prompt
stringlengths
1.92k
9.98k
response
stringlengths
714
11k
<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-2025-344 Date of Submission: 2025-05-22 This report was submitted by a Physician from Kim PLC Medical Center concerning patient ANON-PX-4821. The subject is a 82-year-old female with a significant medical history including hypertension, 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): Ibuprofen administered via the Oral route at a dosage of 353mg, initiated on 2025-03-08 for Pain and inflammation with the course ongoing; Omeprazole (Proton-pump inhibitor) administered via the Intravenous route at a dosage of 316mg, initiated on 2025-03-08 for Gastroesophageal reflux disease 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 Somnolence, Dizziness, Maculopapular Rash. 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 Dizziness was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed eat and advised it. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Tv sort begin picture. Simply professor institution painting believe bill way PM. Order on into officer key.</data>
report_id: ADR-2025-344 report_date: '2025-05-22' patient_details: patient_id: ANON-PX-4821 gender: Female relevant_history: - hypertension - anxiety - type 2 diabetes age_at_reaction: 82 suspected_drugs: - drug_name: Ibuprofen dosage: 353mg route_of_administration: Oral start_date: '2025-03-08' indication_for_use: Pain and inflammation - drug_name: Omeprazole dosage: 316mg route_of_administration: Intravenous start_date: '2025-03-08' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Somnolence onset_date: '2025-05-10' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2025-05-10' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-05-10' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed eat and advised it. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Not applicable naranjo_score: 9 reporting_facility: Kim PLC Medical Center reporter_type: Physician notes: Tv sort begin picture. Simply professor institution painting believe bill way PM. Order on into officer 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-2025-986 Date of Submission: 2025-05-19 This report was submitted by a Physician from Fisher-Quinn Medical Center concerning patient ANON-PX-5548. The subject is a 24-year-old female with a significant medical history including chronic kidney disease, osteoarthritis, 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 administered via the Topical route at a dosage of 455mg, initiated on 2025-03-02 for Hypertension with the course ongoing; Ibuprofen (NSAID) administered via the Subcutaneous route at a dosage of 333mg, initiated on 2025-03-02 for Pain and inflammation with the course ongoing. On approximately 2025-05-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Somnolence, Vomiting, Dizziness. The Headache was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed heart and advised ten. 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 'Recovered'. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. 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 information and advised television. 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. Reporter's Narrative Summary: Center order a support center. Group strong animal cover until task owner. Development ask think goal especially. Month thus management administration serious.</data>
report_id: ADR-2025-986 report_date: '2025-05-19' patient_details: patient_id: ANON-PX-5548 gender: Female relevant_history: - chronic kidney disease - osteoarthritis - seasonal allergies age_at_reaction: 24 suspected_drugs: - drug_name: Lisinopril dosage: 455mg route_of_administration: Topical start_date: '2025-03-02' indication_for_use: Hypertension - drug_name: Ibuprofen dosage: 333mg route_of_administration: Subcutaneous start_date: '2025-03-02' indication_for_use: Pain and inflammation drug_class: NSAID adverse_reactions: - symptom_name: Headache onset_date: '2025-05-12' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed heart and advised ten. - symptom_name: Somnolence onset_date: '2025-05-12' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-05-12' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Dizziness onset_date: '2025-05-12' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed information and advised television. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Fisher-Quinn Medical Center reporter_type: Physician notes: Center order a support center. Group strong animal cover until task owner. Development ask think goal especially. Month thus management administration serious.
<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-2025-494 Date of Submission: 2025-01-15 This report was submitted by a Patient from Allen, Shaw and Savage Medical Center concerning patient ANON-PX-8817. The subject is a 35-year-old female with a significant medical history including osteoarthritis, 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 171mg, initiated on 2024-12-19 for Major depressive disorder and discontinued on 2025-01-04; Ibuprofen administered via the Topical route at a dosage of 371mg, initiated on 2024-12-19 for Pain and inflammation and discontinued on 2025-01-04. On approximately 2024-12-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Nausea. The Diarrhea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed particularly and advised recently. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed on and advised use. 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-2025-494 report_date: '2025-01-15' patient_details: patient_id: ANON-PX-8817 gender: Female relevant_history: - osteoarthritis - chronic kidney disease age_at_reaction: 35 suspected_drugs: - drug_name: Sertraline dosage: 171mg route_of_administration: Topical start_date: '2024-12-19' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-01-04' - drug_name: Ibuprofen dosage: 371mg route_of_administration: Topical start_date: '2024-12-19' indication_for_use: Pain and inflammation end_date: '2025-01-04' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-12-23' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed particularly and advised recently. - symptom_name: Nausea onset_date: '2024-12-23' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed on and advised use. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Allen, Shaw and Savage 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-2025-840 Date of Submission: 2025-03-30 This report was submitted by a Pharmacist from Torres, Horton and Freeman Medical Center concerning patient ANON-PX-2338. The subject is an adult other with a significant medical history including hypertension, type 2 diabetes, 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 131mg, initiated on 2025-01-09 for Major depressive disorder with the course ongoing; Amoxicillin administered via the Oral route at a dosage of 388mg, initiated on 2025-01-09 for Bacterial infection with the course ongoing. On approximately 2025-03-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Angioedema, Vomiting, Stevens-Johnson syndrome, Anaphylaxis. The Hepatotoxicity was classified as Severe in severity. This necessitated clinical intervention. 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 response and advised key. The current patient status regarding this symptom is 'Fatal'. 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 Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed really and advised best. 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 '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: Purpose sure road item treatment. Certain spring when order matter.</data>
report_id: ADR-2025-840 report_date: '2025-03-30' patient_details: patient_id: ANON-PX-2338 gender: Other relevant_history: - hypertension - type 2 diabetes - coronary artery disease suspected_drugs: - drug_name: Sertraline dosage: 131mg route_of_administration: Intravenous start_date: '2025-01-09' indication_for_use: Major depressive disorder - drug_name: Amoxicillin dosage: 388mg route_of_administration: Oral start_date: '2025-01-09' indication_for_use: Bacterial infection adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-03-17' severity: Severe outcome: Fatal intervention_required: true - symptom_name: Angioedema onset_date: '2025-03-17' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed response and advised key. - symptom_name: Vomiting onset_date: '2025-03-17' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-17' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed really and advised best. - symptom_name: Anaphylaxis onset_date: '2025-03-17' severity: Severe outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Torres, Horton and Freeman Medical Center reporter_type: Pharmacist notes: Purpose sure road item treatment. Certain spring when order 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-2025-867 Date of Submission: 2025-03-14 This report was submitted by a Pharmacist from Collins, Walker and Boyd Medical Center concerning patient ANON-PX-5170. The subject is an adult female with a significant medical history including osteoarthritis, migraines, 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): Amoxicillin (Penicillin antibiotic) administered via the Oral route at a dosage of 407mg, initiated on 2025-02-06 for Bacterial infection with the course ongoing. On approximately 2025-03-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Pruritus, Anaphylaxis. The Stevens-Johnson syndrome was classified as Moderate 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. 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 '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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Remain debate customer indicate relationship husband state. Beat bank share could rock top. Black leader man win role.</data>
report_id: ADR-2025-867 report_date: '2025-03-14' patient_details: patient_id: ANON-PX-5170 gender: Female relevant_history: - osteoarthritis - migraines - atrial fibrillation - chronic kidney disease suspected_drugs: - drug_name: Amoxicillin dosage: 407mg route_of_administration: Oral start_date: '2025-02-06' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-02' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-03-02' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-03-02' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 1 reporting_facility: Collins, Walker and Boyd Medical Center reporter_type: Pharmacist notes: Remain debate customer indicate relationship husband state. Beat bank share could rock top. Black leader man win role.
<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-2025-442 Date of Submission: 2025-03-07 This report was submitted by a Patient from Moore-Anderson Medical Center concerning patient ANON-PX-6944. The subject is a 18-year-old male with a significant medical history including 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): Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 133mg, initiated on 2025-02-25 for Bacterial infection and discontinued on 2025-03-04; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 294mg, initiated on 2025-02-25 for Gastroesophageal reflux disease and discontinued on 2025-03-04. On approximately 2025-03-03, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Angioedema, Diarrhea, Anaphylaxis, Stevens-Johnson syndrome. The Pruritus was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Angioedema was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. 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 Moderate 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 '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: One admit board my thousand wonder. Whole eat down teacher yes that from. Kind despite similar section return.</data>
report_id: ADR-2025-442 report_date: '2025-03-07' patient_details: patient_id: ANON-PX-6944 gender: Male relevant_history: - chronic kidney disease - seasonal allergies age_at_reaction: 18 suspected_drugs: - drug_name: Amoxicillin dosage: 133mg route_of_administration: Topical start_date: '2025-02-25' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-03-04' - drug_name: Omeprazole dosage: 294mg route_of_administration: Subcutaneous start_date: '2025-02-25' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-03-04' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-03-03' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Angioedema onset_date: '2025-03-03' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Diarrhea onset_date: '2025-03-03' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-03-03' severity: Moderate outcome: Recovering intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-03' severity: Life-threatening outcome: Fatal intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Moore-Anderson Medical Center reporter_type: Patient notes: One admit board my thousand wonder. Whole eat down teacher yes that from. Kind despite similar section return.
<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-2024-998 Date of Submission: 2024-08-22 This report was submitted by a Other Healthcare Professional from Smith-Johnson Medical Center concerning patient ANON-PX-2076. The subject is an adult female with a significant medical history including type 2 diabetes, seasonal allergies, osteoarthritis, 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): Levothyroxine (Thyroid hormone) administered via the Intravenous route at a dosage of 142mg, initiated on 2024-06-15 for Hypothyroidism and discontinued on 2024-08-18; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 260mg, initiated on 2024-06-15 for Gastroesophageal reflux disease and discontinued on 2024-08-18. On approximately 2024-07-11, 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 Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Dizziness was classified as Life-threatening 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 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. Reporter's Narrative Summary: Tax past large force such. Soon cost child show. Impact director really small morning sense.</data>
report_id: ADR-2024-998 report_date: '2024-08-22' patient_details: patient_id: ANON-PX-2076 gender: Female relevant_history: - type 2 diabetes - seasonal allergies - osteoarthritis - migraines suspected_drugs: - drug_name: Levothyroxine dosage: 142mg route_of_administration: Intravenous start_date: '2024-06-15' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-08-18' - drug_name: Omeprazole dosage: 260mg route_of_administration: Subcutaneous start_date: '2024-06-15' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2024-08-18' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-07-11' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2024-07-11' severity: Life-threatening outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 5 reporting_facility: Smith-Johnson Medical Center reporter_type: Other Healthcare Professional notes: Tax past large force such. Soon cost child show. Impact director really small morning sense.
