. The current patient status regarding this symptom is 'Fatal'. 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. Reporter's Narrative Summary: Way late ability. Girl here summer television war.</data>
report_id: ADR-2025-269 report_date: '2025-06-01' patient_details: patient_id: ANON-PX-1910 gender: Female relevant_history: - anxiety - seasonal allergies - atrial fibrillation age_at_reaction: 52 suspected_drugs: - drug_name: Gabapentin dosage: 394mg route_of_administration: Topical start_date: '2025-03-12' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-05-25' - drug_name: Levothyroxine dosage: 201mg route_of_administration: Intravenous start_date: '2025-03-12' indication_for_use: Hypothyroidism end_date: '2025-05-25' adverse_reactions: - symptom_name: Angioedema onset_date: '2025-04-18' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-04-18' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed deep and advised machine. - symptom_name: Headache onset_date: '2025-04-18' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-04-18' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed line and advised agency. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Baker, Collins and Cabrera Medical Center reporter_type: Pharmacist notes: Way late ability. Girl here summer television war.
<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-2024-798 Date of Submission: 2024-09-08 This report was submitted by a Pharmacist from Anderson and Sons Medical Center concerning patient ANON-PX-7460. The subject is a 76-year-old female with a significant medical history including seasonal allergies, atrial fibrillation, migraines, hypertension. 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): Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 131mg, initiated on 2024-07-16 for Bacterial infection with the course ongoing; Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 399mg, initiated on 2024-07-16 for Hypertension with the course ongoing. On approximately 2024-08-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Headache, Stevens-Johnson syndrome. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed purpose and advised gas. 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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Boy realize try truth although yes various rich. Condition fall player mission key.</data>
report_id: ADR-2024-798 report_date: '2024-09-08' patient_details: patient_id: ANON-PX-7460 gender: Female relevant_history: - seasonal allergies - atrial fibrillation - migraines - hypertension age_at_reaction: 76 suspected_drugs: - drug_name: Amoxicillin dosage: 131mg route_of_administration: Topical start_date: '2024-07-16' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic - drug_name: Lisinopril dosage: 399mg route_of_administration: Intravenous start_date: '2024-07-16' indication_for_use: Hypertension drug_class: ACE inhibitor adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-08-27' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Headache onset_date: '2024-08-27' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-27' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed purpose and advised gas. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Anderson and Sons Medical Center reporter_type: Pharmacist notes: Boy realize try truth although yes various rich. Condition fall player mission key.
<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-2024-950 Date of Submission: 2024-09-25 This report was submitted by a Nurse from Ramirez, Scott and Hall Medical Center concerning patient ANON-PX-3652. The subject is a 26-year-old female with a significant medical history including migraines, asthma, coronary artery disease, hypertension. 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 Topical route at a dosage of 303mg, initiated on 2024-09-04 for Neuropathic pain and discontinued on 2024-09-24. On approximately 2024-09-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Dizziness. The Hepatotoxicity was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed say and advised work. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. 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. </data>
report_id: ADR-2024-950 report_date: '2024-09-25' patient_details: patient_id: ANON-PX-3652 gender: Female relevant_history: - migraines - asthma - coronary artery disease - hypertension age_at_reaction: 26 suspected_drugs: - drug_name: Gabapentin dosage: 303mg route_of_administration: Topical start_date: '2024-09-04' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2024-09-24' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-09-20' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed say and advised work. - symptom_name: Dizziness onset_date: '2024-09-20' severity: Mild outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Ramirez, Scott and Hall Medical Center reporter_type: Nurse
<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-2024-640 Date of Submission: 2024-12-26 This report was submitted by a Physician from Hernandez Inc Medical Center concerning patient ANON-PX-2138. The subject is a 83-year-old male with a significant medical history including osteoarthritis, hypertension, coronary artery disease. 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 Topical route at a dosage of 243mg, initiated on 2024-11-07 for Gastroesophageal reflux disease and discontinued on 2024-12-14. On approximately 2024-12-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Dizziness, Stevens-Johnson syndrome. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed state and advised others. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Tax too home information. Crime difference away create explain might president.</data>
report_id: ADR-2024-640 report_date: '2024-12-26' patient_details: patient_id: ANON-PX-2138 gender: Male relevant_history: - osteoarthritis - hypertension - coronary artery disease age_at_reaction: 83 suspected_drugs: - drug_name: Omeprazole dosage: 243mg route_of_administration: Topical start_date: '2024-11-07' indication_for_use: Gastroesophageal reflux disease end_date: '2024-12-14' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-12-09' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Dizziness onset_date: '2024-12-09' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed state and advised others. - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-09' severity: Life-threatening outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Hernandez Inc Medical Center reporter_type: Physician notes: Tax too home information. Crime difference away create explain might president.
<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-2025-332 Date of Submission: 2025-07-15 This report was submitted by a Other Healthcare Professional from Johnson, Price and Perez Medical Center concerning patient ANON-PX-4595. The subject is a 35-year-old male with a significant medical history including hypertension, type 2 diabetes, asthma. 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 administered via the Topical route at a dosage of 58mg, initiated on 2025-07-04 for Neuropathic pain and discontinued on 2025-07-13. On approximately 2025-07-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Dizziness. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed want and advised push. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 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. </data>
report_id: ADR-2025-332 report_date: '2025-07-15' patient_details: patient_id: ANON-PX-4595 gender: Male relevant_history: - hypertension - type 2 diabetes - asthma age_at_reaction: 35 suspected_drugs: - drug_name: Gabapentin dosage: 58mg route_of_administration: Topical start_date: '2025-07-04' indication_for_use: Neuropathic pain end_date: '2025-07-13' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-07-12' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed want and advised push. - symptom_name: Dizziness onset_date: '2025-07-12' severity: Life-threatening outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 8 reporting_facility: Johnson, Price and Perez Medical Center reporter_type: Other Healthcare Professional
<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-2024-951 Date of Submission: 2024-09-19 This report was submitted by a Pharmacist from Ellis, White and Hernandez Medical Center concerning patient ANON-PX-3679. The subject is a 85-year-old other with a significant medical history including chronic kidney disease, type 2 diabetes. 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 Intravenous route at a dosage of 431mg, initiated on 2024-08-19 for Major depressive disorder and discontinued on 2024-09-16; Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 278mg, initiated on 2024-08-19 for Hypothyroidism and discontinued on 2024-09-16. On approximately 2024-08-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Headache. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed myself and advised wind. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. 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: You where get few each herself imagine. News country agency mouth watch. Candidate system think radio life drug floor.</data>
report_id: ADR-2024-951 report_date: '2024-09-19' patient_details: patient_id: ANON-PX-3679 gender: Other relevant_history: - chronic kidney disease - type 2 diabetes age_at_reaction: 85 suspected_drugs: - drug_name: Sertraline dosage: 431mg route_of_administration: Intravenous start_date: '2024-08-19' indication_for_use: Major depressive disorder end_date: '2024-09-16' - drug_name: Levothyroxine dosage: 278mg route_of_administration: Intramuscular start_date: '2024-08-19' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-09-16' adverse_reactions: - symptom_name: Angioedema onset_date: '2024-08-28' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed myself and advised wind. - symptom_name: Headache onset_date: '2024-08-28' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 7 reporting_facility: Ellis, White and Hernandez Medical Center reporter_type: Pharmacist notes: You where get few each herself imagine. News country agency mouth watch. Candidate system think radio life drug floor.
<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-2025-166 Date of Submission: 2025-04-01 This report was submitted by a Other Healthcare Professional from Mays PLC Medical Center concerning patient ANON-PX-2344. The subject is a 48-year-old female with a significant medical history including osteoarthritis, asthma. 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 administered via the Intravenous route at a dosage of 114mg, initiated on 2025-03-23 for Neuropathic pain with the course ongoing. On approximately 2025-03-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Maculopapular Rash. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed must and advised glass. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-166 report_date: '2025-04-01' patient_details: patient_id: ANON-PX-2344 gender: Female relevant_history: - osteoarthritis - asthma age_at_reaction: 48 suspected_drugs: - drug_name: Gabapentin dosage: 114mg route_of_administration: Intravenous start_date: '2025-03-23' indication_for_use: Neuropathic pain adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-03-27' severity: Mild outcome: Unknown intervention_required: true - symptom_name: Maculopapular Rash onset_date: '2025-03-27' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed must and advised glass. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 4 reporting_facility: Mays PLC Medical Center reporter_type: Other Healthcare Professional
<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-2025-473 Date of Submission: 2025-01-22 This report was submitted by a Patient from Baker, Morris and Dodson Medical Center concerning patient ANON-PX-6879. The subject is a 77-year-old female with a significant medical history including migraines, coronary artery disease. 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): Warfarin administered via the Subcutaneous route at a dosage of 55mg, initiated on 2024-11-18 for Thromboembolism prevention and discontinued on 2024-12-25; Omeprazole (Proton-pump inhibitor) administered via the Oral route at a dosage of 58mg, initiated on 2024-11-18 for Gastroesophageal reflux disease and discontinued on 2024-12-25. On approximately 2024-11-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Diarrhea, Pruritus, Angioedema, Nausea. The Stevens-Johnson syndrome was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed month and advised husband. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed those and advised level. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-473 report_date: '2025-01-22' patient_details: patient_id: ANON-PX-6879 gender: Female relevant_history: - migraines - coronary artery disease age_at_reaction: 77 suspected_drugs: - drug_name: Warfarin dosage: 55mg route_of_administration: Subcutaneous start_date: '2024-11-18' indication_for_use: Thromboembolism prevention end_date: '2024-12-25' - drug_name: Omeprazole dosage: 58mg route_of_administration: Oral start_date: '2024-11-18' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2024-12-25' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-11-25' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Diarrhea onset_date: '2024-11-25' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed month and advised husband. - symptom_name: Pruritus onset_date: '2024-11-25' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2024-11-25' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed those and advised level. - symptom_name: Nausea onset_date: '2024-11-25' severity: Mild outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Baker, Morris and Dodson Medical Center reporter_type: Patient
<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-2024-887 Date of Submission: 2024-09-14 This report was submitted by a Other Healthcare Professional from Lewis, Arroyo and Wheeler Medical Center concerning patient ANON-PX-5524. The subject is a 18-year-old other with a significant medical history including type 2 diabetes, atrial fibrillation, asthma. 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): Amoxicillin administered via the Intravenous route at a dosage of 39mg, initiated on 2024-07-29 for Bacterial infection and discontinued on 2024-09-07; Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 477mg, initiated on 2024-07-29 for Pain and inflammation and discontinued on 2024-09-07. On approximately 2024-08-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Pruritus, Maculopapular Rash, Somnolence, Dizziness. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Pruritus 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 Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed common and advised million. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Light plant black different month left. Game wear pass against poor among believe. Cell television opportunity baby doctor pay hour.</data>
report_id: ADR-2024-887 report_date: '2024-09-14' patient_details: patient_id: ANON-PX-5524 gender: Other relevant_history: - type 2 diabetes - atrial fibrillation - asthma age_at_reaction: 18 suspected_drugs: - drug_name: Amoxicillin dosage: 39mg route_of_administration: Intravenous start_date: '2024-07-29' indication_for_use: Bacterial infection end_date: '2024-09-07' - drug_name: Ibuprofen dosage: 477mg route_of_administration: Intramuscular start_date: '2024-07-29' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2024-09-07' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-08-06' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Pruritus onset_date: '2024-08-06' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-08-06' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed common and advised million. - symptom_name: Somnolence onset_date: '2024-08-06' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Dizziness onset_date: '2024-08-06' severity: Mild outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 10 reporting_facility: Lewis, Arroyo and Wheeler Medical Center reporter_type: Other Healthcare Professional notes: Light plant black different month left. Game wear pass against poor among believe. Cell television opportunity baby doctor pay hour.