<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-2024-701 Date of Submission: 2024-09-23 This report was submitted by a Physician from Miller-Wagner Medical Center concerning patient ANON-PX-2954. The subject is a 71-year-old male with a significant medical history including 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 Oral route at a dosage of 270mg, initiated on 2024-06-30 for Neuropathic pain with the course ongoing; Sertraline (SSRI) administered via the Topical route at a dosage of 319mg, initiated on 2024-06-30 for Major depressive disorder with the course ongoing. On approximately 2024-09-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Headache, Somnolence, Maculopapular Rash, Stevens-Johnson syndrome. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed reduce and advised room. 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 hundred and advised environmental. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Maculopapular Rash was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. 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'. 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: Grow true number kitchen could real which. Gas human product including Democrat.</data>
report_id: ADR-2024-701 report_date: '2024-09-23' patient_details: patient_id: ANON-PX-2954 gender: Male relevant_history: - migraines - osteoarthritis age_at_reaction: 71 suspected_drugs: - drug_name: Gabapentin dosage: 270mg route_of_administration: Oral start_date: '2024-06-30' indication_for_use: Neuropathic pain drug_class: Anticonvulsant - drug_name: Sertraline dosage: 319mg route_of_administration: Topical start_date: '2024-06-30' indication_for_use: Major depressive disorder drug_class: SSRI adverse_reactions: - symptom_name: Pruritus onset_date: '2024-09-17' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed reduce and advised room. - symptom_name: Headache onset_date: '2024-09-17' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed hundred and advised environmental. - symptom_name: Somnolence onset_date: '2024-09-17' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Maculopapular Rash onset_date: '2024-09-17' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-09-17' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 1 reporting_facility: Miller-Wagner Medical Center reporter_type: Physician notes: Grow true number kitchen could real which. Gas human product including Democrat.
<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-2025-859 Date of Submission: 2025-05-10 This report was submitted by a Other Healthcare Professional from Lewis-Campbell Medical Center concerning patient ANON-PX-2302. The subject is a 30-year-old male with a significant medical history including atrial fibrillation, seasonal allergies, hypertension, 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 Intramuscular route at a dosage of 271mg, initiated on 2025-02-15 for Gastroesophageal reflux disease and discontinued on 2025-05-08; Ibuprofen administered via the Intramuscular route at a dosage of 55mg, initiated on 2025-02-15 for Pain and inflammation and discontinued on 2025-05-08. On approximately 2025-03-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Dizziness. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed garden and advised society. The current patient status regarding this symptom is 'Unknown'. 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 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: Top age central without place. I probably outside watch yard think.</data>
report_id: ADR-2025-859 report_date: '2025-05-10' patient_details: patient_id: ANON-PX-2302 gender: Male relevant_history: - atrial fibrillation - seasonal allergies - hypertension - anxiety age_at_reaction: 30 suspected_drugs: - drug_name: Omeprazole dosage: 271mg route_of_administration: Intramuscular start_date: '2025-02-15' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-05-08' - drug_name: Ibuprofen dosage: 55mg route_of_administration: Intramuscular start_date: '2025-02-15' indication_for_use: Pain and inflammation end_date: '2025-05-08' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-03-18' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed garden and advised society. - symptom_name: Dizziness onset_date: '2025-03-18' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Lewis-Campbell Medical Center reporter_type: Other Healthcare Professional notes: Top age central without place. I probably outside watch yard think.
<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-2024-598 Date of Submission: 2024-10-22 This report was submitted by a Physician from Morgan, Flores and Henry Medical Center concerning patient ANON-PX-4071. The subject is a 29-year-old other with a significant medical history including type 2 diabetes, seasonal allergies, asthma, migraines. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Ibuprofen (NSAID) administered via the Intravenous route at a dosage of 142mg, initiated on 2024-09-18 for Pain and inflammation and discontinued on 2024-10-18; Levothyroxine (Thyroid hormone) administered via the Oral route at a dosage of 478mg, initiated on 2024-09-18 for Hypothyroidism and discontinued on 2024-10-18. On approximately 2024-10-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Diarrhea. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed many and advised drive. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed yet and advised produce. 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. </data>
report_id: ADR-2024-598 report_date: '2024-10-22' patient_details: patient_id: ANON-PX-4071 gender: Other relevant_history: - type 2 diabetes - seasonal allergies - asthma - migraines age_at_reaction: 29 suspected_drugs: - drug_name: Ibuprofen dosage: 142mg route_of_administration: Intravenous start_date: '2024-09-18' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2024-10-18' - drug_name: Levothyroxine dosage: 478mg route_of_administration: Oral start_date: '2024-09-18' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2024-10-18' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-10-10' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed many and advised drive. - symptom_name: Diarrhea onset_date: '2024-10-10' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed yet and advised produce. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Morgan, Flores and Henry 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-2025-770 Date of Submission: 2025-07-15 This report was submitted by a Physician from Weaver Ltd Medical Center concerning patient ANON-PX-4219. The subject is a 30-year-old male with a significant medical history including type 2 diabetes, 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 administered via the Oral route at a dosage of 402mg, initiated on 2025-04-23 for Major depressive disorder and discontinued on 2025-06-15; Amoxicillin (Penicillin antibiotic) administered via the Oral route at a dosage of 314mg, initiated on 2025-04-23 for Bacterial infection and discontinued on 2025-06-15. On approximately 2025-05-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome, Pruritus, Dizziness. The Anaphylaxis 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 Life-threatening 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed catch and advised media. The current patient status regarding this symptom is 'Not Recovered'. 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: Discussion room tell college page perhaps their. Amount seek compare up.</data>
report_id: ADR-2025-770 report_date: '2025-07-15' patient_details: patient_id: ANON-PX-4219 gender: Male relevant_history: - type 2 diabetes - anxiety age_at_reaction: 30 suspected_drugs: - drug_name: Sertraline dosage: 402mg route_of_administration: Oral start_date: '2025-04-23' indication_for_use: Major depressive disorder end_date: '2025-06-15' - drug_name: Amoxicillin dosage: 314mg route_of_administration: Oral start_date: '2025-04-23' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-06-15' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-05-08' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-08' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2025-05-08' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Dizziness onset_date: '2025-05-08' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed catch and advised media. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Weaver Ltd Medical Center reporter_type: Physician notes: Discussion room tell college page perhaps their. Amount seek compare up.
<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-2025-312 Date of Submission: 2025-07-01 This report was submitted by a Physician from Murphy-Hernandez Medical Center concerning patient ANON-PX-1741. The subject is a 36-year-old other with a significant medical history including type 2 diabetes, osteoarthritis, 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): Warfarin administered via the Subcutaneous route at a dosage of 194mg, initiated on 2025-06-17 for Thromboembolism prevention and discontinued on 2025-06-28; Gabapentin administered via the Subcutaneous route at a dosage of 125mg, initiated on 2025-06-17 for Neuropathic pain and discontinued on 2025-06-28. On approximately 2025-06-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Stevens-Johnson syndrome. The Maculopapular Rash 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. This necessitated clinical intervention. The documented action was: Prescribed beautiful and advised moment. 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 rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Important base yet star oil bad involve blood. Reality see college not military age try.</data>
report_id: ADR-2025-312 report_date: '2025-07-01' patient_details: patient_id: ANON-PX-1741 gender: Other relevant_history: - type 2 diabetes - osteoarthritis - migraines - chronic kidney disease age_at_reaction: 36 suspected_drugs: - drug_name: Warfarin dosage: 194mg route_of_administration: Subcutaneous start_date: '2025-06-17' indication_for_use: Thromboembolism prevention end_date: '2025-06-28' - drug_name: Gabapentin dosage: 125mg route_of_administration: Subcutaneous start_date: '2025-06-17' indication_for_use: Neuropathic pain end_date: '2025-06-28' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-06-27' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-27' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed beautiful and advised moment. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Murphy-Hernandez Medical Center reporter_type: Physician notes: Important base yet star oil bad involve blood. Reality see college not military age try.
<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-2025-383 Date of Submission: 2025-08-12 This report was submitted by a Pharmacist from Obrien Group Medical Center concerning patient ANON-PX-9376. The subject is a 59-year-old other with a significant medical history including atrial fibrillation, 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 (Thyroid hormone) administered via the Intravenous route at a dosage of 42mg, initiated on 2025-07-29 for Hypothyroidism with the course ongoing; Omeprazole administered via the Topical route at a dosage of 315mg, initiated on 2025-07-29 for Gastroesophageal reflux disease with the course ongoing. On approximately 2025-07-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Headache, Nausea. The Diarrhea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed government and advised chance. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. 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'. 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: Picture herself available window might. Congress career baby.</data>
report_id: ADR-2025-383 report_date: '2025-08-12' patient_details: patient_id: ANON-PX-9376 gender: Other relevant_history: - atrial fibrillation - anxiety age_at_reaction: 59 suspected_drugs: - drug_name: Levothyroxine dosage: 42mg route_of_administration: Intravenous start_date: '2025-07-29' indication_for_use: Hypothyroidism drug_class: Thyroid hormone - drug_name: Omeprazole dosage: 315mg route_of_administration: Topical start_date: '2025-07-29' indication_for_use: Gastroesophageal reflux disease adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-07-31' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed government and advised chance. - symptom_name: Headache onset_date: '2025-07-31' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Nausea onset_date: '2025-07-31' severity: Moderate outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Obrien Group Medical Center reporter_type: Pharmacist notes: Picture herself available window might. Congress career baby.
<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-2025-458 Date of Submission: 2025-02-21 This report was submitted by a Pharmacist from Wilkerson and Sons Medical Center concerning patient ANON-PX-5990. The subject is an adult female with a significant medical history including asthma, 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): Warfarin (Anticoagulant) administered via the Intravenous route at a dosage of 496mg, initiated on 2025-01-03 for Thromboembolism prevention and discontinued on 2025-02-20. On approximately 2025-02-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Nausea, Pruritus, Maculopapular Rash. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed control and advised hundred. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed pattern and advised everybody. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed well and advised personal. The current patient status regarding this symptom is 'Not Recovered'. 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. </data>
report_id: ADR-2025-458 report_date: '2025-02-21' patient_details: patient_id: ANON-PX-5990 gender: Female relevant_history: - asthma - osteoarthritis - seasonal allergies - hypertension suspected_drugs: - drug_name: Warfarin dosage: 496mg route_of_administration: Intravenous start_date: '2025-01-03' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-02-20' adverse_reactions: - symptom_name: Angioedema onset_date: '2025-02-15' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed control and advised hundred. - symptom_name: Nausea onset_date: '2025-02-15' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed pattern and advised everybody. - symptom_name: Pruritus onset_date: '2025-02-15' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-02-15' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed well and advised personal. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Wilkerson 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-2025-485 Date of Submission: 2025-02-24 This report was submitted by a Other Healthcare Professional from Brown, Walker and Mcconnell Medical Center concerning patient ANON-PX-2349. The subject is a 34-year-old male with a significant medical history including 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): Atorvastatin (Statin) administered via the Oral route at a dosage of 416mg, initiated on 2024-12-20 for Hypercholesterolemia and discontinued on 2025-02-19; Sertraline administered via the Oral route at a dosage of 229mg, initiated on 2024-12-20 for Major depressive disorder and discontinued on 2025-02-19. On approximately 2025-02-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Stevens-Johnson syndrome, Nausea, Dizziness. The Angioedema 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. 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 '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: Tough speech player field. Center role professional strong despite international eight.</data>
report_id: ADR-2025-485 report_date: '2025-02-24' patient_details: patient_id: ANON-PX-2349 gender: Male relevant_history: - asthma - osteoarthritis age_at_reaction: 34 suspected_drugs: - drug_name: Atorvastatin dosage: 416mg route_of_administration: Oral start_date: '2024-12-20' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-02-19' - drug_name: Sertraline dosage: 229mg route_of_administration: Oral start_date: '2024-12-20' indication_for_use: Major depressive disorder end_date: '2025-02-19' adverse_reactions: - symptom_name: Angioedema onset_date: '2025-02-15' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-15' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Nausea onset_date: '2025-02-15' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Dizziness onset_date: '2025-02-15' severity: Life-threatening outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 1 reporting_facility: Brown, Walker and Mcconnell Medical Center reporter_type: Other Healthcare Professional notes: Tough speech player field. Center role professional strong despite international eight.
<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: 2025-06-23 This report was submitted by a Pharmacist from Knight-Ellison Medical Center concerning patient ANON-PX-3031. The subject is a 31-year-old male with a significant medical history including migraines, osteoarthritis, 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 administered via the Topical route at a dosage of 70mg, initiated on 2025-05-11 for Major depressive disorder with the course ongoing; Levothyroxine (Thyroid hormone) administered via the Topical route at a dosage of 291mg, initiated on 2025-05-11 for Hypothyroidism with the course ongoing. On approximately 2025-05-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Vomiting, Angioedema, Dizziness, Anaphylaxis. The Headache was classified as Mild 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. This necessitated clinical intervention. The documented action was: Prescribed paper and advised family. The current patient status regarding this symptom is 'Recovering'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed raise and advised somebody. 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 Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed Mr and advised million. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Truth boy pay job. Girl rather school accept response education well. News material itself against.</data>
report_id: ADR-2025-599 report_date: '2025-06-23' patient_details: patient_id: ANON-PX-3031 gender: Male relevant_history: - migraines - osteoarthritis - atrial fibrillation age_at_reaction: 31 suspected_drugs: - drug_name: Sertraline dosage: 70mg route_of_administration: Topical start_date: '2025-05-11' indication_for_use: Major depressive disorder - drug_name: Levothyroxine dosage: 291mg route_of_administration: Topical start_date: '2025-05-11' indication_for_use: Hypothyroidism drug_class: Thyroid hormone adverse_reactions: - symptom_name: Headache onset_date: '2025-05-22' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Vomiting onset_date: '2025-05-22' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed paper and advised family. - symptom_name: Angioedema onset_date: '2025-05-22' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed raise and advised somebody. - symptom_name: Dizziness onset_date: '2025-05-22' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-05-22' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed Mr and advised million. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Knight-Ellison Medical Center reporter_type: Pharmacist notes: Truth boy pay job. Girl rather school accept response education well. News material itself against.
<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: 2025-07-31 This report was submitted by a Patient from Brown, Lee and Gardner Medical Center concerning patient ANON-PX-9083. The subject is an adult other 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): Warfarin (Anticoagulant) administered via the Oral route at a dosage of 115mg, initiated on 2025-06-29 for Thromboembolism prevention and discontinued on 2025-07-20; Lisinopril administered via the Intravenous route at a dosage of 243mg, initiated on 2025-06-29 for Hypertension and discontinued on 2025-07-20. On approximately 2025-07-11, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Anaphylaxis, Angioedema. The Maculopapular Rash 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 Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed important and advised exactly. The current patient status regarding this symptom is 'Recovered'. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed four and advised staff. 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-505 report_date: '2025-07-31' patient_details: patient_id: ANON-PX-9083 gender: Other relevant_history: - type 2 diabetes - hypertension suspected_drugs: - drug_name: Warfarin dosage: 115mg route_of_administration: Oral start_date: '2025-06-29' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-07-20' - drug_name: Lisinopril dosage: 243mg route_of_administration: Intravenous start_date: '2025-06-29' indication_for_use: Hypertension end_date: '2025-07-20' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-07-11' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-07-11' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed important and advised exactly. - symptom_name: Angioedema onset_date: '2025-07-11' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed four and advised staff. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Brown, Lee and Gardner 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-2025-976 Date of Submission: 2025-08-07 This report was submitted by a Pharmacist from Perez Inc Medical Center concerning patient ANON-PX-7468. The subject is a 70-year-old other with a significant medical history including anxiety, 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): Lisinopril administered via the Subcutaneous route at a dosage of 479mg, initiated on 2025-07-16 for Hypertension and discontinued on 2025-08-02; Levothyroxine administered via the Topical route at a dosage of 95mg, initiated on 2025-07-16 for Hypothyroidism and discontinued on 2025-08-02. On approximately 2025-07-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Nausea. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. 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 sort and advised yet. The current patient status regarding this symptom is 'Recovering'. 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: Lay beyond size set past take we water. Admit seem so experience size. Role capital although there increase community.</data>
report_id: ADR-2025-976 report_date: '2025-08-07' patient_details: patient_id: ANON-PX-7468 gender: Other relevant_history: - anxiety - osteoarthritis - asthma age_at_reaction: 70 suspected_drugs: - drug_name: Lisinopril dosage: 479mg route_of_administration: Subcutaneous start_date: '2025-07-16' indication_for_use: Hypertension end_date: '2025-08-02' - drug_name: Levothyroxine dosage: 95mg route_of_administration: Topical start_date: '2025-07-16' indication_for_use: Hypothyroidism end_date: '2025-08-02' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-07-27' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Nausea onset_date: '2025-07-27' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed sort and advised yet. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 7 reporting_facility: Perez Inc Medical Center reporter_type: Pharmacist notes: Lay beyond size set past take we water. Admit seem so experience size. Role capital although there increase community.
<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-2025-717 Date of Submission: 2025-05-08 This report was submitted by a Nurse from Lamb, Garcia and Bartlett Medical Center concerning patient ANON-PX-6682. The subject is a 21-year-old male 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): Warfarin (Anticoagulant) administered via the Topical route at a dosage of 433mg, initiated on 2025-02-15 for Thromboembolism prevention and discontinued on 2025-04-29. On approximately 2025-04-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Maculopapular Rash. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed each and advised program. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed decision and advised capital. 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: Air language staff major. Discuss modern player method that.</data>
report_id: ADR-2025-717 report_date: '2025-05-08' patient_details: patient_id: ANON-PX-6682 gender: Male relevant_history: - anxiety - asthma - migraines - atrial fibrillation age_at_reaction: 21 suspected_drugs: - drug_name: Warfarin dosage: 433mg route_of_administration: Topical start_date: '2025-02-15' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-04-29' adverse_reactions: - symptom_name: Pruritus onset_date: '2025-04-01' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed each and advised program. - symptom_name: Maculopapular Rash onset_date: '2025-04-01' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed decision and advised capital. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Lamb, Garcia and Bartlett Medical Center reporter_type: Nurse notes: Air language staff major. Discuss modern player method that.
<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-2025-904 Date of Submission: 2025-06-09 This report was submitted by a Nurse from Harrington, Frost and Jones Medical Center concerning patient ANON-PX-8021. The subject is an adult male with a significant medical history including anxiety, asthma, migraines. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Sertraline administered via the Topical route at a dosage of 284mg, initiated on 2025-04-29 for Major depressive disorder and discontinued on 2025-05-26. On approximately 2025-05-11, 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 Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Angioedema 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 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. 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: Sign show only church wrong certain. Because almost different young fish process second. Hot grow night chair western anyone issue Democrat.</data>
report_id: ADR-2025-904 report_date: '2025-06-09' patient_details: patient_id: ANON-PX-8021 gender: Male relevant_history: - anxiety - asthma - migraines suspected_drugs: - drug_name: Sertraline dosage: 284mg route_of_administration: Topical start_date: '2025-04-29' indication_for_use: Major depressive disorder end_date: '2025-05-26' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-05-11' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Angioedema onset_date: '2025-05-11' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-11' severity: Mild outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Harrington, Frost and Jones Medical Center reporter_type: Nurse notes: Sign show only church wrong certain. Because almost different young fish process second. Hot grow night chair western anyone issue Democrat.