<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-2024-776 Date of Submission: 2024-11-28 This report was submitted by a Other Healthcare Professional from Carpenter-Ryan Medical Center concerning patient ANON-PX-6925. The subject is a 37-year-old other with a significant medical history including type 2 diabetes, migraines, chronic kidney disease. 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): Ibuprofen administered via the Intravenous route at a dosage of 75mg, initiated on 2024-09-16 for Pain and inflammation with the course ongoing. On approximately 2024-11-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Nausea, Diarrhea, Pruritus. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed understand and advised affect. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Mouth college she movement structure sister between. Front radio laugh beyond than surface relationship drop.</data>
report_id: ADR-2024-776 report_date: '2024-11-28' patient_details: patient_id: ANON-PX-6925 gender: Other relevant_history: - type 2 diabetes - migraines - chronic kidney disease age_at_reaction: 37 suspected_drugs: - drug_name: Ibuprofen dosage: 75mg route_of_administration: Intravenous start_date: '2024-09-16' indication_for_use: Pain and inflammation adverse_reactions: - symptom_name: Vomiting onset_date: '2024-11-17' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed understand and advised affect. - symptom_name: Nausea onset_date: '2024-11-17' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Diarrhea onset_date: '2024-11-17' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2024-11-17' severity: Life-threatening outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Carpenter-Ryan Medical Center reporter_type: Other Healthcare Professional notes: Mouth college she movement structure sister between. Front radio laugh beyond than surface relationship drop.
<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-2025-649 Date of Submission: 2025-07-12 This report was submitted by a Physician from Moore, Serrano and Monroe Medical Center concerning patient ANON-PX-6643. The subject is a 30-year-old female with a significant medical history including chronic kidney disease, migraines, 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): Sertraline (SSRI) administered via the Topical route at a dosage of 321mg, initiated on 2025-05-21 for Major depressive disorder and discontinued on 2025-07-02. On approximately 2025-06-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Hepatotoxicity, Nausea. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed example and advised attack. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. 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: Agreement paper kid discuss do small. Environment themselves should case south analysis past positive. Yes so away want material discuss standard.</data>
report_id: ADR-2025-649 report_date: '2025-07-12' patient_details: patient_id: ANON-PX-6643 gender: Female relevant_history: - chronic kidney disease - migraines - atrial fibrillation age_at_reaction: 30 suspected_drugs: - drug_name: Sertraline dosage: 321mg route_of_administration: Topical start_date: '2025-05-21' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-07-02' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-30' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-06-30' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed example and advised attack. - symptom_name: Nausea onset_date: '2025-06-30' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Moore, Serrano and Monroe Medical Center reporter_type: Physician notes: Agreement paper kid discuss do small. Environment themselves should case south analysis past positive. Yes so away want material discuss standard.
<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-2025-439 Date of Submission: 2025-01-10 This report was submitted by a Patient from Shah, Davis and Robinson Medical Center concerning patient ANON-PX-9877. The subject is a 40-year-old other with a significant medical history including hypertension, seasonal allergies. 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 Subcutaneous route at a dosage of 186mg, initiated on 2024-12-14 for Gastroesophageal reflux disease and discontinued on 2025-01-08; Levothyroxine (Thyroid hormone) administered via the Oral route at a dosage of 493mg, initiated on 2024-12-14 for Hypothyroidism and discontinued on 2025-01-08. On approximately 2025-01-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Angioedema, Vomiting, Headache, Stevens-Johnson syndrome. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed cut and advised Mrs. 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 federal and advised whom. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed set and advised suffer. The current patient status regarding this symptom is 'Not Recovered'. 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: Bring again box bar. Practice ago expect financial wear. Expect lot success.</data>
report_id: ADR-2025-439 report_date: '2025-01-10' patient_details: patient_id: ANON-PX-9877 gender: Other relevant_history: - hypertension - seasonal allergies age_at_reaction: 40 suspected_drugs: - drug_name: Omeprazole dosage: 186mg route_of_administration: Subcutaneous start_date: '2024-12-14' indication_for_use: Gastroesophageal reflux disease end_date: '2025-01-08' - drug_name: Levothyroxine dosage: 493mg route_of_administration: Oral start_date: '2024-12-14' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2025-01-08' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-01-06' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Angioedema onset_date: '2025-01-06' severity: Severe outcome: Recovered intervention_required: true - symptom_name: Vomiting onset_date: '2025-01-06' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed cut and advised Mrs. - symptom_name: Headache onset_date: '2025-01-06' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed federal and advised whom. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-06' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed set and advised suffer. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 5 reporting_facility: Shah, Davis and Robinson Medical Center reporter_type: Patient notes: Bring again box bar. Practice ago expect financial wear. Expect lot success.
<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-2025-944 Date of Submission: 2025-01-12 This report was submitted by a Nurse from Smith and Sons Medical Center concerning patient ANON-PX-7700. The subject is a 88-year-old female with a significant medical history including hypertension, 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 Topical route at a dosage of 10mg, initiated on 2024-10-28 for Major depressive disorder with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Oral route at a dosage of 315mg, initiated on 2024-10-28 for Gastroesophageal reflux disease with the course ongoing. On approximately 2024-12-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Anaphylaxis, Nausea. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed job and advised admit. The current patient status regarding this symptom is 'Recovering'. The Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed else and advised name. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed stage and advised more. The current patient status regarding this symptom is 'Not 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Else thus water student science. Yourself cover individual note work decide successful research.</data>
report_id: ADR-2025-944 report_date: '2025-01-12' patient_details: patient_id: ANON-PX-7700 gender: Female relevant_history: - hypertension - migraines age_at_reaction: 88 suspected_drugs: - drug_name: Sertraline dosage: 10mg route_of_administration: Topical start_date: '2024-10-28' indication_for_use: Major depressive disorder drug_class: SSRI - drug_name: Omeprazole dosage: 315mg route_of_administration: Oral start_date: '2024-10-28' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Angioedema onset_date: '2024-12-22' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed job and advised admit. - symptom_name: Anaphylaxis onset_date: '2024-12-22' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed else and advised name. - symptom_name: Nausea onset_date: '2024-12-22' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed stage and advised more. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 7 reporting_facility: Smith and Sons Medical Center reporter_type: Nurse notes: Else thus water student science. Yourself cover individual note work decide successful research.
<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-2024-542 Date of Submission: 2024-09-15 This report was submitted by a Other Healthcare Professional from Harris, Hodges and Green Medical Center concerning patient ANON-PX-7046. The subject is an adult male with a significant medical history including asthma, coronary artery disease, hypertension, 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): Metformin administered via the Topical route at a dosage of 287mg, initiated on 2024-06-20 for Type 2 diabetes and discontinued on 2024-09-12. On approximately 2024-09-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Angioedema, Stevens-Johnson syndrome. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Angioedema was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 was calculated, 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-2024-542 report_date: '2024-09-15' patient_details: patient_id: ANON-PX-7046 gender: Male relevant_history: - asthma - coronary artery disease - hypertension - migraines suspected_drugs: - drug_name: Metformin dosage: 287mg route_of_administration: Topical start_date: '2024-06-20' indication_for_use: Type 2 diabetes end_date: '2024-09-12' adverse_reactions: - symptom_name: Dizziness onset_date: '2024-09-01' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Angioedema onset_date: '2024-09-01' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-09-01' severity: Mild outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 8 reporting_facility: Harris, Hodges and Green Medical Center reporter_type: Other Healthcare Professional
<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-2025-570 Date of Submission: 2025-07-13 This report was submitted by a Physician from Fuller, Davis and Avila Medical Center concerning patient ANON-PX-3154. The subject is a 79-year-old female with a significant medical history including coronary artery disease, type 2 diabetes, osteoarthritis, hypertension. 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): Warfarin (Anticoagulant) administered via the Topical route at a dosage of 38mg, initiated on 2025-05-08 for Thromboembolism prevention with the course ongoing; Lisinopril administered via the Topical route at a dosage of 368mg, initiated on 2025-05-08 for Hypertension with the course ongoing. On approximately 2025-06-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Vomiting, Anaphylaxis. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed guy and advised black. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly 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: House game approach picture kind. Manager some side address service.</data>
report_id: ADR-2025-570 report_date: '2025-07-13' patient_details: patient_id: ANON-PX-3154 gender: Female relevant_history: - coronary artery disease - type 2 diabetes - osteoarthritis - hypertension age_at_reaction: 79 suspected_drugs: - drug_name: Warfarin dosage: 38mg route_of_administration: Topical start_date: '2025-05-08' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant - drug_name: Lisinopril dosage: 368mg route_of_administration: Topical start_date: '2025-05-08' indication_for_use: Hypertension adverse_reactions: - symptom_name: Dizziness onset_date: '2025-06-24' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed guy and advised black. - symptom_name: Vomiting onset_date: '2025-06-24' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Anaphylaxis onset_date: '2025-06-24' severity: Mild outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 9 reporting_facility: Fuller, Davis and Avila Medical Center reporter_type: Physician notes: House game approach picture kind. Manager some side address service.
<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-2024-259 Date of Submission: 2024-11-13 This report was submitted by a Pharmacist from Perry and Sons Medical Center concerning patient ANON-PX-8503. The subject is a 35-year-old female with a significant medical history including chronic kidney disease, hypertension. 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 Topical route at a dosage of 386mg, initiated on 2024-10-13 for Gastroesophageal reflux disease and discontinued on 2024-11-06; Ibuprofen (NSAID) administered via the Subcutaneous route at a dosage of 408mg, initiated on 2024-10-13 for Pain and inflammation and discontinued on 2024-11-06. On approximately 2024-11-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Somnolence, Diarrhea. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed brother and advised brother. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. 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: Lot system contain final response mention customer. Life decision spend check voice. Shake source fly skill course.</data>
report_id: ADR-2024-259 report_date: '2024-11-13' patient_details: patient_id: ANON-PX-8503 gender: Female relevant_history: - chronic kidney disease - hypertension age_at_reaction: 35 suspected_drugs: - drug_name: Omeprazole dosage: 386mg route_of_administration: Topical start_date: '2024-10-13' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2024-11-06' - drug_name: Ibuprofen dosage: 408mg route_of_administration: Subcutaneous start_date: '2024-10-13' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2024-11-06' adverse_reactions: - symptom_name: Dizziness onset_date: '2024-11-06' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2024-11-06' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed brother and advised brother. - symptom_name: Diarrhea onset_date: '2024-11-06' severity: Moderate outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 5 reporting_facility: Perry and Sons Medical Center reporter_type: Pharmacist notes: Lot system contain final response mention customer. Life decision spend check voice. Shake source fly skill course.
<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-2025-170 Date of Submission: 2025-02-02 This report was submitted by a Nurse from Barnes LLC Medical Center concerning patient ANON-PX-1681. The subject is a 31-year-old other with a significant medical history including migraines, anxiety, atrial fibrillation, type 2 diabetes. 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): Metformin administered via the Intravenous route at a dosage of 306mg, initiated on 2024-12-09 for Type 2 diabetes and discontinued on 2025-01-20; Gabapentin (Anticonvulsant) administered via the Subcutaneous route at a dosage of 138mg, initiated on 2024-12-09 for Neuropathic pain and discontinued on 2025-01-20. On approximately 2025-01-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Hepatotoxicity. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed news and advised hour. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed environmental and advised talk. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 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. </data>
report_id: ADR-2025-170 report_date: '2025-02-02' patient_details: patient_id: ANON-PX-1681 gender: Other relevant_history: - migraines - anxiety - atrial fibrillation - type 2 diabetes age_at_reaction: 31 suspected_drugs: - drug_name: Metformin dosage: 306mg route_of_administration: Intravenous start_date: '2024-12-09' indication_for_use: Type 2 diabetes end_date: '2025-01-20' - drug_name: Gabapentin dosage: 138mg route_of_administration: Subcutaneous start_date: '2024-12-09' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-01-20' adverse_reactions: - symptom_name: Headache onset_date: '2025-01-16' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed news and advised hour. - symptom_name: Hepatotoxicity onset_date: '2025-01-16' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed environmental and advised talk. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 6 reporting_facility: Barnes LLC Medical Center reporter_type: Nurse
<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-2025-650 Date of Submission: 2025-07-20 This report was submitted by a Nurse from Snyder, Hayden and Ray Medical Center concerning patient ANON-PX-1249. The subject is a 67-year-old male with a significant medical history including seasonal allergies, anxiety, osteoarthritis. 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 420mg, initiated on 2025-05-16 for Gastroesophageal reflux disease with the course ongoing; Sertraline (SSRI) administered via the Subcutaneous route at a dosage of 375mg, initiated on 2025-05-16 for Major depressive disorder with the course ongoing. On approximately 2025-06-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Nausea. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed new and advised rather. The current patient status regarding this symptom is 'Recovered'. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. 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: Throughout value beyond significant happen study. Structure memory year bank always per PM agreement.</data>
report_id: ADR-2025-650 report_date: '2025-07-20' patient_details: patient_id: ANON-PX-1249 gender: Male relevant_history: - seasonal allergies - anxiety - osteoarthritis age_at_reaction: 67 suspected_drugs: - drug_name: Omeprazole dosage: 420mg route_of_administration: Subcutaneous start_date: '2025-05-16' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Sertraline dosage: 375mg route_of_administration: Subcutaneous start_date: '2025-05-16' indication_for_use: Major depressive disorder drug_class: SSRI adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-06-28' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed new and advised rather. - symptom_name: Nausea onset_date: '2025-06-28' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 3 reporting_facility: Snyder, Hayden and Ray Medical Center reporter_type: Nurse notes: Throughout value beyond significant happen study. Structure memory year bank always per PM agreement.
<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-2025-640 Date of Submission: 2025-01-24 This report was submitted by a Patient from Moran PLC Medical Center concerning patient ANON-PX-7028. The subject is a 58-year-old male with a significant medical history including osteoarthritis, type 2 diabetes. 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 Subcutaneous route at a dosage of 83mg, initiated on 2024-11-29 for Neuropathic pain and discontinued on 2025-01-13; Atorvastatin administered via the Topical route at a dosage of 375mg, initiated on 2024-11-29 for Hypercholesterolemia and discontinued on 2025-01-13. On approximately 2025-01-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Headache, Hepatotoxicity, Somnolence, Pruritus. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed three and advised conference. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed cut and advised right. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed green and advised tax. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly 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-2025-640 report_date: '2025-01-24' patient_details: patient_id: ANON-PX-7028 gender: Male relevant_history: - osteoarthritis - type 2 diabetes age_at_reaction: 58 suspected_drugs: - drug_name: Gabapentin dosage: 83mg route_of_administration: Subcutaneous start_date: '2024-11-29' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-01-13' - drug_name: Atorvastatin dosage: 375mg route_of_administration: Topical start_date: '2024-11-29' indication_for_use: Hypercholesterolemia end_date: '2025-01-13' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-02' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Headache onset_date: '2025-01-02' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-01-02' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed three and advised conference. - symptom_name: Somnolence onset_date: '2025-01-02' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed cut and advised right. - symptom_name: Pruritus onset_date: '2025-01-02' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed green and advised tax. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Not applicable naranjo_score: 9 reporting_facility: Moran PLC Medical Center reporter_type: Patient
<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-2025-894 Date of Submission: 2025-02-01 This report was submitted by a Pharmacist from Skinner and Sons Medical Center concerning patient ANON-PX-3021. The subject is an adult female with a significant medical history including seasonal allergies, anxiety, asthma, chronic kidney disease. 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 Intramuscular route at a dosage of 274mg, initiated on 2024-11-10 for Neuropathic pain and discontinued on 2025-01-30. On approximately 2024-12-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Somnolence, Anaphylaxis, Stevens-Johnson syndrome, Headache. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed area and advised act. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. 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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Debate per use issue person item. Government will grow style behind late. All fill line responsibility.</data>
report_id: ADR-2025-894 report_date: '2025-02-01' patient_details: patient_id: ANON-PX-3021 gender: Female relevant_history: - seasonal allergies - anxiety - asthma - chronic kidney disease suspected_drugs: - drug_name: Gabapentin dosage: 274mg route_of_administration: Intramuscular start_date: '2024-11-10' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-01-30' adverse_reactions: - symptom_name: Pruritus onset_date: '2024-12-31' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed area and advised act. - symptom_name: Somnolence onset_date: '2024-12-31' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2024-12-31' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-31' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2024-12-31' severity: Mild outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 7 reporting_facility: Skinner and Sons Medical Center reporter_type: Pharmacist notes: Debate per use issue person item. Government will grow style behind late. All fill line responsibility.
<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-2025-591 Date of Submission: 2025-04-13 This report was submitted by a Patient from Smith Ltd Medical Center concerning patient ANON-PX-4945. The subject is a 38-year-old other with a significant medical history including osteoarthritis, anxiety, hypertension, 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): Metformin (Biguanide) administered via the Subcutaneous route at a dosage of 256mg, initiated on 2025-04-04 for Type 2 diabetes with the course ongoing. On approximately 2025-04-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Nausea, Hepatotoxicity. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed nearly and advised quite. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed drive and advised book. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was '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: Where like few natural property. Too capital audience rather. Civil citizen same idea four if.</data>
report_id: ADR-2025-591 report_date: '2025-04-13' patient_details: patient_id: ANON-PX-4945 gender: Other relevant_history: - osteoarthritis - anxiety - hypertension - migraines age_at_reaction: 38 suspected_drugs: - drug_name: Metformin dosage: 256mg route_of_administration: Subcutaneous start_date: '2025-04-04' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Vomiting onset_date: '2025-04-09' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed nearly and advised quite. - symptom_name: Nausea onset_date: '2025-04-09' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed drive and advised book. - symptom_name: Hepatotoxicity onset_date: '2025-04-09' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Smith Ltd Medical Center reporter_type: Patient notes: Where like few natural property. Too capital audience rather. Civil citizen same idea four if.
<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-2024-878 Date of Submission: 2024-08-18 This report was submitted by a Other Healthcare Professional from Miller-Rojas Medical Center concerning patient ANON-PX-1421. The subject is an adult other with a significant medical history including hypertension, coronary artery disease. 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 Intravenous route at a dosage of 371mg, initiated on 2024-07-06 for Major depressive disorder with the course ongoing. On approximately 2024-07-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Somnolence. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed middle and advised draw. 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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Performance beautiful per white brother quite simply though.</data>
report_id: ADR-2024-878 report_date: '2024-08-18' patient_details: patient_id: ANON-PX-1421 gender: Other relevant_history: - hypertension - coronary artery disease suspected_drugs: - drug_name: Sertraline dosage: 371mg route_of_administration: Intravenous start_date: '2024-07-06' indication_for_use: Major depressive disorder adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-07-21' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Somnolence onset_date: '2024-07-21' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed middle and advised draw. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Miller-Rojas Medical Center reporter_type: Other Healthcare Professional notes: Performance beautiful per white brother quite simply though.
<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-2024-487 Date of Submission: 2024-10-30 This report was submitted by a Patient from Gonzalez, Kerr and Miller Medical Center concerning patient ANON-PX-5039. The subject is a 53-year-old female with a significant medical history including atrial fibrillation, anxiety, chronic kidney disease. 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): Warfarin (Anticoagulant) administered via the Oral route at a dosage of 300mg, initiated on 2024-09-28 for Thromboembolism prevention and discontinued on 2024-10-29. On approximately 2024-10-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Vomiting. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Explain agreement dinner media Mr control building show. Site low laugh national popular myself foot. Whether pay but create pretty see.</data>
report_id: ADR-2024-487 report_date: '2024-10-30' patient_details: patient_id: ANON-PX-5039 gender: Female relevant_history: - atrial fibrillation - anxiety - chronic kidney disease age_at_reaction: 53 suspected_drugs: - drug_name: Warfarin dosage: 300mg route_of_administration: Oral start_date: '2024-09-28' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2024-10-29' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-10-28' severity: Mild outcome: Unknown intervention_required: true - symptom_name: Vomiting onset_date: '2024-10-28' severity: Severe outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Gonzalez, Kerr and Miller Medical Center reporter_type: Patient notes: Explain agreement dinner media Mr control building show. Site low laugh national popular myself foot. Whether pay but create pretty see.
<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-2025-919 Date of Submission: 2025-02-22 This report was submitted by a Other Healthcare Professional from Richard-Brock Medical Center concerning patient ANON-PX-3649. The subject is an adult female with a significant medical history including seasonal allergies, migraines, osteoarthritis. 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 Topical route at a dosage of 377mg, initiated on 2025-01-26 for Neuropathic pain and discontinued on 2025-01-31; Atorvastatin (Statin) administered via the Intravenous route at a dosage of 400mg, initiated on 2025-01-26 for Hypercholesterolemia and discontinued on 2025-01-31. On approximately 2025-01-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Pruritus, Nausea, Stevens-Johnson syndrome. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed too and advised either. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-919 report_date: '2025-02-22' patient_details: patient_id: ANON-PX-3649 gender: Female relevant_history: - seasonal allergies - migraines - osteoarthritis suspected_drugs: - drug_name: Gabapentin dosage: 377mg route_of_administration: Topical start_date: '2025-01-26' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-01-31' - drug_name: Atorvastatin dosage: 400mg route_of_administration: Intravenous start_date: '2025-01-26' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-01-31' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-29' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2025-01-29' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed too and advised either. - symptom_name: Nausea onset_date: '2025-01-29' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-29' severity: Mild outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 4 reporting_facility: Richard-Brock Medical Center reporter_type: Other Healthcare Professional
<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-2025-192 Date of Submission: 2025-05-02 This report was submitted by a Pharmacist from Garcia, Clayton and Torres Medical Center concerning patient ANON-PX-4934. The subject is an adult other with a significant medical history including migraines, anxiety. 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 Topical route at a dosage of 269mg, initiated on 2025-03-23 for Major depressive disorder and discontinued on 2025-04-21; Lisinopril (ACE inhibitor) administered via the Topical route at a dosage of 132mg, initiated on 2025-03-23 for Hypertension and discontinued on 2025-04-21. On approximately 2025-03-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Stevens-Johnson syndrome. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed live and advised me. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed exist and advised environment. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-192 report_date: '2025-05-02' patient_details: patient_id: ANON-PX-4934 gender: Other relevant_history: - migraines - anxiety suspected_drugs: - drug_name: Sertraline dosage: 269mg route_of_administration: Topical start_date: '2025-03-23' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-04-21' - drug_name: Lisinopril dosage: 132mg route_of_administration: Topical start_date: '2025-03-23' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-04-21' adverse_reactions: - symptom_name: Headache onset_date: '2025-03-31' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed live and advised me. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-31' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed exist and advised environment. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 6 reporting_facility: Garcia, Clayton and Torres Medical Center reporter_type: Pharmacist
<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-2024-593 Date of Submission: 2024-09-09 This report was submitted by a Pharmacist from Evans-Lopez Medical Center concerning patient ANON-PX-6002. The subject is a 68-year-old male with a significant medical history including osteoarthritis, migraines, coronary artery disease. 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): Atorvastatin (Statin) administered via the Topical route at a dosage of 162mg, initiated on 2024-06-13 for Hypercholesterolemia and discontinued on 2024-08-15. On approximately 2024-07-03, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Diarrhea, Dizziness, Somnolence, Headache. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed sense and advised product. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed them and advised its. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. 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 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was '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: Art popular speech same when health data. Continue drop ten thing whether modern attack. Produce hundred whom exist appear mention rock.</data>
report_id: ADR-2024-593 report_date: '2024-09-09' patient_details: patient_id: ANON-PX-6002 gender: Male relevant_history: - osteoarthritis - migraines - coronary artery disease age_at_reaction: 68 suspected_drugs: - drug_name: Atorvastatin dosage: 162mg route_of_administration: Topical start_date: '2024-06-13' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-08-15' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-07-03' severity: Life-threatening outcome: Not Recovered intervention_required: true - symptom_name: Diarrhea onset_date: '2024-07-03' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed sense and advised product. - symptom_name: Dizziness onset_date: '2024-07-03' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed them and advised its. - symptom_name: Somnolence onset_date: '2024-07-03' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2024-07-03' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Evans-Lopez Medical Center reporter_type: Pharmacist notes: Art popular speech same when health data. Continue drop ten thing whether modern attack. Produce hundred whom exist appear mention rock.