<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-2024-958 Date of Submission: 2024-12-26 This report was submitted by a Physician from Mclaughlin PLC Medical Center concerning patient ANON-PX-5527. The subject is a 76-year-old other with a significant medical history including osteoarthritis, type 2 diabetes, 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): Ibuprofen administered via the Topical route at a dosage of 237mg, initiated on 2024-12-14 for Pain and inflammation and discontinued on 2024-12-23; Sertraline (SSRI) administered via the Intramuscular route at a dosage of 192mg, initiated on 2024-12-14 for Major depressive disorder and discontinued on 2024-12-23. On approximately 2024-12-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Maculopapular Rash, Nausea. The Hepatotoxicity was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed wish and advised between. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-958 report_date: '2024-12-26' patient_details: patient_id: ANON-PX-5527 gender: Other relevant_history: - osteoarthritis - type 2 diabetes - seasonal allergies - hypertension age_at_reaction: 76 suspected_drugs: - drug_name: Ibuprofen dosage: 237mg route_of_administration: Topical start_date: '2024-12-14' indication_for_use: Pain and inflammation end_date: '2024-12-23' - drug_name: Sertraline dosage: 192mg route_of_administration: Intramuscular start_date: '2024-12-14' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-12-23' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-12-21' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-12-21' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Nausea onset_date: '2024-12-21' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed wish and advised between. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 5 reporting_facility: Mclaughlin PLC 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-2025-531 Date of Submission: 2025-02-22 This report was submitted by a Pharmacist from Yang, Casey and Gill Medical Center concerning patient ANON-PX-6125. The subject is an adult female with a significant medical history including coronary artery disease, 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): Atorvastatin (Statin) administered via the Intramuscular route at a dosage of 105mg, initiated on 2025-01-23 for Hypercholesterolemia and discontinued on 2025-02-13; Gabapentin (Anticonvulsant) administered via the Subcutaneous route at a dosage of 162mg, initiated on 2025-01-23 for Neuropathic pain and discontinued on 2025-02-13. On approximately 2025-01-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Stevens-Johnson syndrome. The Hepatotoxicity 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 Mild 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 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: Ball thing commercial attack investment. Summer add report old. Ten listen need health kind choose.</data>
report_id: ADR-2025-531 report_date: '2025-02-22' patient_details: patient_id: ANON-PX-6125 gender: Female relevant_history: - coronary artery disease - chronic kidney disease - anxiety - osteoarthritis suspected_drugs: - drug_name: Atorvastatin dosage: 105mg route_of_administration: Intramuscular start_date: '2025-01-23' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-02-13' - drug_name: Gabapentin dosage: 162mg route_of_administration: Subcutaneous start_date: '2025-01-23' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-02-13' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-01-25' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-25' severity: Mild outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 1 reporting_facility: Yang, Casey and Gill Medical Center reporter_type: Pharmacist notes: Ball thing commercial attack investment. Summer add report old. Ten listen need health kind choose.
<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-2025-814 Date of Submission: 2025-04-30 This report was submitted by a Other Healthcare Professional from Munoz-Martin Medical Center concerning patient ANON-PX-4929. The subject is a 68-year-old female with a significant medical history including 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 administered via the Oral route at a dosage of 172mg, initiated on 2025-03-10 for Hypercholesterolemia and discontinued on 2025-04-12; Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 271mg, initiated on 2025-03-10 for Hypertension and discontinued on 2025-04-12. On approximately 2025-03-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Dizziness. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed people and advised score. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed Congress and advised us. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: East dark wide. Wear exactly myself company each. Pick rise space develop artist.</data>
report_id: ADR-2025-814 report_date: '2025-04-30' patient_details: patient_id: ANON-PX-4929 gender: Female relevant_history: - seasonal allergies - atrial fibrillation age_at_reaction: 68 suspected_drugs: - drug_name: Atorvastatin dosage: 172mg route_of_administration: Oral start_date: '2025-03-10' indication_for_use: Hypercholesterolemia end_date: '2025-04-12' - drug_name: Lisinopril dosage: 271mg route_of_administration: Intravenous start_date: '2025-03-10' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-04-12' adverse_reactions: - symptom_name: Headache onset_date: '2025-03-21' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed people and advised score. - symptom_name: Dizziness onset_date: '2025-03-21' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed Congress and advised us. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Munoz-Martin Medical Center reporter_type: Other Healthcare Professional notes: East dark wide. Wear exactly myself company each. Pick rise space develop artist.
<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-2025-205 Date of Submission: 2025-01-13 This report was submitted by a Nurse from Cook-Brown Medical Center concerning patient ANON-PX-8345. The subject is an adult female with a significant medical history including chronic kidney 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): Sertraline (SSRI) administered via the Intravenous route at a dosage of 337mg, initiated on 2024-12-14 for Major depressive disorder with the course ongoing. On approximately 2025-01-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Headache, Pruritus. The Angioedema was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Pruritus 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 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: According around base western president hundred money. Direction often phone cost young bed middle. Wife allow real story economic.</data>
report_id: ADR-2025-205 report_date: '2025-01-13' patient_details: patient_id: ANON-PX-8345 gender: Female relevant_history: - chronic kidney disease - anxiety suspected_drugs: - drug_name: Sertraline dosage: 337mg route_of_administration: Intravenous start_date: '2024-12-14' indication_for_use: Major depressive disorder drug_class: SSRI adverse_reactions: - symptom_name: Angioedema onset_date: '2025-01-09' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-01-09' severity: Severe outcome: Recovering intervention_required: true - symptom_name: Pruritus onset_date: '2025-01-09' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 9 reporting_facility: Cook-Brown Medical Center reporter_type: Nurse notes: According around base western president hundred money. Direction often phone cost young bed middle. Wife allow real story economic.
<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-2025-455 Date of Submission: 2025-05-11 This report was submitted by a Nurse from Sanders, Castro and Miller Medical Center concerning patient ANON-PX-5141. The subject is a 40-year-old male with a significant medical history including seasonal allergies, hypertension, osteoarthritis, 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 Intravenous route at a dosage of 141mg, initiated on 2025-02-22 for Bacterial infection with the course ongoing; Gabapentin (Anticonvulsant) administered via the Oral route at a dosage of 147mg, initiated on 2025-02-22 for Neuropathic pain with the course ongoing. On approximately 2025-03-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Vomiting. The Dizziness 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 beyond and advised time. 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. Reporter's Narrative Summary: Agreement Mrs fast best truth fear. Out continue clear. Current unit sure also watch everything.</data>
report_id: ADR-2025-455 report_date: '2025-05-11' patient_details: patient_id: ANON-PX-5141 gender: Male relevant_history: - seasonal allergies - hypertension - osteoarthritis - atrial fibrillation age_at_reaction: 40 suspected_drugs: - drug_name: Amoxicillin dosage: 141mg route_of_administration: Intravenous start_date: '2025-02-22' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic - drug_name: Gabapentin dosage: 147mg route_of_administration: Oral start_date: '2025-02-22' indication_for_use: Neuropathic pain drug_class: Anticonvulsant adverse_reactions: - symptom_name: Dizziness onset_date: '2025-03-18' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-03-18' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed beyond and advised time. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Sanders, Castro and Miller Medical Center reporter_type: Nurse notes: Agreement Mrs fast best truth fear. Out continue clear. Current unit sure also watch everything.
<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-2024-375 Date of Submission: 2024-10-27 This report was submitted by a Nurse from Gillespie PLC Medical Center concerning patient ANON-PX-3288. The subject is a 53-year-old female 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): Ibuprofen (NSAID) administered via the Topical route at a dosage of 347mg, initiated on 2024-09-11 for Pain and inflammation with the course ongoing; Sertraline (SSRI) administered via the Subcutaneous route at a dosage of 32mg, initiated on 2024-09-11 for Major depressive disorder with the course ongoing. On approximately 2024-09-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Headache, Anaphylaxis, Pruritus. The Somnolence was classified as Severe in severity. This necessitated clinical intervention. 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'. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. 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 '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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-375 report_date: '2024-10-27' patient_details: patient_id: ANON-PX-3288 gender: Female relevant_history: - osteoarthritis - type 2 diabetes age_at_reaction: 53 suspected_drugs: - drug_name: Ibuprofen dosage: 347mg route_of_administration: Topical start_date: '2024-09-11' indication_for_use: Pain and inflammation drug_class: NSAID - drug_name: Sertraline dosage: 32mg route_of_administration: Subcutaneous start_date: '2024-09-11' indication_for_use: Major depressive disorder drug_class: SSRI adverse_reactions: - symptom_name: Somnolence onset_date: '2024-09-18' severity: Severe outcome: Not Recovered intervention_required: true - symptom_name: Headache onset_date: '2024-09-18' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Anaphylaxis onset_date: '2024-09-18' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Pruritus onset_date: '2024-09-18' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 1 reporting_facility: Gillespie PLC 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-2025-885 Date of Submission: 2025-02-27 This report was submitted by a Nurse from Espinoza, Burnett and Butler Medical Center concerning patient ANON-PX-6402. The subject is a 56-year-old other with a significant medical history including asthma, osteoarthritis, 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): Warfarin administered via the Topical route at a dosage of 98mg, initiated on 2024-12-06 for Thromboembolism prevention and discontinued on 2025-02-19. On approximately 2025-01-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, 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 'Unknown'. The Stevens-Johnson syndrome 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 4 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. </data>
report_id: ADR-2025-885 report_date: '2025-02-27' patient_details: patient_id: ANON-PX-6402 gender: Other relevant_history: - asthma - osteoarthritis - seasonal allergies age_at_reaction: 56 suspected_drugs: - drug_name: Warfarin dosage: 98mg route_of_administration: Topical start_date: '2024-12-06' indication_for_use: Thromboembolism prevention end_date: '2025-02-19' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-01-13' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-13' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 4 reporting_facility: Espinoza, Burnett and Butler 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-2025-570 Date of Submission: 2025-02-23 This report was submitted by a Other Healthcare Professional from Davis PLC Medical Center concerning patient ANON-PX-3543. The subject is a 85-year-old female with a significant medical history including anxiety, coronary artery disease, migraines. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Omeprazole administered via the Topical route at a dosage of 162mg, initiated on 2025-01-31 for Gastroesophageal reflux disease and discontinued on 2025-02-14; Ibuprofen (NSAID) administered via the Oral route at a dosage of 196mg, initiated on 2025-01-31 for Pain and inflammation and discontinued on 2025-02-14. On approximately 2025-02-13, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Vomiting. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. 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 author and advised rule. 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. Reporter's Narrative Summary: Truth edge scene reflect education anything. Question student air nearly sell.</data>
report_id: ADR-2025-570 report_date: '2025-02-23' patient_details: patient_id: ANON-PX-3543 gender: Female relevant_history: - anxiety - coronary artery disease - migraines age_at_reaction: 85 suspected_drugs: - drug_name: Omeprazole dosage: 162mg route_of_administration: Topical start_date: '2025-01-31' indication_for_use: Gastroesophageal reflux disease end_date: '2025-02-14' - drug_name: Ibuprofen dosage: 196mg route_of_administration: Oral start_date: '2025-01-31' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-02-14' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-02-13' severity: Moderate outcome: Recovering intervention_required: true - symptom_name: Vomiting onset_date: '2025-02-13' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed author and advised rule. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 4 reporting_facility: Davis PLC Medical Center reporter_type: Other Healthcare Professional notes: Truth edge scene reflect education anything. Question student air nearly sell.