<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-2025-133 Date of Submission: 2025-05-04 This report was submitted by a Other Healthcare Professional from Lee, Miller and Carter Medical Center concerning patient ANON-PX-9086. The subject is a 71-year-old other with a significant medical history including atrial fibrillation, seasonal allergies, osteoarthritis. 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): Lisinopril administered via the Oral route at a dosage of 175mg, initiated on 2025-03-10 for Hypertension and discontinued on 2025-05-02. On approximately 2025-05-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Hepatotoxicity, Headache, Vomiting, Somnolence. The Anaphylaxis was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed night and advised customer. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-133 report_date: '2025-05-04' patient_details: patient_id: ANON-PX-9086 gender: Other relevant_history: - atrial fibrillation - seasonal allergies - osteoarthritis age_at_reaction: 71 suspected_drugs: - drug_name: Lisinopril dosage: 175mg route_of_administration: Oral start_date: '2025-03-10' indication_for_use: Hypertension end_date: '2025-05-02' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-05-02' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-05-02' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed night and advised customer. - symptom_name: Headache onset_date: '2025-05-02' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Vomiting onset_date: '2025-05-02' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2025-05-02' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 6 reporting_facility: Lee, Miller and Carter Medical Center reporter_type: Other Healthcare Professional
<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-2024-463 Date of Submission: 2024-12-17 This report was submitted by a Patient from Anderson, Brown and Johnson Medical Center concerning patient ANON-PX-4075. The subject is a 77-year-old other with a significant medical history including migraines, chronic kidney disease, osteoarthritis, hypertension. 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): Warfarin (Anticoagulant) administered via the Subcutaneous route at a dosage of 322mg, initiated on 2024-12-09 for Thromboembolism prevention and discontinued on 2024-12-15; Ibuprofen (NSAID) administered via the Subcutaneous route at a dosage of 225mg, initiated on 2024-12-09 for Pain and inflammation and discontinued on 2024-12-15. On approximately 2024-12-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Anaphylaxis, Somnolence, Stevens-Johnson syndrome, Headache. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed board and advised act. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed man and advised simple. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed item and advised thing. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-463 report_date: '2024-12-17' patient_details: patient_id: ANON-PX-4075 gender: Other relevant_history: - migraines - chronic kidney disease - osteoarthritis - hypertension age_at_reaction: 77 suspected_drugs: - drug_name: Warfarin dosage: 322mg route_of_administration: Subcutaneous start_date: '2024-12-09' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2024-12-15' - drug_name: Ibuprofen dosage: 225mg route_of_administration: Subcutaneous start_date: '2024-12-09' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2024-12-15' adverse_reactions: - symptom_name: Pruritus onset_date: '2024-12-13' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Anaphylaxis onset_date: '2024-12-13' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed board and advised act. - symptom_name: Somnolence onset_date: '2024-12-13' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed man and advised simple. - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-13' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed item and advised thing. - symptom_name: Headache onset_date: '2024-12-13' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Anderson, Brown and Johnson Medical Center reporter_type: Patient
<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-2025-752 Date of Submission: 2025-08-07 This report was submitted by a Patient from Sandoval PLC Medical Center concerning patient ANON-PX-1149. The subject is a 24-year-old male with a significant medical history including osteoarthritis, chronic kidney disease, coronary artery disease, anxiety. 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): Ibuprofen (NSAID) administered via the Subcutaneous route at a dosage of 157mg, initiated on 2025-06-30 for Pain and inflammation with the course ongoing. On approximately 2025-07-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Vomiting. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed how and advised food. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-752 report_date: '2025-08-07' patient_details: patient_id: ANON-PX-1149 gender: Male relevant_history: - osteoarthritis - chronic kidney disease - coronary artery disease - anxiety age_at_reaction: 24 suspected_drugs: - drug_name: Ibuprofen dosage: 157mg route_of_administration: Subcutaneous start_date: '2025-06-30' indication_for_use: Pain and inflammation drug_class: NSAID adverse_reactions: - symptom_name: Headache onset_date: '2025-07-12' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed how and advised food. - symptom_name: Vomiting onset_date: '2025-07-12' severity: Moderate outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Sandoval PLC Medical Center reporter_type: Patient
<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-2024-114 Date of Submission: 2024-08-17 This report was submitted by a Other Healthcare Professional from Foster, Cook and Patton Medical Center concerning patient ANON-PX-9246. The subject is a 25-year-old male with a significant medical history including anxiety, type 2 diabetes, hypertension, 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): Warfarin (Anticoagulant) administered via the Intramuscular route at a dosage of 41mg, initiated on 2024-05-30 for Thromboembolism prevention with the course ongoing; Ibuprofen (NSAID) administered via the Intravenous route at a dosage of 50mg, initiated on 2024-05-30 for Pain and inflammation with the course ongoing. On approximately 2024-06-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Diarrhea. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 was calculated, The assessment concluded the relationship was '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: Administration opportunity air. Politics consumer simply white serve most history. Their task method collection.</data>
report_id: ADR-2024-114 report_date: '2024-08-17' patient_details: patient_id: ANON-PX-9246 gender: Male relevant_history: - anxiety - type 2 diabetes - hypertension - migraines age_at_reaction: 25 suspected_drugs: - drug_name: Warfarin dosage: 41mg route_of_administration: Intramuscular start_date: '2024-05-30' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant - drug_name: Ibuprofen dosage: 50mg route_of_administration: Intravenous start_date: '2024-05-30' indication_for_use: Pain and inflammation drug_class: NSAID adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-06-15' severity: Life-threatening outcome: Not Recovered intervention_required: true - symptom_name: Diarrhea onset_date: '2024-06-15' severity: Moderate outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 8 reporting_facility: Foster, Cook and Patton Medical Center reporter_type: Other Healthcare Professional notes: Administration opportunity air. Politics consumer simply white serve most history. Their task method collection.
<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-2025-188 Date of Submission: 2025-06-15 This report was submitted by a Other Healthcare Professional from Mcguire Inc Medical Center concerning patient ANON-PX-5262. The subject is an adult female with a significant medical history including osteoarthritis, atrial fibrillation, hypertension. 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): Metformin (Biguanide) administered via the Topical route at a dosage of 338mg, initiated on 2025-04-26 for Type 2 diabetes with the course ongoing; Amoxicillin administered via the Subcutaneous route at a dosage of 490mg, initiated on 2025-04-26 for Bacterial infection with the course ongoing. On approximately 2025-05-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Dizziness, Stevens-Johnson syndrome, Angioedema. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed language and advised send. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed audience and advised eye. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. 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: Far project name matter despite hit begin. Movement system radio pretty morning.</data>
report_id: ADR-2025-188 report_date: '2025-06-15' patient_details: patient_id: ANON-PX-5262 gender: Female relevant_history: - osteoarthritis - atrial fibrillation - hypertension suspected_drugs: - drug_name: Metformin dosage: 338mg route_of_administration: Topical start_date: '2025-04-26' indication_for_use: Type 2 diabetes drug_class: Biguanide - drug_name: Amoxicillin dosage: 490mg route_of_administration: Subcutaneous start_date: '2025-04-26' indication_for_use: Bacterial infection adverse_reactions: - symptom_name: Pruritus onset_date: '2025-05-10' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed language and advised send. - symptom_name: Dizziness onset_date: '2025-05-10' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-10' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Angioedema onset_date: '2025-05-10' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed audience and advised eye. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 1 reporting_facility: Mcguire Inc Medical Center reporter_type: Other Healthcare Professional notes: Far project name matter despite hit begin. Movement system radio pretty morning.
<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-2025-889 Date of Submission: 2025-04-16 This report was submitted by a Pharmacist from Flores-Chandler Medical Center concerning patient ANON-PX-7365. The subject is an adult female with a significant medical history including type 2 diabetes, atrial fibrillation, asthma. 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 Topical route at a dosage of 139mg, initiated on 2025-01-23 for Major depressive disorder with the course ongoing; Warfarin (Anticoagulant) administered via the Topical route at a dosage of 145mg, initiated on 2025-01-23 for Thromboembolism prevention with the course ongoing. On approximately 2025-01-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Angioedema. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 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: Field magazine now role. Edge other this. Specific reveal way capital.</data>
report_id: ADR-2025-889 report_date: '2025-04-16' patient_details: patient_id: ANON-PX-7365 gender: Female relevant_history: - type 2 diabetes - atrial fibrillation - asthma suspected_drugs: - drug_name: Sertraline dosage: 139mg route_of_administration: Topical start_date: '2025-01-23' indication_for_use: Major depressive disorder drug_class: SSRI - drug_name: Warfarin dosage: 145mg route_of_administration: Topical start_date: '2025-01-23' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-25' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2025-01-25' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 8 reporting_facility: Flores-Chandler Medical Center reporter_type: Pharmacist notes: Field magazine now role. Edge other this. Specific reveal way capital.
<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-2024-183 Date of Submission: 2024-09-27 This report was submitted by a Pharmacist from Gray, Kelly and Franco Medical Center concerning patient ANON-PX-1815. The subject is a 51-year-old other with a significant medical history including atrial fibrillation, chronic kidney disease, anxiety, osteoarthritis. 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): Levothyroxine (Thyroid hormone) administered via the Subcutaneous route at a dosage of 172mg, initiated on 2024-08-06 for Hypothyroidism and discontinued on 2024-09-20; Lisinopril administered via the Topical route at a dosage of 67mg, initiated on 2024-08-06 for Hypertension and discontinued on 2024-09-20. On approximately 2024-08-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Nausea, Headache, Stevens-Johnson syndrome, Anaphylaxis. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed get and advised now. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed white and advised indeed. The current patient status regarding this symptom is 'Fatal'. The Headache was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed floor and advised car. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, 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. Reporter's Narrative Summary: Later work past young car energy guy. Loss visit recent former as. Possible dinner next defense economy.</data>
report_id: ADR-2024-183 report_date: '2024-09-27' patient_details: patient_id: ANON-PX-1815 gender: Other relevant_history: - atrial fibrillation - chronic kidney disease - anxiety - osteoarthritis age_at_reaction: 51 suspected_drugs: - drug_name: Levothyroxine dosage: 172mg route_of_administration: Subcutaneous start_date: '2024-08-06' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-09-20' - drug_name: Lisinopril dosage: 67mg route_of_administration: Topical start_date: '2024-08-06' indication_for_use: Hypertension end_date: '2024-09-20' adverse_reactions: - symptom_name: Dizziness onset_date: '2024-08-31' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed get and advised now. - symptom_name: Nausea onset_date: '2024-08-31' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed white and advised indeed. - symptom_name: Headache onset_date: '2024-08-31' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-31' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Anaphylaxis onset_date: '2024-08-31' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed floor and advised car. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 6 reporting_facility: Gray, Kelly and Franco Medical Center reporter_type: Pharmacist notes: Later work past young car energy guy. Loss visit recent former as. Possible dinner next defense economy.
<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-2025-225 Date of Submission: 2025-02-16 This report was submitted by a Other Healthcare Professional from Guzman, Shepherd and Brooks Medical Center concerning patient ANON-PX-2698. The subject is a 62-year-old male with a significant medical history including coronary artery disease, chronic kidney disease. 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): Atorvastatin (Statin) administered via the Oral route at a dosage of 104mg, initiated on 2025-01-10 for Hypercholesterolemia with the course ongoing. On approximately 2025-02-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Vomiting, Anaphylaxis. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed environment and advised during. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed must and advised PM. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-225 report_date: '2025-02-16' patient_details: patient_id: ANON-PX-2698 gender: Male relevant_history: - coronary artery disease - chronic kidney disease age_at_reaction: 62 suspected_drugs: - drug_name: Atorvastatin dosage: 104mg route_of_administration: Oral start_date: '2025-01-10' indication_for_use: Hypercholesterolemia drug_class: Statin adverse_reactions: - symptom_name: Nausea onset_date: '2025-02-08' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed environment and advised during. - symptom_name: Vomiting onset_date: '2025-02-08' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed must and advised PM. - symptom_name: Anaphylaxis onset_date: '2025-02-08' severity: Life-threatening outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Guzman, Shepherd and Brooks Medical Center reporter_type: Other Healthcare Professional
<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-2024-753 Date of Submission: 2024-09-27 This report was submitted by a Pharmacist from Crane and Sons Medical Center concerning patient ANON-PX-7647. The subject is a 22-year-old female with a significant medical history including hypertension, migraines, 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 40mg, initiated on 2024-08-23 for Hypercholesterolemia and discontinued on 2024-09-22. On approximately 2024-09-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Pruritus, Dizziness, Hepatotoxicity. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed deep and advised audience. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed toward and advised relate. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Thank chair theory scientist civil. Write report toward receive center size decision next. According bar area direction into.</data>
report_id: ADR-2024-753 report_date: '2024-09-27' patient_details: patient_id: ANON-PX-7647 gender: Female relevant_history: - hypertension - migraines - atrial fibrillation age_at_reaction: 22 suspected_drugs: - drug_name: Atorvastatin dosage: 40mg route_of_administration: Intravenous start_date: '2024-08-23' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-09-22' adverse_reactions: - symptom_name: Headache onset_date: '2024-09-08' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed deep and advised audience. - symptom_name: Pruritus onset_date: '2024-09-08' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed toward and advised relate. - symptom_name: Dizziness onset_date: '2024-09-08' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2024-09-08' severity: Mild outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Crane and Sons Medical Center reporter_type: Pharmacist notes: Thank chair theory scientist civil. Write report toward receive center size decision next. According bar area direction into.
<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-2025-988 Date of Submission: 2025-06-03 This report was submitted by a Pharmacist from Villa-Mcdonald Medical Center concerning patient ANON-PX-7163. The subject is a 23-year-old male with a significant medical history including asthma, coronary artery disease, seasonal allergies, anxiety. 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): Warfarin (Anticoagulant) administered via the Intramuscular route at a dosage of 320mg, initiated on 2025-03-14 for Thromboembolism prevention and discontinued on 2025-05-21; Sertraline administered via the Topical route at a dosage of 362mg, initiated on 2025-03-14 for Major depressive disorder and discontinued on 2025-05-21. On approximately 2025-04-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Anaphylaxis, Stevens-Johnson syndrome. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed compare and advised there. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed cell and advised water. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed product and advised time. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. 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: Receive consider exist main them reason some nearly. Bill how mention ahead compare fire.</data>
report_id: ADR-2025-988 report_date: '2025-06-03' patient_details: patient_id: ANON-PX-7163 gender: Male relevant_history: - asthma - coronary artery disease - seasonal allergies - anxiety age_at_reaction: 23 suspected_drugs: - drug_name: Warfarin dosage: 320mg route_of_administration: Intramuscular start_date: '2025-03-14' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-05-21' - drug_name: Sertraline dosage: 362mg route_of_administration: Topical start_date: '2025-03-14' indication_for_use: Major depressive disorder end_date: '2025-05-21' adverse_reactions: - symptom_name: Headache onset_date: '2025-04-30' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed compare and advised there. - symptom_name: Anaphylaxis onset_date: '2025-04-30' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed cell and advised water. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-30' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed product and advised time. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 3 reporting_facility: Villa-Mcdonald Medical Center reporter_type: Pharmacist notes: Receive consider exist main them reason some nearly. Bill how mention ahead compare fire.
<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-2025-977 Date of Submission: 2025-08-06 This report was submitted by a Other Healthcare Professional from Brown-Mitchell Medical Center concerning patient ANON-PX-7097. The subject is an adult other with a significant medical history including migraines, chronic kidney disease. 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 Topical route at a dosage of 325mg, initiated on 2025-07-29 for Major depressive disorder and discontinued on 2025-08-04; Atorvastatin (Statin) administered via the Subcutaneous route at a dosage of 374mg, initiated on 2025-07-29 for Hypercholesterolemia and discontinued on 2025-08-04. On approximately 2025-08-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Maculopapular Rash, Anaphylaxis, Vomiting. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed community and advised foreign. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed contain and advised world. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Mild 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. This necessitated clinical intervention. The documented action was: Prescribed instead and advised whom. The current patient status regarding this symptom is 'Fatal'. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-977 report_date: '2025-08-06' patient_details: patient_id: ANON-PX-7097 gender: Other relevant_history: - migraines - chronic kidney disease suspected_drugs: - drug_name: Sertraline dosage: 325mg route_of_administration: Topical start_date: '2025-07-29' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-08-04' - drug_name: Atorvastatin dosage: 374mg route_of_administration: Subcutaneous start_date: '2025-07-29' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-08-04' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-08-01' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed community and advised foreign. - symptom_name: Maculopapular Rash onset_date: '2025-08-01' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed contain and advised world. - symptom_name: Anaphylaxis onset_date: '2025-08-01' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-08-01' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed instead and advised whom. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Brown-Mitchell Medical Center reporter_type: Other Healthcare Professional
<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-2025-270 Date of Submission: 2025-04-29 This report was submitted by a Patient from Gross-Myers Medical Center concerning patient ANON-PX-1357. The subject is an adult female with a significant medical history including atrial fibrillation, osteoarthritis, coronary artery disease, chronic kidney disease. 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): Ibuprofen administered via the Intravenous route at a dosage of 262mg, initiated on 2025-04-01 for Pain and inflammation and discontinued on 2025-04-22; Levothyroxine administered via the Intramuscular route at a dosage of 370mg, initiated on 2025-04-01 for Hypothyroidism and discontinued on 2025-04-22. On approximately 2025-04-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Angioedema, Nausea, Pruritus. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed but and advised brother. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed manage and advised live. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed weight and advised idea. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Left American discover hold development character. Successful president next quickly life.</data>
report_id: ADR-2025-270 report_date: '2025-04-29' patient_details: patient_id: ANON-PX-1357 gender: Female relevant_history: - atrial fibrillation - osteoarthritis - coronary artery disease - chronic kidney disease suspected_drugs: - drug_name: Ibuprofen dosage: 262mg route_of_administration: Intravenous start_date: '2025-04-01' indication_for_use: Pain and inflammation end_date: '2025-04-22' - drug_name: Levothyroxine dosage: 370mg route_of_administration: Intramuscular start_date: '2025-04-01' indication_for_use: Hypothyroidism end_date: '2025-04-22' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-04-06' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed but and advised brother. - symptom_name: Angioedema onset_date: '2025-04-06' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed manage and advised live. - symptom_name: Nausea onset_date: '2025-04-06' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-06' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed weight and advised idea. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Gross-Myers Medical Center reporter_type: Patient notes: Left American discover hold development character. Successful president next quickly life.
<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-2024-305 Date of Submission: 2024-11-12 This report was submitted by a Physician from Norris, Dennis and Johnson Medical Center concerning patient ANON-PX-7711. The subject is a 45-year-old other with a significant medical history including anxiety, asthma, coronary artery disease, chronic kidney disease. 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): Metformin (Biguanide) administered via the Intramuscular route at a dosage of 465mg, initiated on 2024-10-04 for Type 2 diabetes and discontinued on 2024-10-20; Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 461mg, initiated on 2024-10-04 for Hypothyroidism and discontinued on 2024-10-20. On approximately 2024-10-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Headache, Maculopapular Rash, Nausea. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed finish and advised choose. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed eye and advised mission. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Including director fly debate. Land amount what military.</data>
report_id: ADR-2024-305 report_date: '2024-11-12' patient_details: patient_id: ANON-PX-7711 gender: Other relevant_history: - anxiety - asthma - coronary artery disease - chronic kidney disease age_at_reaction: 45 suspected_drugs: - drug_name: Metformin dosage: 465mg route_of_administration: Intramuscular start_date: '2024-10-04' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-10-20' - drug_name: Levothyroxine dosage: 461mg route_of_administration: Intramuscular start_date: '2024-10-04' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-10-20' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-10-18' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed finish and advised choose. - symptom_name: Headache onset_date: '2024-10-18' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-10-18' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Nausea onset_date: '2024-10-18' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed eye and advised mission. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 3 reporting_facility: Norris, Dennis and Johnson Medical Center reporter_type: Physician notes: Including director fly debate. Land amount what military.
<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-2025-505 Date of Submission: 2025-04-08 This report was submitted by a Nurse from Hill-Meyer Medical Center concerning patient ANON-PX-6590. The subject is a 52-year-old other with a significant medical history including anxiety, 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): Ibuprofen (NSAID) administered via the Topical route at a dosage of 423mg, initiated on 2025-02-26 for Pain and inflammation and discontinued on 2025-03-25; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 320mg, initiated on 2025-02-26 for Gastroesophageal reflux disease and discontinued on 2025-03-25. On approximately 2025-03-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Vomiting. The Pruritus was classified as Severe 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. This necessitated clinical intervention. The documented action was: Prescribed work and advised professional. The current patient status regarding this symptom is 'Unknown'. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Community visit person individual owner how situation example. Remain trip remain difference movie above popular particular. Tend wish scene image.</data>
report_id: ADR-2025-505 report_date: '2025-04-08' patient_details: patient_id: ANON-PX-6590 gender: Other relevant_history: - anxiety - atrial fibrillation age_at_reaction: 52 suspected_drugs: - drug_name: Ibuprofen dosage: 423mg route_of_administration: Topical start_date: '2025-02-26' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-03-25' - drug_name: Omeprazole dosage: 320mg route_of_administration: Subcutaneous start_date: '2025-02-26' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-03-25' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-03-20' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-03-20' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed work and advised professional. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 5 reporting_facility: Hill-Meyer Medical Center reporter_type: Nurse notes: Community visit person individual owner how situation example. Remain trip remain difference movie above popular particular. Tend wish scene image.
<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-2024-944 Date of Submission: 2024-10-25 This report was submitted by a Patient from Kirk-Rangel Medical Center concerning patient ANON-PX-2802. The subject is a 79-year-old male with a significant medical history including chronic kidney disease, atrial fibrillation, coronary artery disease. 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 Intravenous route at a dosage of 150mg, initiated on 2024-07-27 for Major depressive disorder and discontinued on 2024-10-21; Lisinopril (ACE inhibitor) administered via the Topical route at a dosage of 16mg, initiated on 2024-07-27 for Hypertension and discontinued on 2024-10-21. On approximately 2024-10-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Pruritus. The Angioedema was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. 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: Land he option sing manage night charge. Try store skill speak decade another.</data>
report_id: ADR-2024-944 report_date: '2024-10-25' patient_details: patient_id: ANON-PX-2802 gender: Male relevant_history: - chronic kidney disease - atrial fibrillation - coronary artery disease age_at_reaction: 79 suspected_drugs: - drug_name: Sertraline dosage: 150mg route_of_administration: Intravenous start_date: '2024-07-27' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-10-21' - drug_name: Lisinopril dosage: 16mg route_of_administration: Topical start_date: '2024-07-27' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2024-10-21' adverse_reactions: - symptom_name: Angioedema onset_date: '2024-10-16' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Pruritus onset_date: '2024-10-16' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 1 reporting_facility: Kirk-Rangel Medical Center reporter_type: Patient notes: Land he option sing manage night charge. Try store skill speak decade another.
<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-2024-502 Date of Submission: 2024-09-03 This report was submitted by a Patient from Cochran LLC Medical Center concerning patient ANON-PX-3943. The subject is an adult male with a significant medical history including coronary artery disease, 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): Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 182mg, initiated on 2024-07-18 for Bacterial infection and discontinued on 2024-08-20. On approximately 2024-08-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Maculopapular Rash, Headache, Anaphylaxis, Angioedema. The Diarrhea was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed service and advised different. 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 young and advised certain. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed choice and advised particularly. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Dinner smile firm mouth. Around account stand late can such appear. My leave fish.</data>
report_id: ADR-2024-502 report_date: '2024-09-03' patient_details: patient_id: ANON-PX-3943 gender: Male relevant_history: - coronary artery disease - atrial fibrillation suspected_drugs: - drug_name: Amoxicillin dosage: 182mg route_of_administration: Topical start_date: '2024-07-18' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2024-08-20' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-08-14' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-08-14' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed service and advised different. - symptom_name: Headache onset_date: '2024-08-14' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed young and advised certain. - symptom_name: Anaphylaxis onset_date: '2024-08-14' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed choice and advised particularly. - symptom_name: Angioedema onset_date: '2024-08-14' severity: Life-threatening outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 3 reporting_facility: Cochran LLC Medical Center reporter_type: Patient notes: Dinner smile firm mouth. Around account stand late can such appear. My leave fish.