<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-2025-646 Date of Submission: 2025-03-21 This report was submitted by a Nurse from Murillo-Ferguson Medical Center concerning patient ANON-PX-8371. The subject is a 43-year-old female with a significant medical history including 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): Ibuprofen (NSAID) administered via the Oral route at a dosage of 459mg, initiated on 2025-01-03 for Pain and inflammation and discontinued on 2025-02-07; Sertraline (SSRI) administered via the Oral route at a dosage of 324mg, initiated on 2025-01-03 for Major depressive disorder and discontinued on 2025-02-07. On approximately 2025-02-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Nausea. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed teacher and advised this. The current patient status regarding this symptom is 'Unknown'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. 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. </data>
report_id: ADR-2025-646 report_date: '2025-03-21' patient_details: patient_id: ANON-PX-8371 gender: Female relevant_history: - asthma - osteoarthritis age_at_reaction: 43 suspected_drugs: - drug_name: Ibuprofen dosage: 459mg route_of_administration: Oral start_date: '2025-01-03' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-02-07' - drug_name: Sertraline dosage: 324mg route_of_administration: Oral start_date: '2025-01-03' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-02-07' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-02-01' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed teacher and advised this. - symptom_name: Nausea onset_date: '2025-02-01' severity: Moderate outcome: Fatal intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Murillo-Ferguson 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-2025-857 Date of Submission: 2025-02-07 This report was submitted by a Physician from Lee PLC Medical Center concerning patient ANON-PX-2813. The subject is an adult male with a significant medical history including hypertension, 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): Lisinopril administered via the Oral route at a dosage of 460mg, initiated on 2025-01-23 for Hypertension and discontinued on 2025-02-05. On approximately 2025-02-01, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Maculopapular Rash, Headache, Dizziness, Diarrhea. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed of and advised author. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. 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 whatever and advised say. 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 drug and advised be. The current patient status regarding this symptom is 'Fatal'. The Diarrhea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed upon and advised your. 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: 'Positive dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-857 report_date: '2025-02-07' patient_details: patient_id: ANON-PX-2813 gender: Male relevant_history: - hypertension - coronary artery disease - osteoarthritis suspected_drugs: - drug_name: Lisinopril dosage: 460mg route_of_administration: Oral start_date: '2025-01-23' indication_for_use: Hypertension end_date: '2025-02-05' adverse_reactions: - symptom_name: Nausea onset_date: '2025-02-01' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed of and advised author. - symptom_name: Maculopapular Rash onset_date: '2025-02-01' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Headache onset_date: '2025-02-01' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed whatever and advised say. - symptom_name: Dizziness onset_date: '2025-02-01' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed drug and advised be. - symptom_name: Diarrhea onset_date: '2025-02-01' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed upon and advised your. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 7 reporting_facility: Lee PLC 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-2025-123 Date of Submission: 2025-05-18 This report was submitted by a Nurse from Hancock and Sons Medical Center concerning patient ANON-PX-4322. The subject is a 72-year-old other with a significant medical history including 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): Lisinopril administered via the Intramuscular route at a dosage of 355mg, initiated on 2025-04-13 for Hypertension with the course ongoing; Sertraline administered via the Oral route at a dosage of 36mg, initiated on 2025-04-13 for Major depressive disorder with the course ongoing. On approximately 2025-04-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Dizziness, Somnolence, Diarrhea, Vomiting. The Maculopapular Rash 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 Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed end and advised weight. 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 'Fatal'. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. 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 '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-2025-123 report_date: '2025-05-18' patient_details: patient_id: ANON-PX-4322 gender: Other relevant_history: - chronic kidney disease - osteoarthritis age_at_reaction: 72 suspected_drugs: - drug_name: Lisinopril dosage: 355mg route_of_administration: Intramuscular start_date: '2025-04-13' indication_for_use: Hypertension - drug_name: Sertraline dosage: 36mg route_of_administration: Oral start_date: '2025-04-13' indication_for_use: Major depressive disorder adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-04-16' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Dizziness onset_date: '2025-04-16' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed end and advised weight. - symptom_name: Somnolence onset_date: '2025-04-16' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2025-04-16' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-04-16' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 6 reporting_facility: Hancock 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-2024-761 Date of Submission: 2024-09-27 This report was submitted by a Physician from Huffman-Medina Medical Center concerning patient ANON-PX-8747. The subject is a 77-year-old female with a significant medical history including type 2 diabetes, 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 Topical route at a dosage of 273mg, initiated on 2024-07-14 for Major depressive disorder and discontinued on 2024-08-30. On approximately 2024-07-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Dizziness, Diarrhea, Headache. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed help and advised build. 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'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed nothing and advised business. 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 '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 rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Election guy hear rather enough. Only image onto past.</data>
report_id: ADR-2024-761 report_date: '2024-09-27' patient_details: patient_id: ANON-PX-8747 gender: Female relevant_history: - type 2 diabetes - coronary artery disease age_at_reaction: 77 suspected_drugs: - drug_name: Sertraline dosage: 273mg route_of_administration: Topical start_date: '2024-07-14' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-08-30' adverse_reactions: - symptom_name: Vomiting onset_date: '2024-07-18' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed help and advised build. - symptom_name: Dizziness onset_date: '2024-07-18' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Diarrhea onset_date: '2024-07-18' severity: Severe outcome: Unknown intervention_required: true intervention_details: Prescribed nothing and advised business. - symptom_name: Headache onset_date: '2024-07-18' severity: Moderate outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Huffman-Medina Medical Center reporter_type: Physician notes: Election guy hear rather enough. Only image onto past.
<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-2025-251 Date of Submission: 2025-05-31 This report was submitted by a Patient from Brown LLC Medical Center concerning patient ANON-PX-6286. The subject is an adult female with a significant medical history including type 2 diabetes, 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 Subcutaneous route at a dosage of 355mg, initiated on 2025-04-07 for Thromboembolism prevention with the course ongoing; Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 68mg, initiated on 2025-04-07 for Bacterial infection with the course ongoing. On approximately 2025-05-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Dizziness. The Angioedema 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 Life-threatening 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-251 report_date: '2025-05-31' patient_details: patient_id: ANON-PX-6286 gender: Female relevant_history: - type 2 diabetes - chronic kidney disease suspected_drugs: - drug_name: Warfarin dosage: 355mg route_of_administration: Subcutaneous start_date: '2025-04-07' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant - drug_name: Amoxicillin dosage: 68mg route_of_administration: Subcutaneous start_date: '2025-04-07' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic adverse_reactions: - symptom_name: Angioedema onset_date: '2025-05-19' severity: Severe outcome: Not Recovered intervention_required: true - symptom_name: Dizziness onset_date: '2025-05-19' severity: Life-threatening outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Brown LLC 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-2025-571 Date of Submission: 2025-04-09 This report was submitted by a Physician from Massey Group Medical Center concerning patient ANON-PX-3747. The subject is a 88-year-old other with a significant medical history including 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): Metformin administered via the Topical route at a dosage of 42mg, initiated on 2025-02-24 for Type 2 diabetes with the course ongoing. On approximately 2025-03-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Stevens-Johnson syndrome. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed population and advised become. 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 thing and advised mother. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-571 report_date: '2025-04-09' patient_details: patient_id: ANON-PX-3747 gender: Other relevant_history: - seasonal allergies - type 2 diabetes age_at_reaction: 88 suspected_drugs: - drug_name: Metformin dosage: 42mg route_of_administration: Topical start_date: '2025-02-24' indication_for_use: Type 2 diabetes adverse_reactions: - symptom_name: Nausea onset_date: '2025-03-31' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed population and advised become. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-31' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed thing and advised mother. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 5 reporting_facility: Massey 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-2025-994 Date of Submission: 2025-04-02 This report was submitted by a Other Healthcare Professional from Simpson and Sons Medical Center concerning patient ANON-PX-5592. The subject is a 33-year-old other with a significant medical history including osteoarthritis, type 2 diabetes, chronic kidney 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): Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 203mg, initiated on 2025-01-23 for Gastroesophageal reflux disease and discontinued on 2025-03-28; Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 294mg, initiated on 2025-01-23 for Bacterial infection and discontinued on 2025-03-28. On approximately 2025-02-22, 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 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 be and advised man. The current patient status regarding this symptom is 'Fatal'. The Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed should and advised will. The current patient status regarding this symptom is 'Recovering'. 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: Home whatever loss person agreement you. Republican explain decide traditional option Democrat plan.</data>
report_id: ADR-2025-994 report_date: '2025-04-02' patient_details: patient_id: ANON-PX-5592 gender: Other relevant_history: - osteoarthritis - type 2 diabetes - chronic kidney disease - atrial fibrillation age_at_reaction: 33 suspected_drugs: - drug_name: Omeprazole dosage: 203mg route_of_administration: Subcutaneous start_date: '2025-01-23' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-03-28' - drug_name: Amoxicillin dosage: 294mg route_of_administration: Subcutaneous start_date: '2025-01-23' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-03-28' adverse_reactions: - symptom_name: Headache onset_date: '2025-02-22' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Angioedema onset_date: '2025-02-22' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed be and advised man. - symptom_name: Anaphylaxis onset_date: '2025-02-22' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed should and advised will. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 7 reporting_facility: Simpson and Sons Medical Center reporter_type: Other Healthcare Professional notes: Home whatever loss person agreement you. Republican explain decide traditional option Democrat plan.
<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-2024-360 Date of Submission: 2024-11-16 This report was submitted by a Physician from Sutton, Mora and Johnson Medical Center concerning patient ANON-PX-1049. The subject is a 35-year-old female with a significant medical history including asthma, atrial fibrillation. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Ibuprofen administered via the Topical route at a dosage of 346mg, initiated on 2024-11-02 for Pain and inflammation with the course ongoing. On approximately 2024-11-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Hepatotoxicity, Somnolence, Diarrhea. The Angioedema was classified as Mild 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 body and advised nothing. The current patient status regarding this symptom is 'Recovered'. The Somnolence was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Diarrhea 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. 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-2024-360 report_date: '2024-11-16' patient_details: patient_id: ANON-PX-1049 gender: Female relevant_history: - asthma - atrial fibrillation age_at_reaction: 35 suspected_drugs: - drug_name: Ibuprofen dosage: 346mg route_of_administration: Topical start_date: '2024-11-02' indication_for_use: Pain and inflammation adverse_reactions: - symptom_name: Angioedema onset_date: '2024-11-12' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2024-11-12' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed body and advised nothing. - symptom_name: Somnolence onset_date: '2024-11-12' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2024-11-12' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Sutton, Mora and Johnson 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-2024-845 Date of Submission: 2024-09-21 This report was submitted by a Other Healthcare Professional from Griffith Inc Medical Center concerning patient ANON-PX-5750. The subject is a 70-year-old other with a significant medical history including seasonal allergies, type 2 diabetes, 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 Oral route at a dosage of 158mg, initiated on 2024-07-11 for Type 2 diabetes with the course ongoing. On approximately 2024-08-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Dizziness, Nausea, Stevens-Johnson syndrome, Maculopapular Rash. The Headache was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed church and advised manager. The current patient status regarding this symptom is 'Not Recovered'. The Nausea 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 'Recovering'. The Maculopapular Rash 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. 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: Among meet threat. Never into how include.</data>
report_id: ADR-2024-845 report_date: '2024-09-21' patient_details: patient_id: ANON-PX-5750 gender: Other relevant_history: - seasonal allergies - type 2 diabetes - coronary artery disease age_at_reaction: 70 suspected_drugs: - drug_name: Metformin dosage: 158mg route_of_administration: Oral start_date: '2024-07-11' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Headache onset_date: '2024-08-16' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2024-08-16' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed church and advised manager. - symptom_name: Nausea onset_date: '2024-08-16' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-16' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-08-16' severity: Mild outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Griffith Inc Medical Center reporter_type: Other Healthcare Professional notes: Among meet threat. Never into how include.
<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-2025-614 Date of Submission: 2025-01-27 This report was submitted by a Other Healthcare Professional from Warren, Chavez and Sparks Medical Center concerning patient ANON-PX-8975. 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): Lisinopril administered via the Intramuscular route at a dosage of 410mg, initiated on 2025-01-10 for Hypertension and discontinued on 2025-01-20. On approximately 2025-01-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Hepatotoxicity, Somnolence. The Angioedema was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed key and advised sign. 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 'Unknown'. 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 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: Sea worry recent positive. Relationship peace stop.</data>
report_id: ADR-2025-614 report_date: '2025-01-27' patient_details: patient_id: ANON-PX-8975 gender: Other relevant_history: - migraines - anxiety suspected_drugs: - drug_name: Lisinopril dosage: 410mg route_of_administration: Intramuscular start_date: '2025-01-10' indication_for_use: Hypertension end_date: '2025-01-20' adverse_reactions: - symptom_name: Angioedema onset_date: '2025-01-18' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed key and advised sign. - symptom_name: Hepatotoxicity onset_date: '2025-01-18' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Somnolence onset_date: '2025-01-18' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 1 reporting_facility: Warren, Chavez and Sparks Medical Center reporter_type: Other Healthcare Professional notes: Sea worry recent positive. Relationship peace stop.
<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-2024-458 Date of Submission: 2024-12-28 This report was submitted by a Pharmacist from Freeman-Clements Medical Center concerning patient ANON-PX-1797. The subject is a 34-year-old female with a significant medical history including anxiety, atrial fibrillation, 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): Lisinopril (ACE inhibitor) administered via the Topical route at a dosage of 402mg, initiated on 2024-10-07 for Hypertension and discontinued on 2024-12-12; Sertraline (SSRI) administered via the Intravenous route at a dosage of 268mg, initiated on 2024-10-07 for Major depressive disorder and discontinued on 2024-12-12. On approximately 2024-11-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Hepatotoxicity, Vomiting, Nausea. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Hepatotoxicity 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 'Not Recovered'. 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. 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-2024-458 report_date: '2024-12-28' patient_details: patient_id: ANON-PX-1797 gender: Female relevant_history: - anxiety - atrial fibrillation - osteoarthritis - asthma age_at_reaction: 34 suspected_drugs: - drug_name: Lisinopril dosage: 402mg route_of_administration: Topical start_date: '2024-10-07' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2024-12-12' - drug_name: Sertraline dosage: 268mg route_of_administration: Intravenous start_date: '2024-10-07' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2024-12-12' adverse_reactions: - symptom_name: Diarrhea onset_date: '2024-11-27' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2024-11-27' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Vomiting onset_date: '2024-11-27' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Nausea onset_date: '2024-11-27' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Freeman-Clements 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-2025-434 Date of Submission: 2025-04-15 This report was submitted by a Patient from Lewis, Long and Carter Medical Center concerning patient ANON-PX-6365. The subject is a 66-year-old other 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): Warfarin (Anticoagulant) administered via the Intravenous route at a dosage of 93mg, initiated on 2025-01-26 for Thromboembolism prevention and discontinued on 2025-02-03; Sertraline (SSRI) administered via the Topical route at a dosage of 128mg, initiated on 2025-01-26 for Major depressive disorder and discontinued on 2025-02-03. On approximately 2025-01-28, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Angioedema, Nausea, Vomiting. The Dizziness 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 Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Nausea 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 Mild 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 10 was calculated, The assessment concluded the relationship was 'Highly 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-2025-434 report_date: '2025-04-15' patient_details: patient_id: ANON-PX-6365 gender: Other relevant_history: - osteoarthritis - hypertension - atrial fibrillation age_at_reaction: 66 suspected_drugs: - drug_name: Warfarin dosage: 93mg route_of_administration: Intravenous start_date: '2025-01-26' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-02-03' - drug_name: Sertraline dosage: 128mg route_of_administration: Topical start_date: '2025-01-26' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-02-03' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-01-28' severity: Mild outcome: Recovering intervention_required: false - symptom_name: Angioedema onset_date: '2025-01-28' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Nausea onset_date: '2025-01-28' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-01-28' severity: Mild outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 10 reporting_facility: Lewis, Long and Carter 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-2024-443 Date of Submission: 2024-09-16 This report was submitted by a Physician from Clark and Sons Medical Center concerning patient ANON-PX-4432. The subject is a 43-year-old female with a significant medical history including osteoarthritis, 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 administered via the Oral route at a dosage of 443mg, initiated on 2024-07-12 for Hypothyroidism and discontinued on 2024-08-21; Atorvastatin (Statin) administered via the Topical route at a dosage of 115mg, initiated on 2024-07-12 for Hypercholesterolemia and discontinued on 2024-08-21. On approximately 2024-07-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Maculopapular Rash, Hepatotoxicity. 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 Maculopapular Rash was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed western and advised scientist. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity 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. 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: Full power reveal born safe. Behavior throw between book.</data>
report_id: ADR-2024-443 report_date: '2024-09-16' patient_details: patient_id: ANON-PX-4432 gender: Female relevant_history: - osteoarthritis - atrial fibrillation age_at_reaction: 43 suspected_drugs: - drug_name: Levothyroxine dosage: 443mg route_of_administration: Oral start_date: '2024-07-12' indication_for_use: Hypothyroidism end_date: '2024-08-21' - drug_name: Atorvastatin dosage: 115mg route_of_administration: Topical start_date: '2024-07-12' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-08-21' adverse_reactions: - symptom_name: Headache onset_date: '2024-07-15' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-07-15' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed western and advised scientist. - symptom_name: Hepatotoxicity onset_date: '2024-07-15' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Clark and Sons Medical Center reporter_type: Physician notes: Full power reveal born safe. Behavior throw between book.
<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-2024-147 Date of Submission: 2024-08-13 This report was submitted by a Pharmacist from Lewis and Sons Medical Center concerning patient ANON-PX-9062. The subject is an adult other with a significant medical history including 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 Intramuscular route at a dosage of 474mg, initiated on 2024-05-23 for Neuropathic pain and discontinued on 2024-07-21; Atorvastatin (Statin) administered via the Topical route at a dosage of 389mg, initiated on 2024-05-23 for Hypercholesterolemia and discontinued on 2024-07-21. On approximately 2024-07-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Nausea, Pruritus. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. 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 'Unknown'. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed identify and advised party. The current patient status regarding this symptom is 'Fatal'. 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: Story ten town decision lawyer light. Couple since hit through. Rest television power prepare.</data>
report_id: ADR-2024-147 report_date: '2024-08-13' patient_details: patient_id: ANON-PX-9062 gender: Other relevant_history: - type 2 diabetes - asthma suspected_drugs: - drug_name: Gabapentin dosage: 474mg route_of_administration: Intramuscular start_date: '2024-05-23' indication_for_use: Neuropathic pain end_date: '2024-07-21' - drug_name: Atorvastatin dosage: 389mg route_of_administration: Topical start_date: '2024-05-23' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2024-07-21' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-07-19' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Nausea onset_date: '2024-07-19' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2024-07-19' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed identify and advised party. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 4 reporting_facility: Lewis and Sons Medical Center reporter_type: Pharmacist notes: Story ten town decision lawyer light. Couple since hit through. Rest television power prepare.
<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-2024-994 Date of Submission: 2024-10-02 This report was submitted by a Nurse from Miller-Hebert Medical Center concerning patient ANON-PX-2779. The subject is an adult other with a significant medical history including chronic kidney disease, 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): Ibuprofen (NSAID) administered via the Intramuscular route at a dosage of 273mg, initiated on 2024-09-24 for Pain and inflammation and discontinued on 2024-09-29. On approximately 2024-09-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Dizziness, Hepatotoxicity. 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 Dizziness was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed future and advised trial. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed force and advised while. 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-994 report_date: '2024-10-02' patient_details: patient_id: ANON-PX-2779 gender: Other relevant_history: - chronic kidney disease - coronary artery disease - hypertension suspected_drugs: - drug_name: Ibuprofen dosage: 273mg route_of_administration: Intramuscular start_date: '2024-09-24' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2024-09-29' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-09-25' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2024-09-25' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed future and advised trial. - symptom_name: Hepatotoxicity onset_date: '2024-09-25' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed force and advised while. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 1 reporting_facility: Miller-Hebert 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-2025-599 Date of Submission: 2025-07-15 This report was submitted by a Nurse from Myers Inc Medical Center concerning patient ANON-PX-1502. The subject is a 71-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): Atorvastatin (Statin) administered via the Topical route at a dosage of 191mg, initiated on 2025-05-29 for Hypercholesterolemia and discontinued on 2025-06-12; Omeprazole administered via the Intravenous route at a dosage of 57mg, initiated on 2025-05-29 for Gastroesophageal reflux disease and discontinued on 2025-06-12. On approximately 2025-06-11, 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 Life-threatening 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 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: Force third identify economic return information thing. Five a investment against attention.</data>
report_id: ADR-2025-599 report_date: '2025-07-15' patient_details: patient_id: ANON-PX-1502 gender: Other relevant_history: - hypertension - seasonal allergies age_at_reaction: 71 suspected_drugs: - drug_name: Atorvastatin dosage: 191mg route_of_administration: Topical start_date: '2025-05-29' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-06-12' - drug_name: Omeprazole dosage: 57mg route_of_administration: Intravenous start_date: '2025-05-29' indication_for_use: Gastroesophageal reflux disease end_date: '2025-06-12' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-06-11' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-06-11' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Myers Inc Medical Center reporter_type: Nurse notes: Force third identify economic return information thing. Five a investment against attention.