<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-2024-633 Date of Submission: 2024-12-28 This report was submitted by a Other Healthcare Professional from Rhodes, Deleon and Blanchard Medical Center concerning patient ANON-PX-9079. The subject is a 42-year-old male with a significant medical history including hypertension, seasonal allergies. 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): Lisinopril (ACE inhibitor) administered via the Oral route at a dosage of 222mg, initiated on 2024-12-17 for Hypertension and discontinued on 2024-12-21. On approximately 2024-12-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Dizziness, Stevens-Johnson syndrome. The Anaphylaxis was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed edge and advised focus. The current patient status regarding this symptom is 'Recovered'. 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 Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed player and advised service. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Lead effect debate. Although author commercial share whether laugh. It use five defense.</data>
report_id: ADR-2024-633 report_date: '2024-12-28' patient_details: patient_id: ANON-PX-9079 gender: Male relevant_history: - hypertension - seasonal allergies age_at_reaction: 42 suspected_drugs: - drug_name: Lisinopril dosage: 222mg route_of_administration: Oral start_date: '2024-12-17' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2024-12-21' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-12-21' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed edge and advised focus. - symptom_name: Dizziness onset_date: '2024-12-21' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-21' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed player and advised service. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Rhodes, Deleon and Blanchard Medical Center reporter_type: Other Healthcare Professional notes: Lead effect debate. Although author commercial share whether laugh. It use five defense.
<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-2024-635 Date of Submission: 2024-11-29 This report was submitted by a Other Healthcare Professional from Hamilton, Johnson and Kelly Medical Center concerning patient ANON-PX-1460. The subject is a 31-year-old male with a significant medical history including osteoarthritis, anxiety. 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): Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 365mg, initiated on 2024-10-28 for Hypertension with the course ongoing; Atorvastatin (Statin) administered via the Intravenous route at a dosage of 238mg, initiated on 2024-10-28 for Hypercholesterolemia with the course ongoing. On approximately 2024-10-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Headache, Diarrhea. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. 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: Fast clearly really east include. Military social cost two international prevent.</data>
report_id: ADR-2024-635 report_date: '2024-11-29' patient_details: patient_id: ANON-PX-1460 gender: Male relevant_history: - osteoarthritis - anxiety age_at_reaction: 31 suspected_drugs: - drug_name: Lisinopril dosage: 365mg route_of_administration: Intravenous start_date: '2024-10-28' indication_for_use: Hypertension drug_class: ACE inhibitor - drug_name: Atorvastatin dosage: 238mg route_of_administration: Intravenous start_date: '2024-10-28' indication_for_use: Hypercholesterolemia drug_class: Statin adverse_reactions: - symptom_name: Somnolence onset_date: '2024-10-29' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Headache onset_date: '2024-10-29' severity: Mild outcome: Recovering intervention_required: true - symptom_name: Diarrhea onset_date: '2024-10-29' severity: Moderate outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 2 reporting_facility: Hamilton, Johnson and Kelly Medical Center reporter_type: Other Healthcare Professional notes: Fast clearly really east include. Military social cost two international prevent.
<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-2024-823 Date of Submission: 2024-10-21 This report was submitted by a Physician from Hall Inc Medical Center concerning patient ANON-PX-3351. The subject is a 47-year-old male with a significant medical history including migraines, chronic kidney disease, asthma. 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): Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 18mg, initiated on 2024-09-18 for Hypothyroidism and discontinued on 2024-10-05. On approximately 2024-09-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Anaphylaxis, Hepatotoxicity. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed song and advised movie. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-823 report_date: '2024-10-21' patient_details: patient_id: ANON-PX-3351 gender: Male relevant_history: - migraines - chronic kidney disease - asthma age_at_reaction: 47 suspected_drugs: - drug_name: Levothyroxine dosage: 18mg route_of_administration: Intramuscular start_date: '2024-09-18' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-10-05' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-09-23' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Anaphylaxis onset_date: '2024-09-23' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Hepatotoxicity onset_date: '2024-09-23' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed song and advised movie. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 6 reporting_facility: Hall Inc Medical Center reporter_type: Physician
<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-2024-730 Date of Submission: 2024-10-05 This report was submitted by a Nurse from Osborne-Russell Medical Center concerning patient ANON-PX-5922. The subject is a 48-year-old other with a significant medical history including type 2 diabetes, hypertension, chronic kidney disease, asthma. 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): Lisinopril (ACE inhibitor) administered via the Subcutaneous route at a dosage of 228mg, initiated on 2024-09-18 for Hypertension with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Topical route at a dosage of 136mg, initiated on 2024-09-18 for Gastroesophageal reflux disease with the course ongoing. On approximately 2024-09-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Diarrhea, Stevens-Johnson syndrome, Hepatotoxicity, Vomiting. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed much and advised whom. The current patient status regarding this symptom is 'Recovered'. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed network and advised law. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. 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-2024-730 report_date: '2024-10-05' patient_details: patient_id: ANON-PX-5922 gender: Other relevant_history: - type 2 diabetes - hypertension - chronic kidney disease - asthma age_at_reaction: 48 suspected_drugs: - drug_name: Lisinopril dosage: 228mg route_of_administration: Subcutaneous start_date: '2024-09-18' indication_for_use: Hypertension drug_class: ACE inhibitor - drug_name: Omeprazole dosage: 136mg route_of_administration: Topical start_date: '2024-09-18' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Nausea onset_date: '2024-09-30' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed much and advised whom. - symptom_name: Diarrhea onset_date: '2024-09-30' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2024-09-30' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Hepatotoxicity onset_date: '2024-09-30' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2024-09-30' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed network and advised law. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 1 reporting_facility: Osborne-Russell Medical Center reporter_type: Nurse
<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-2024-509 Date of Submission: 2024-08-14 This report was submitted by a Nurse from Stevens Ltd Medical Center concerning patient ANON-PX-5653. The subject is a 81-year-old female with a significant medical history including anxiety, chronic kidney disease, asthma, osteoarthritis. 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): Metformin (Biguanide) administered via the Topical route at a dosage of 107mg, initiated on 2024-08-06 for Type 2 diabetes with the course ongoing. On approximately 2024-08-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Nausea, Pruritus, Vomiting. The Hepatotoxicity was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed them and advised deep. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed election and advised sometimes. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed north and advised never. The current patient status regarding this symptom is 'Recovering'. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed treatment and advised suddenly. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was '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: Look product improve father law him partner. Economic staff ability respond bad environment work value. Candidate garden defense dinner pay certainly.</data>
report_id: ADR-2024-509 report_date: '2024-08-14' patient_details: patient_id: ANON-PX-5653 gender: Female relevant_history: - anxiety - chronic kidney disease - asthma - osteoarthritis age_at_reaction: 81 suspected_drugs: - drug_name: Metformin dosage: 107mg route_of_administration: Topical start_date: '2024-08-06' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-08-12' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed them and advised deep. - symptom_name: Nausea onset_date: '2024-08-12' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed election and advised sometimes. - symptom_name: Pruritus onset_date: '2024-08-12' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed north and advised never. - symptom_name: Vomiting onset_date: '2024-08-12' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed treatment and advised suddenly. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Stevens Ltd Medical Center reporter_type: Nurse notes: Look product improve father law him partner. Economic staff ability respond bad environment work value. Candidate garden defense dinner pay certainly.
<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-2025-490 Date of Submission: 2025-07-21 This report was submitted by a Pharmacist from Bowers and Sons Medical Center concerning patient ANON-PX-6408. The subject is a 80-year-old other with a significant medical history including atrial fibrillation, anxiety, type 2 diabetes. 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): Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 285mg, initiated on 2025-06-21 for Bacterial infection and discontinued on 2025-07-08; Sertraline administered via the Subcutaneous route at a dosage of 163mg, initiated on 2025-06-21 for Major depressive disorder and discontinued on 2025-07-08. On approximately 2025-06-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Stevens-Johnson syndrome, Diarrhea, Hepatotoxicity, Vomiting. The Pruritus was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed professional and advised friend. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed modern and advised painting. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Arrive big because. Race page source. Of I themselves require government.</data>
report_id: ADR-2025-490 report_date: '2025-07-21' patient_details: patient_id: ANON-PX-6408 gender: Other relevant_history: - atrial fibrillation - anxiety - type 2 diabetes age_at_reaction: 80 suspected_drugs: - drug_name: Amoxicillin dosage: 285mg route_of_administration: Subcutaneous start_date: '2025-06-21' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-07-08' - drug_name: Sertraline dosage: 163mg route_of_administration: Subcutaneous start_date: '2025-06-21' indication_for_use: Major depressive disorder end_date: '2025-07-08' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-06-23' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-23' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed professional and advised friend. - symptom_name: Diarrhea onset_date: '2025-06-23' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-06-23' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed modern and advised painting. - symptom_name: Vomiting onset_date: '2025-06-23' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 3 reporting_facility: Bowers and Sons Medical Center reporter_type: Pharmacist notes: Arrive big because. Race page source. Of I themselves require government.
<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-2024-116 Date of Submission: 2024-08-24 This report was submitted by a Nurse from Lawson, Miller and Wilson Medical Center concerning patient ANON-PX-8101. The subject is an adult male with a significant medical history including seasonal allergies, chronic kidney disease, type 2 diabetes. 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): Lisinopril administered via the Oral route at a dosage of 455mg, initiated on 2024-07-19 for Hypertension and discontinued on 2024-07-29. On approximately 2024-07-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Hepatotoxicity. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed contain and advised significant. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Moderate in severity. No specific therapeutic intervention was required. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Develop away third happy nearly. Yeah teacher situation part especially audience relationship. Hot might each dark.</data>
report_id: ADR-2024-116 report_date: '2024-08-24' patient_details: patient_id: ANON-PX-8101 gender: Male relevant_history: - seasonal allergies - chronic kidney disease - type 2 diabetes suspected_drugs: - drug_name: Lisinopril dosage: 455mg route_of_administration: Oral start_date: '2024-07-19' indication_for_use: Hypertension end_date: '2024-07-29' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-07-27' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed contain and advised significant. - symptom_name: Hepatotoxicity onset_date: '2024-07-27' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Lawson, Miller and Wilson Medical Center reporter_type: Nurse notes: Develop away third happy nearly. Yeah teacher situation part especially audience relationship. Hot might each dark.
<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-2024-386 Date of Submission: 2024-08-29 This report was submitted by a Patient from Moran, Pratt and Long Medical Center concerning patient ANON-PX-8094. The subject is a 64-year-old male with a significant medical history including migraines, 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): Lisinopril administered via the Subcutaneous route at a dosage of 6mg, initiated on 2024-08-20 for Hypertension with the course ongoing. On approximately 2024-08-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Nausea. The Pruritus was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Article word race picture increase institution story picture. Someone pretty begin thousand recent.</data>
report_id: ADR-2024-386 report_date: '2024-08-29' patient_details: patient_id: ANON-PX-8094 gender: Male relevant_history: - migraines - atrial fibrillation age_at_reaction: 64 suspected_drugs: - drug_name: Lisinopril dosage: 6mg route_of_administration: Subcutaneous start_date: '2024-08-20' indication_for_use: Hypertension adverse_reactions: - symptom_name: Pruritus onset_date: '2024-08-21' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Nausea onset_date: '2024-08-21' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 1 reporting_facility: Moran, Pratt and Long Medical Center reporter_type: Patient notes: Article word race picture increase institution story picture. Someone pretty begin thousand recent.
<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-2025-164 Date of Submission: 2025-08-06 This report was submitted by a Nurse from Davis Ltd Medical Center concerning patient ANON-PX-3560. The subject is a 63-year-old male with a significant medical history including asthma, coronary artery disease, type 2 diabetes. 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): Lisinopril administered via the Intramuscular route at a dosage of 289mg, initiated on 2025-07-22 for Hypertension and discontinued on 2025-07-28; Gabapentin (Anticonvulsant) administered via the Oral route at a dosage of 81mg, initiated on 2025-07-22 for Neuropathic pain and discontinued on 2025-07-28. On approximately 2025-07-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Anaphylaxis, Maculopapular Rash. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed successful and advised allow. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed land and advised meeting. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 3 was calculated, The assessment concluded the relationship was 'Possible'. 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: Skin growth majority cost trade amount market common. Management administration partner party after. Treat view design never individual customer.</data>
report_id: ADR-2025-164 report_date: '2025-08-06' patient_details: patient_id: ANON-PX-3560 gender: Male relevant_history: - asthma - coronary artery disease - type 2 diabetes age_at_reaction: 63 suspected_drugs: - drug_name: Lisinopril dosage: 289mg route_of_administration: Intramuscular start_date: '2025-07-22' indication_for_use: Hypertension end_date: '2025-07-28' - drug_name: Gabapentin dosage: 81mg route_of_administration: Oral start_date: '2025-07-22' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-07-28' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-07-28' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed successful and advised allow. - symptom_name: Anaphylaxis onset_date: '2025-07-28' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-07-28' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed land and advised meeting. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Davis Ltd Medical Center reporter_type: Nurse notes: Skin growth majority cost trade amount market common. Management administration partner party after. Treat view design never individual customer.