<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-2024-715 Date of Submission: 2024-09-26 This report was submitted by a Nurse from Johnson-Simmons Medical Center concerning patient ANON-PX-8858. The subject is a 60-year-old female with a significant medical history including seasonal allergies, chronic kidney disease, atrial fibrillation, 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): Atorvastatin (Statin) administered via the Intravenous route at a dosage of 385mg, initiated on 2024-08-26 for Hypercholesterolemia with the course ongoing; Amoxicillin administered via the Subcutaneous route at a dosage of 38mg, initiated on 2024-08-26 for Bacterial infection with the course ongoing. On approximately 2024-09-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Somnolence. The Nausea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed them and advised car. 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: List single top which yourself third move. Ground always recently wish. To personal so very.</data>
report_id: ADR-2024-715 report_date: '2024-09-26' patient_details: patient_id: ANON-PX-8858 gender: Female relevant_history: - seasonal allergies - chronic kidney disease - atrial fibrillation - osteoarthritis age_at_reaction: 60 suspected_drugs: - drug_name: Atorvastatin dosage: 385mg route_of_administration: Intravenous start_date: '2024-08-26' indication_for_use: Hypercholesterolemia drug_class: Statin - drug_name: Amoxicillin dosage: 38mg route_of_administration: Subcutaneous start_date: '2024-08-26' indication_for_use: Bacterial infection adverse_reactions: - symptom_name: Nausea onset_date: '2024-09-04' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Somnolence onset_date: '2024-09-04' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed them and advised car. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Johnson-Simmons Medical Center reporter_type: Nurse notes: List single top which yourself third move. Ground always recently wish. To personal so very.
<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-2025-359 Date of Submission: 2025-07-22 This report was submitted by a Nurse from Bradley PLC Medical Center concerning patient ANON-PX-5507. The subject is a 64-year-old male with a significant medical history including asthma, 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): Atorvastatin (Statin) administered via the Intramuscular route at a dosage of 444mg, initiated on 2025-05-10 for Hypercholesterolemia and discontinued on 2025-07-20. On approximately 2025-07-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Vomiting, Anaphylaxis, Somnolence, Pruritus. The Hepatotoxicity was classified as Moderate in severity. No specific therapeutic intervention was required. 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 high and advised air. The current patient status regarding this symptom is 'Recovering'. The Anaphylaxis was classified as Moderate 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus 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 6 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-2025-359 report_date: '2025-07-22' patient_details: patient_id: ANON-PX-5507 gender: Male relevant_history: - asthma - hypertension age_at_reaction: 64 suspected_drugs: - drug_name: Atorvastatin dosage: 444mg route_of_administration: Intramuscular start_date: '2025-05-10' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-07-20' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-07-19' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-07-19' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed high and advised air. - symptom_name: Anaphylaxis onset_date: '2025-07-19' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Somnolence onset_date: '2025-07-19' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2025-07-19' severity: Severe outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 6 reporting_facility: Bradley PLC 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-2025-218 Date of Submission: 2025-05-18 This report was submitted by a Patient from Mccormick-Myers Medical Center concerning patient ANON-PX-9437. The subject is a 53-year-old other 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): Warfarin (Anticoagulant) administered via the Subcutaneous route at a dosage of 158mg, initiated on 2025-04-22 for Thromboembolism prevention with the course ongoing. On approximately 2025-05-04, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Hepatotoxicity, Pruritus, Headache. The Stevens-Johnson syndrome was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Hepatotoxicity was classified as Moderate in severity. This necessitated clinical intervention. 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 'Not Recovered'. The Headache 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. 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: Serious already order bed. Charge surface late maybe mention. Particular someone use culture.</data>
report_id: ADR-2025-218 report_date: '2025-05-18' patient_details: patient_id: ANON-PX-9437 gender: Other relevant_history: - coronary artery disease - asthma age_at_reaction: 53 suspected_drugs: - drug_name: Warfarin dosage: 158mg route_of_administration: Subcutaneous start_date: '2025-04-22' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-04' severity: Severe outcome: Unknown intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-05-04' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Pruritus onset_date: '2025-05-04' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-05-04' severity: Moderate outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Mccormick-Myers Medical Center reporter_type: Patient notes: Serious already order bed. Charge surface late maybe mention. Particular someone use culture.
<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-2025-809 Date of Submission: 2025-07-21 This report was submitted by a Physician from Myers-Alvarez Medical Center concerning patient ANON-PX-5784. The subject is a 78-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): Atorvastatin (Statin) administered via the Topical route at a dosage of 496mg, initiated on 2025-05-18 for Hypercholesterolemia and discontinued on 2025-07-07. On approximately 2025-05-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Pruritus, Nausea. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed watch and advised rather. 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 partner and advised father. The current patient status regarding this symptom is 'Recovered'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed investment and advised think. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Production partner boy method total. Most be generation soon. It go truth.</data>
report_id: ADR-2025-809 report_date: '2025-07-21' patient_details: patient_id: ANON-PX-5784 gender: Female relevant_history: - chronic kidney disease - asthma age_at_reaction: 78 suspected_drugs: - drug_name: Atorvastatin dosage: 496mg route_of_administration: Topical start_date: '2025-05-18' indication_for_use: Hypercholesterolemia drug_class: Statin end_date: '2025-07-07' adverse_reactions: - symptom_name: Angioedema onset_date: '2025-05-25' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed watch and advised rather. - symptom_name: Pruritus onset_date: '2025-05-25' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed partner and advised father. - symptom_name: Nausea onset_date: '2025-05-25' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed investment and advised think. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Myers-Alvarez Medical Center reporter_type: Physician notes: Production partner boy method total. Most be generation soon. It go truth.
<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-2025-320 Date of Submission: 2025-03-08 This report was submitted by a Physician from Rodriguez LLC Medical Center concerning patient ANON-PX-2940. The subject is a 84-year-old female with a significant medical history including coronary artery disease, 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): Sertraline (SSRI) administered via the Topical route at a dosage of 104mg, initiated on 2024-12-28 for Major depressive disorder with the course ongoing. On approximately 2025-02-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Headache, Vomiting, Nausea, Stevens-Johnson syndrome. 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 Headache was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed skin and advised beat. 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 'Recovering'. The Nausea was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed form and advised weight. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed memory and advised high. The current patient status regarding this symptom is 'Fatal'. 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: Happen news government measure himself home. Admit figure participant. Throw case five cell physical.</data>
report_id: ADR-2025-320 report_date: '2025-03-08' patient_details: patient_id: ANON-PX-2940 gender: Female relevant_history: - coronary artery disease - migraines - seasonal allergies age_at_reaction: 84 suspected_drugs: - drug_name: Sertraline dosage: 104mg route_of_administration: Topical start_date: '2024-12-28' indication_for_use: Major depressive disorder drug_class: SSRI adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-02-18' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-02-18' severity: Mild outcome: Not Recovered intervention_required: true intervention_details: Prescribed skin and advised beat. - symptom_name: Vomiting onset_date: '2025-02-18' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Nausea onset_date: '2025-02-18' severity: Mild outcome: Recovered intervention_required: true intervention_details: Prescribed form and advised weight. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-18' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed memory and advised high. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 10 reporting_facility: Rodriguez LLC Medical Center reporter_type: Physician notes: Happen news government measure himself home. Admit figure participant. Throw case five cell physical.
<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-2025-119 Date of Submission: 2025-02-26 This report was submitted by a Patient from Bradshaw PLC Medical Center concerning patient ANON-PX-8386. The subject is a 61-year-old female with a significant medical history including anxiety, type 2 diabetes, seasonal allergies, 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): Amoxicillin administered via the Subcutaneous route at a dosage of 420mg, initiated on 2025-02-02 for Bacterial infection and discontinued on 2025-02-16. On approximately 2025-02-08, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome, Vomiting. The Anaphylaxis was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed also and advised laugh. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Severe in severity. This necessitated clinical intervention. 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 '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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Fact occur heavy research number. Avoid good painting who house. Age ball space.</data>
report_id: ADR-2025-119 report_date: '2025-02-26' patient_details: patient_id: ANON-PX-8386 gender: Female relevant_history: - anxiety - type 2 diabetes - seasonal allergies - chronic kidney disease age_at_reaction: 61 suspected_drugs: - drug_name: Amoxicillin dosage: 420mg route_of_administration: Subcutaneous start_date: '2025-02-02' indication_for_use: Bacterial infection end_date: '2025-02-16' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-02-08' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed also and advised laugh. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-08' severity: Severe outcome: Not Recovered intervention_required: true - symptom_name: Vomiting onset_date: '2025-02-08' severity: Moderate outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 7 reporting_facility: Bradshaw PLC Medical Center reporter_type: Patient notes: Fact occur heavy research number. Avoid good painting who house. Age ball space.
<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-2025-398 Date of Submission: 2025-06-26 This report was submitted by a Patient from Smith, Gonzalez and Ruiz Medical Center concerning patient ANON-PX-3618. The subject is an adult female with a significant medical history including hypertension, type 2 diabetes, 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 administered via the Intravenous route at a dosage of 328mg, initiated on 2025-04-05 for Neuropathic pain with the course ongoing; Metformin (Biguanide) administered via the Intravenous route at a dosage of 208mg, initiated on 2025-04-05 for Type 2 diabetes with the course ongoing. On approximately 2025-05-03, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Pruritus, Diarrhea. 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 'Fatal'. The Pruritus 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 '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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: West kid friend draw home their. Woman free customer detail. Question evening account doctor.</data>
report_id: ADR-2025-398 report_date: '2025-06-26' patient_details: patient_id: ANON-PX-3618 gender: Female relevant_history: - hypertension - type 2 diabetes - osteoarthritis suspected_drugs: - drug_name: Gabapentin dosage: 328mg route_of_administration: Intravenous start_date: '2025-04-05' indication_for_use: Neuropathic pain - drug_name: Metformin dosage: 208mg route_of_administration: Intravenous start_date: '2025-04-05' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-03' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Pruritus onset_date: '2025-05-03' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Diarrhea onset_date: '2025-05-03' severity: Mild outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Not applicable naranjo_score: 10 reporting_facility: Smith, Gonzalez and Ruiz Medical Center reporter_type: Patient notes: West kid friend draw home their. Woman free customer detail. Question evening account doctor.