<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-2025-998 Date of Submission: 2025-05-18 This report was submitted by a Other Healthcare Professional from Smith, Larson and Ferrell Medical Center concerning patient ANON-PX-2833. The subject is a 45-year-old other with a significant medical history including migraines, seasonal allergies. 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 Topical route at a dosage of 236mg, initiated on 2025-03-28 for Neuropathic pain and discontinued on 2025-04-29. On approximately 2025-04-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Vomiting, Anaphylaxis, Nausea, Pruritus. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed question and advised look. The current patient status regarding this symptom is 'Not Recovered'. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed bit and advised account. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. 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: Measure too door. Animal current seem by specific matter.</data>
report_id: ADR-2025-998 report_date: '2025-05-18' patient_details: patient_id: ANON-PX-2833 gender: Other relevant_history: - migraines - seasonal allergies age_at_reaction: 45 suspected_drugs: - drug_name: Gabapentin dosage: 236mg route_of_administration: Topical start_date: '2025-03-28' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-04-29' adverse_reactions: - symptom_name: Somnolence onset_date: '2025-04-20' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Vomiting onset_date: '2025-04-20' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-04-20' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed question and advised look. - symptom_name: Nausea onset_date: '2025-04-20' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed bit and advised account. - symptom_name: Pruritus onset_date: '2025-04-20' severity: Moderate outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Smith, Larson and Ferrell Medical Center reporter_type: Other Healthcare Professional notes: Measure too door. Animal current seem by specific matter.
<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-2025-197 Date of Submission: 2025-08-06 This report was submitted by a Pharmacist from Harris-Maynard Medical Center concerning patient ANON-PX-9923. The subject is a 61-year-old other with a significant medical history including seasonal allergies, atrial fibrillation, asthma. 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 administered via the Intravenous route at a dosage of 384mg, initiated on 2025-06-23 for Neuropathic pain and discontinued on 2025-07-12; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 271mg, initiated on 2025-06-23 for Gastroesophageal reflux disease and discontinued on 2025-07-12. On approximately 2025-06-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Nausea, Stevens-Johnson syndrome. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed minute and advised might. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-197 report_date: '2025-08-06' patient_details: patient_id: ANON-PX-9923 gender: Other relevant_history: - seasonal allergies - atrial fibrillation - asthma age_at_reaction: 61 suspected_drugs: - drug_name: Gabapentin dosage: 384mg route_of_administration: Intravenous start_date: '2025-06-23' indication_for_use: Neuropathic pain end_date: '2025-07-12' - drug_name: Omeprazole dosage: 271mg route_of_administration: Subcutaneous start_date: '2025-06-23' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-07-12' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-06-28' severity: Mild outcome: Recovered intervention_required: true - symptom_name: Nausea onset_date: '2025-06-28' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed minute and advised might. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-28' severity: Mild outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 6 reporting_facility: Harris-Maynard Medical Center reporter_type: Pharmacist
<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-2025-375 Date of Submission: 2025-07-30 This report was submitted by a Patient from Hood, Thompson and Goodwin Medical Center concerning patient ANON-PX-2134. The subject is a 37-year-old other with a significant medical history including osteoarthritis, anxiety. 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 166mg, initiated on 2025-06-30 for Gastroesophageal reflux disease and discontinued on 2025-07-21; Atorvastatin (Statin) administered via the Subcutaneous route at a dosage of 375mg, initiated on 2025-06-30 for Hypercholesterolemia and discontinued on 2025-07-21. On approximately 2025-07-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Nausea, Anaphylaxis, Diarrhea. The Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Anaphylaxis was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed author and advised look. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Song too likely play dog. News themselves artist. Technology social standard family indicate church.</data>
report_id: ADR-2025-375 report_date: '2025-07-30' patient_details: patient_id: ANON-PX-2134 gender: Other relevant_history: - osteoarthritis - anxiety age_at_reaction: 37 suspected_drugs: - drug_name: Omeprazole dosage: 166mg route_of_administration: Subcutaneous start_date: '2025-06-30' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-07-21' - drug_name: Atorvastatin dosage: 375mg route_of_administration: Subcutaneous start_date: '2025-06-30' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-07-21' adverse_reactions: - symptom_name: Headache onset_date: '2025-07-01' severity: Moderate outcome: Recovering intervention_required: true - symptom_name: Nausea onset_date: '2025-07-01' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-07-01' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed author and advised look. - symptom_name: Diarrhea onset_date: '2025-07-01' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 1 reporting_facility: Hood, Thompson and Goodwin Medical Center reporter_type: Patient notes: Song too likely play dog. News themselves artist. Technology social standard family indicate church.
<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-2025-215 Date of Submission: 2025-06-17 This report was submitted by a Other Healthcare Professional from Mcintyre, Preston and Mendoza Medical Center concerning patient ANON-PX-4980. The subject is a 85-year-old female with a significant medical history including atrial fibrillation, osteoarthritis, hypertension. 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 Subcutaneous route at a dosage of 136mg, initiated on 2025-05-17 for Neuropathic pain and discontinued on 2025-06-15; Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 84mg, initiated on 2025-05-17 for Pain and inflammation and discontinued on 2025-06-15. On approximately 2025-06-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Headache. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 1 was calculated, The assessment concluded the relationship was 'Possible'. 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: Experience yourself budget them short fine for. Trip tax evidence out plant pick. Whose keep nearly.</data>
report_id: ADR-2025-215 report_date: '2025-06-17' patient_details: patient_id: ANON-PX-4980 gender: Female relevant_history: - atrial fibrillation - osteoarthritis - hypertension age_at_reaction: 85 suspected_drugs: - drug_name: Gabapentin dosage: 136mg route_of_administration: Subcutaneous start_date: '2025-05-17' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-06-15' - drug_name: Ibuprofen dosage: 84mg route_of_administration: Intramuscular start_date: '2025-05-17' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-06-15' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-06-15' severity: Moderate outcome: Not Recovered intervention_required: true - symptom_name: Headache onset_date: '2025-06-15' severity: Moderate outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 1 reporting_facility: Mcintyre, Preston and Mendoza Medical Center reporter_type: Other Healthcare Professional notes: Experience yourself budget them short fine for. Trip tax evidence out plant pick. Whose keep nearly.
<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-2024-950 Date of Submission: 2024-11-24 This report was submitted by a Pharmacist from Mcclure and Sons Medical Center concerning patient ANON-PX-6659. The subject is an adult male with a significant medical history including atrial fibrillation, chronic kidney disease, asthma. 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): Warfarin (Anticoagulant) administered via the Topical route at a dosage of 97mg, initiated on 2024-11-09 for Thromboembolism prevention and discontinued on 2024-11-16. On approximately 2024-11-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Headache, Diarrhea. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Headache 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 Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-950 report_date: '2024-11-24' patient_details: patient_id: ANON-PX-6659 gender: Male relevant_history: - atrial fibrillation - chronic kidney disease - asthma suspected_drugs: - drug_name: Warfarin dosage: 97mg route_of_administration: Topical start_date: '2024-11-09' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2024-11-16' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-11-15' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Headache onset_date: '2024-11-15' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Diarrhea onset_date: '2024-11-15' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Mcclure and Sons Medical Center reporter_type: Pharmacist
<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-2025-115 Date of Submission: 2025-04-28 This report was submitted by a Pharmacist from Cameron-Green Medical Center concerning patient ANON-PX-9173. The subject is an adult male with a significant medical history including coronary artery disease, atrial fibrillation, asthma. 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 Topical route at a dosage of 410mg, initiated on 2025-02-23 for Neuropathic pain and discontinued on 2025-04-18; Atorvastatin (Statin) administered via the Intramuscular route at a dosage of 76mg, initiated on 2025-02-23 for Hypercholesterolemia and discontinued on 2025-04-18. On approximately 2025-04-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Somnolence, Pruritus, Dizziness, Angioedema. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed most and advised road. The current patient status regarding this symptom is 'Unknown'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed scientist and advised bank. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed once and advised way. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 4 was calculated, The assessment concluded the relationship was 'Possible'. 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: Worker morning bar truth fly raise. Day public worry guess exist camera. Here marriage television seven. Whole ok expect live authority.</data>
report_id: ADR-2025-115 report_date: '2025-04-28' patient_details: patient_id: ANON-PX-9173 gender: Male relevant_history: - coronary artery disease - atrial fibrillation - asthma suspected_drugs: - drug_name: Gabapentin dosage: 410mg route_of_administration: Topical start_date: '2025-02-23' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-04-18' - drug_name: Atorvastatin dosage: 76mg route_of_administration: Intramuscular start_date: '2025-02-23' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-04-18' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-04-18' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed most and advised road. - symptom_name: Somnolence onset_date: '2025-04-18' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-18' severity: Severe outcome: Not Recovered intervention_required: true - symptom_name: Dizziness onset_date: '2025-04-18' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed scientist and advised bank. - symptom_name: Angioedema onset_date: '2025-04-18' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed once and advised way. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Cameron-Green Medical Center reporter_type: Pharmacist notes: Worker morning bar truth fly raise. Day public worry guess exist camera. Here marriage television seven. Whole ok expect live authority.
<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-2024-843 Date of Submission: 2024-11-17 This report was submitted by a Nurse from Watts-Mclaughlin Medical Center concerning patient ANON-PX-4040. The subject is a 43-year-old female with a significant medical history including osteoarthritis, chronic kidney disease, hypertension. 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): Amoxicillin administered via the Topical route at a dosage of 229mg, initiated on 2024-10-30 for Bacterial infection and discontinued on 2024-11-15. On approximately 2024-11-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Nausea, Vomiting, Somnolence, Maculopapular Rash. The Headache was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed approach and advised happy. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Moderate in severity. No specific therapeutic intervention was required. 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: We business choose behind recent. Discover thousand media challenge. World none keep couple fact.</data>
report_id: ADR-2024-843 report_date: '2024-11-17' patient_details: patient_id: ANON-PX-4040 gender: Female relevant_history: - osteoarthritis - chronic kidney disease - hypertension age_at_reaction: 43 suspected_drugs: - drug_name: Amoxicillin dosage: 229mg route_of_administration: Topical start_date: '2024-10-30' indication_for_use: Bacterial infection end_date: '2024-11-15' adverse_reactions: - symptom_name: Headache onset_date: '2024-11-08' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Nausea onset_date: '2024-11-08' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed approach and advised happy. - symptom_name: Vomiting onset_date: '2024-11-08' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Somnolence onset_date: '2024-11-08' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-11-08' severity: Moderate outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 5 reporting_facility: Watts-Mclaughlin Medical Center reporter_type: Nurse notes: We business choose behind recent. Discover thousand media challenge. World none keep couple fact.
<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-2025-188 Date of Submission: 2025-01-19 This report was submitted by a Physician from Golden-Garcia Medical Center concerning patient ANON-PX-9333. The subject is an adult male with a significant medical history including osteoarthritis, coronary artery disease. 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): Metformin (Biguanide) administered via the Topical route at a dosage of 17mg, initiated on 2024-11-07 for Type 2 diabetes and discontinued on 2025-01-15. On approximately 2024-11-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Diarrhea. The Dizziness was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was '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: National current try difficult shake. Say couple forget skin get where produce.</data>
report_id: ADR-2025-188 report_date: '2025-01-19' patient_details: patient_id: ANON-PX-9333 gender: Male relevant_history: - osteoarthritis - coronary artery disease suspected_drugs: - drug_name: Metformin dosage: 17mg route_of_administration: Topical start_date: '2024-11-07' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2025-01-15' adverse_reactions: - symptom_name: Dizziness onset_date: '2024-11-29' severity: Life-threatening outcome: Fatal intervention_required: true - symptom_name: Diarrhea onset_date: '2024-11-29' severity: Mild outcome: Recovering intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Golden-Garcia Medical Center reporter_type: Physician notes: National current try difficult shake. Say couple forget skin get where produce.
<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-2024-169 Date of Submission: 2024-12-09 This report was submitted by a Other Healthcare Professional from Lopez, Gonzalez and Stewart Medical Center concerning patient ANON-PX-9488. The subject is a 88-year-old other with a significant medical history including migraines, anxiety, atrial fibrillation, asthma. 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 Intramuscular route at a dosage of 196mg, initiated on 2024-10-20 for Gastroesophageal reflux disease with the course ongoing; Ibuprofen (NSAID) administered via the Intravenous route at a dosage of 366mg, initiated on 2024-10-20 for Pain and inflammation with the course ongoing. On approximately 2024-11-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Headache, Dizziness, Angioedema. The Maculopapular Rash was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed race and advised really. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed work and advised edge. The current patient status regarding this symptom is 'Unknown'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed recognize and advised leave. The current patient status regarding this symptom is 'Recovering'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 8 was calculated, The assessment concluded the relationship was '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: Happen than safe land again common feeling foot. Technology society assume crime. Instead particular culture yeah.</data>
report_id: ADR-2024-169 report_date: '2024-12-09' patient_details: patient_id: ANON-PX-9488 gender: Other relevant_history: - migraines - anxiety - atrial fibrillation - asthma age_at_reaction: 88 suspected_drugs: - drug_name: Omeprazole dosage: 196mg route_of_administration: Intramuscular start_date: '2024-10-20' indication_for_use: Gastroesophageal reflux disease - drug_name: Ibuprofen dosage: 366mg route_of_administration: Intravenous start_date: '2024-10-20' indication_for_use: Pain and inflammation drug_class: NSAID adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-11-06' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Headache onset_date: '2024-11-06' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed race and advised really. - symptom_name: Dizziness onset_date: '2024-11-06' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed work and advised edge. - symptom_name: Angioedema onset_date: '2024-11-06' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed recognize and advised leave. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 8 reporting_facility: Lopez, Gonzalez and Stewart Medical Center reporter_type: Other Healthcare Professional notes: Happen than safe land again common feeling foot. Technology society assume crime. Instead particular culture yeah.
<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-2025-849 Date of Submission: 2025-03-07 This report was submitted by a Patient from Hurley-Hernandez Medical Center concerning patient ANON-PX-2631. The subject is an adult male with a significant medical history including osteoarthritis, seasonal allergies, coronary artery disease. 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 Subcutaneous route at a dosage of 188mg, initiated on 2025-01-30 for Gastroesophageal reflux disease and discontinued on 2025-02-15; Lisinopril (ACE inhibitor) administered via the Subcutaneous route at a dosage of 417mg, initiated on 2025-01-30 for Hypertension and discontinued on 2025-02-15. On approximately 2025-02-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Hepatotoxicity. The Pruritus was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, 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. Reporter's Narrative Summary: Ago full senior notice would newspaper. Unit popular know design.</data>
report_id: ADR-2025-849 report_date: '2025-03-07' patient_details: patient_id: ANON-PX-2631 gender: Male relevant_history: - osteoarthritis - seasonal allergies - coronary artery disease suspected_drugs: - drug_name: Omeprazole dosage: 188mg route_of_administration: Subcutaneous start_date: '2025-01-30' indication_for_use: Gastroesophageal reflux disease end_date: '2025-02-15' - drug_name: Lisinopril dosage: 417mg route_of_administration: Subcutaneous start_date: '2025-01-30' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-02-15' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-02-14' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-02-14' severity: Moderate outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 6 reporting_facility: Hurley-Hernandez Medical Center reporter_type: Patient notes: Ago full senior notice would newspaper. Unit popular know design.
<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-2025-720 Date of Submission: 2025-01-07 This report was submitted by a Patient from Young, Wilson and Dickerson Medical Center concerning patient ANON-PX-3730. The subject is a 49-year-old female with a significant medical history including osteoarthritis, 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 Intramuscular route at a dosage of 257mg, initiated on 2024-11-01 for Gastroesophageal reflux disease with the course ongoing; Gabapentin administered via the Intramuscular route at a dosage of 333mg, initiated on 2024-11-01 for Neuropathic pain with the course ongoing. On approximately 2024-12-05, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Maculopapular Rash. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Cup visit machine power bed move baby skill. Matter throughout industry.</data>
report_id: ADR-2025-720 report_date: '2025-01-07' patient_details: patient_id: ANON-PX-3730 gender: Female relevant_history: - osteoarthritis - hypertension - atrial fibrillation age_at_reaction: 49 suspected_drugs: - drug_name: Omeprazole dosage: 257mg route_of_administration: Intramuscular start_date: '2024-11-01' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Gabapentin dosage: 333mg route_of_administration: Intramuscular start_date: '2024-11-01' indication_for_use: Neuropathic pain adverse_reactions: - symptom_name: Somnolence onset_date: '2024-12-05' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-12-05' severity: Mild outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Young, Wilson and Dickerson Medical Center reporter_type: Patient notes: Cup visit machine power bed move baby skill. Matter throughout industry.
<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-2025-925 Date of Submission: 2025-06-11 This report was submitted by a Patient from Johnston-Nelson Medical Center concerning patient ANON-PX-9273. The subject is a 61-year-old other with a significant medical history including anxiety, asthma, migraines, 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): Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 175mg, initiated on 2025-04-04 for Hypothyroidism with the course ongoing; Sertraline administered via the Intramuscular route at a dosage of 86mg, initiated on 2025-04-04 for Major depressive disorder with the course ongoing. On approximately 2025-05-29, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Pruritus, Maculopapular Rash. The Nausea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed loss and advised data. The current patient status regarding this symptom is 'Not Recovered'. The Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. 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. </data>
report_id: ADR-2025-925 report_date: '2025-06-11' patient_details: patient_id: ANON-PX-9273 gender: Other relevant_history: - anxiety - asthma - migraines - atrial fibrillation age_at_reaction: 61 suspected_drugs: - drug_name: Levothyroxine dosage: 175mg route_of_administration: Intramuscular start_date: '2025-04-04' indication_for_use: Hypothyroidism drug_class: Thyroid hormone - drug_name: Sertraline dosage: 86mg route_of_administration: Intramuscular start_date: '2025-04-04' indication_for_use: Major depressive disorder adverse_reactions: - symptom_name: Nausea onset_date: '2025-05-29' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Pruritus onset_date: '2025-05-29' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed loss and advised data. - symptom_name: Maculopapular Rash onset_date: '2025-05-29' severity: Moderate outcome: Recovering intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Johnston-Nelson Medical Center reporter_type: Patient
<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-2025-704 Date of Submission: 2025-05-26 This report was submitted by a Pharmacist from Grant Group Medical Center concerning patient ANON-PX-5825. The subject is an adult other with a significant medical history including anxiety, asthma. 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 366mg, initiated on 2025-05-17 for Hypercholesterolemia and discontinued on 2025-05-24. On approximately 2025-05-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Anaphylaxis, Dizziness, Hepatotoxicity, Pruritus. The Vomiting was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. 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'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 9 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Thousand week adult hold everybody mission some. Cover yet stock red change ever remember news.</data>
report_id: ADR-2025-704 report_date: '2025-05-26' patient_details: patient_id: ANON-PX-5825 gender: Other relevant_history: - anxiety - asthma suspected_drugs: - drug_name: Atorvastatin dosage: 366mg route_of_administration: Intravenous start_date: '2025-05-17' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-05-24' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-05-24' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-05-24' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Dizziness onset_date: '2025-05-24' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-05-24' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-05-24' severity: Life-threatening outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Not applicable naranjo_score: 9 reporting_facility: Grant Group Medical Center reporter_type: Pharmacist notes: Thousand week adult hold everybody mission some. Cover yet stock red change ever remember news.
<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-2025-361 Date of Submission: 2025-01-03 This report was submitted by a Other Healthcare Professional from Nunez Group Medical Center concerning patient ANON-PX-5875. The subject is a 33-year-old male with a significant medical history including hypertension, asthma, seasonal allergies, coronary artery disease. 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 Subcutaneous route at a dosage of 204mg, initiated on 2024-12-25 for Major depressive disorder and discontinued on 2024-12-28; Metformin (Biguanide) administered via the Subcutaneous route at a dosage of 417mg, initiated on 2024-12-25 for Type 2 diabetes and discontinued on 2024-12-28. On approximately 2024-12-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Stevens-Johnson syndrome. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed nice and advised way. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 6 was calculated, 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. Reporter's Narrative Summary: Off lead skill piece a eight. Card should campaign. Not street race position. Free behind accept movie beat international imagine city.</data>
report_id: ADR-2025-361 report_date: '2025-01-03' patient_details: patient_id: ANON-PX-5875 gender: Male relevant_history: - hypertension - asthma - seasonal allergies - coronary artery disease age_at_reaction: 33 suspected_drugs: - drug_name: Sertraline dosage: 204mg route_of_administration: Subcutaneous start_date: '2024-12-25' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-12-28' - drug_name: Metformin dosage: 417mg route_of_administration: Subcutaneous start_date: '2024-12-25' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-12-28' adverse_reactions: - symptom_name: Angioedema onset_date: '2024-12-28' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-12-28' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed nice and advised way. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 6 reporting_facility: Nunez Group Medical Center reporter_type: Other Healthcare Professional notes: Off lead skill piece a eight. Card should campaign. Not street race position. Free behind accept movie beat international imagine city.
<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-2024-479 Date of Submission: 2024-09-03 This report was submitted by a Pharmacist from Obrien PLC Medical Center concerning patient ANON-PX-6693. The subject is a 81-year-old male with a significant medical history including coronary artery disease, anxiety, chronic kidney disease, seasonal allergies. 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): Levothyroxine (Thyroid hormone) administered via the Topical route at a dosage of 206mg, initiated on 2024-08-24 for Hypothyroidism and discontinued on 2024-09-01. On approximately 2024-08-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Somnolence, Hepatotoxicity. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed alone and advised reveal. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Hepatotoxicity was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 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. Reporter's Narrative Summary: Until need at go attack development. Present say old throw work. Group its protect strong born like.</data>
report_id: ADR-2024-479 report_date: '2024-09-03' patient_details: patient_id: ANON-PX-6693 gender: Male relevant_history: - coronary artery disease - anxiety - chronic kidney disease - seasonal allergies age_at_reaction: 81 suspected_drugs: - drug_name: Levothyroxine dosage: 206mg route_of_administration: Topical start_date: '2024-08-24' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-09-01' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-08-28' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed alone and advised reveal. - symptom_name: Somnolence onset_date: '2024-08-28' severity: Moderate outcome: Recovered intervention_required: true - symptom_name: Hepatotoxicity onset_date: '2024-08-28' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Obrien PLC Medical Center reporter_type: Pharmacist notes: Until need at go attack development. Present say old throw work. Group its protect strong born like.
<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-2024-427 Date of Submission: 2024-08-25 This report was submitted by a Nurse from Adams-Hall Medical Center concerning patient ANON-PX-1716. The subject is a 21-year-old female with a significant medical history including migraines, anxiety. 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 Oral route at a dosage of 37mg, initiated on 2024-07-12 for Neuropathic pain and discontinued on 2024-08-06. On approximately 2024-07-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Vomiting, Dizziness. The Somnolence was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Vomiting was classified as Mild 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 2 was calculated, The assessment concluded the relationship was 'Possible'. Dechallenge/Rechallenge status was noted as: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-427 report_date: '2024-08-25' patient_details: patient_id: ANON-PX-1716 gender: Female relevant_history: - migraines - anxiety age_at_reaction: 21 suspected_drugs: - drug_name: Gabapentin dosage: 37mg route_of_administration: Oral start_date: '2024-07-12' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2024-08-06' adverse_reactions: - symptom_name: Somnolence onset_date: '2024-07-18' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2024-07-18' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2024-07-18' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Adams-Hall Medical Center reporter_type: Nurse