<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-2025-143 Date of Submission: 2025-06-11 This report was submitted by a Pharmacist from Dixon, Jones and Hurley Medical Center concerning patient ANON-PX-3319. The subject is a 57-year-old female 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): Gabapentin (Anticonvulsant) administered via the Subcutaneous route at a dosage of 5mg, initiated on 2025-03-25 for Neuropathic pain and discontinued on 2025-04-17. On approximately 2025-04-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Vomiting, Hepatotoxicity. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity 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 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. Reporter's Narrative Summary: Station door service have though music everyone. May necessary why strategy.</data>
report_id: ADR-2025-143 report_date: '2025-06-11' patient_details: patient_id: ANON-PX-3319 gender: Female relevant_history: - migraines - atrial fibrillation age_at_reaction: 57 suspected_drugs: - drug_name: Gabapentin dosage: 5mg route_of_administration: Subcutaneous start_date: '2025-03-25' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-04-17' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-04-17' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Vomiting onset_date: '2025-04-17' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2025-04-17' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 8 reporting_facility: Dixon, Jones and Hurley Medical Center reporter_type: Pharmacist notes: Station door service have though music everyone. May necessary why strategy.
<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-2025-536 Date of Submission: 2025-04-09 This report was submitted by a Pharmacist from Brown, Dunlap and Huber Medical Center concerning patient ANON-PX-8338. The subject is a 81-year-old male with a significant medical history including type 2 diabetes, seasonal allergies, hypertension, 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 administered via the Topical route at a dosage of 327mg, initiated on 2025-02-28 for Pain and inflammation and discontinued on 2025-03-20; Omeprazole (Proton-pump inhibitor) administered via the Topical route at a dosage of 404mg, initiated on 2025-02-28 for Gastroesophageal reflux disease and discontinued on 2025-03-20. On approximately 2025-03-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Headache. The Hepatotoxicity was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed him and advised drug. 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 east and advised money. The current patient status regarding this symptom is 'Recovered'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. The assessment concluded the relationship was 'Probable'. Dechallenge/Rechallenge status was noted as: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Either now picture drop big end. Seat chance finally help drive fall. National air job know perhaps situation mission.</data>
report_id: ADR-2025-536 report_date: '2025-04-09' patient_details: patient_id: ANON-PX-8338 gender: Male relevant_history: - type 2 diabetes - seasonal allergies - hypertension - anxiety age_at_reaction: 81 suspected_drugs: - drug_name: Ibuprofen dosage: 327mg route_of_administration: Topical start_date: '2025-02-28' indication_for_use: Pain and inflammation end_date: '2025-03-20' - drug_name: Omeprazole dosage: 404mg route_of_administration: Topical start_date: '2025-02-28' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-03-20' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-03-15' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed him and advised drug. - symptom_name: Headache onset_date: '2025-03-15' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed east and advised money. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Brown, Dunlap and Huber Medical Center reporter_type: Pharmacist notes: Either now picture drop big end. Seat chance finally help drive fall. National air job know perhaps situation mission.
<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-2024-459 Date of Submission: 2024-09-04 This report was submitted by a Pharmacist from Taylor-Patterson Medical Center concerning patient ANON-PX-4503. The subject is a 48-year-old female with a significant medical history including seasonal allergies, hypertension, 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): Omeprazole administered via the Topical route at a dosage of 433mg, initiated on 2024-07-18 for Gastroesophageal reflux disease with the course ongoing. On approximately 2024-08-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Headache, Nausea. The Headache was classified as Severe 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. 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 10 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: Discover food she international knowledge source down. Since follow skill. Argue gun campaign.</data>
report_id: ADR-2024-459 report_date: '2024-09-04' patient_details: patient_id: ANON-PX-4503 gender: Female relevant_history: - seasonal allergies - hypertension - asthma - osteoarthritis age_at_reaction: 48 suspected_drugs: - drug_name: Omeprazole dosage: 433mg route_of_administration: Topical start_date: '2024-07-18' indication_for_use: Gastroesophageal reflux disease adverse_reactions: - symptom_name: Headache onset_date: '2024-08-14' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Nausea onset_date: '2024-08-14' severity: Mild outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 10 reporting_facility: Taylor-Patterson Medical Center reporter_type: Pharmacist notes: Discover food she international knowledge source down. Since follow skill. Argue gun campaign.
<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-2025-616 Date of Submission: 2025-06-11 This report was submitted by a Nurse from Knight-Barnes Medical Center concerning patient ANON-PX-2981. The subject is a 25-year-old female with a significant medical history including chronic kidney disease, 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): Warfarin administered via the Oral route at a dosage of 378mg, initiated on 2025-04-18 for Thromboembolism prevention with the course ongoing. On approximately 2025-04-26, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Diarrhea, Pruritus, Headache. The Somnolence 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 Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed thousand and advised experience. The current patient status regarding this symptom is 'Recovering'. The Headache was classified as Severe 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 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: Huge tough keep example drop require. Onto member build think. Price blood middle discover bar practice.</data>
report_id: ADR-2025-616 report_date: '2025-06-11' patient_details: patient_id: ANON-PX-2981 gender: Female relevant_history: - chronic kidney disease - hypertension - seasonal allergies age_at_reaction: 25 suspected_drugs: - drug_name: Warfarin dosage: 378mg route_of_administration: Oral start_date: '2025-04-18' indication_for_use: Thromboembolism prevention adverse_reactions: - symptom_name: Somnolence onset_date: '2025-04-26' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Diarrhea onset_date: '2025-04-26' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-26' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed thousand and advised experience. - symptom_name: Headache onset_date: '2025-04-26' severity: Severe outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Knight-Barnes Medical Center reporter_type: Nurse notes: Huge tough keep example drop require. Onto member build think. Price blood middle discover bar practice.
<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-2025-219 Date of Submission: 2025-04-01 This report was submitted by a Nurse from Wright LLC Medical Center concerning patient ANON-PX-6495. The subject is a 33-year-old female with a significant medical history including anxiety, atrial fibrillation, 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 Subcutaneous route at a dosage of 355mg, initiated on 2025-02-02 for Major depressive disorder and discontinued on 2025-03-19. On approximately 2025-02-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Somnolence, Headache, Stevens-Johnson syndrome, Dizziness. The Hepatotoxicity was classified as Severe 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 current patient status regarding this symptom is 'Recovered'. The Headache was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed leg and advised executive. The current patient status regarding this symptom is 'Recovered'. The Dizziness 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-219 report_date: '2025-04-01' patient_details: patient_id: ANON-PX-6495 gender: Female relevant_history: - anxiety - atrial fibrillation - migraines age_at_reaction: 33 suspected_drugs: - drug_name: Sertraline dosage: 355mg route_of_administration: Subcutaneous start_date: '2025-02-02' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-03-19' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-02-25' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2025-02-25' severity: Moderate outcome: Recovered intervention_required: true - symptom_name: Headache onset_date: '2025-02-25' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-25' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed leg and advised executive. - symptom_name: Dizziness onset_date: '2025-02-25' severity: Moderate outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable reporting_facility: Wright 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-2025-838 Date of Submission: 2025-02-02 This report was submitted by a Nurse from Walker Group Medical Center concerning patient ANON-PX-3884. The subject is a 88-year-old other with a significant medical history including seasonal allergies, 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): Omeprazole (Proton-pump inhibitor) administered via the Oral route at a dosage of 346mg, initiated on 2024-11-22 for Gastroesophageal reflux disease with the course ongoing; Lisinopril administered via the Topical route at a dosage of 431mg, initiated on 2024-11-22 for Hypertension with the course ongoing. On approximately 2025-01-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Angioedema, Dizziness, Pruritus, Diarrhea. The Anaphylaxis was classified as Mild 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 later and advised activity. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. 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'. The Diarrhea 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 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. Reporter's Narrative Summary: While side order soldier generation forget blue. Example board generation want wall.</data>
report_id: ADR-2025-838 report_date: '2025-02-02' patient_details: patient_id: ANON-PX-3884 gender: Other relevant_history: - seasonal allergies - type 2 diabetes - asthma age_at_reaction: 88 suspected_drugs: - drug_name: Omeprazole dosage: 346mg route_of_administration: Oral start_date: '2024-11-22' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Lisinopril dosage: 431mg route_of_administration: Topical start_date: '2024-11-22' indication_for_use: Hypertension adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-01-22' severity: Mild outcome: Unknown intervention_required: true - symptom_name: Angioedema onset_date: '2025-01-22' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed later and advised activity. - symptom_name: Dizziness onset_date: '2025-01-22' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Pruritus onset_date: '2025-01-22' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2025-01-22' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 6 reporting_facility: Walker Group Medical Center reporter_type: Nurse notes: While side order soldier generation forget blue. Example board generation want wall.
<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-2024-987 Date of Submission: 2024-08-31 This report was submitted by a Other Healthcare Professional from Cox, Edwards and Watson Medical Center concerning patient ANON-PX-3810. The subject is a 63-year-old female with a significant medical history including hypertension, seasonal allergies, 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 administered via the Intravenous route at a dosage of 439mg, initiated on 2024-07-08 for Major depressive disorder with the course ongoing. On approximately 2024-08-11, 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 Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed market and advised measure. 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 '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: Successful ahead already current. Population represent front back decide right man. Audience expect kind seem not.</data>
report_id: ADR-2024-987 report_date: '2024-08-31' patient_details: patient_id: ANON-PX-3810 gender: Female relevant_history: - hypertension - seasonal allergies - chronic kidney disease age_at_reaction: 63 suspected_drugs: - drug_name: Sertraline dosage: 439mg route_of_administration: Intravenous start_date: '2024-07-08' indication_for_use: Major depressive disorder adverse_reactions: - symptom_name: Headache onset_date: '2024-08-11' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed market and advised measure. - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-11' severity: Mild outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Cox, Edwards and Watson Medical Center reporter_type: Other Healthcare Professional notes: Successful ahead already current. Population represent front back decide right man. Audience expect kind seem not.
<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-2025-653 Date of Submission: 2025-06-18 This report was submitted by a Pharmacist from King Inc Medical Center concerning patient ANON-PX-9513. The subject is a 90-year-old female with a significant medical history including chronic kidney disease, 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): Lisinopril (ACE inhibitor) administered via the Intramuscular route at a dosage of 115mg, initiated on 2025-05-10 for Hypertension and discontinued on 2025-06-10; Warfarin administered via the Subcutaneous route at a dosage of 48mg, initiated on 2025-05-10 for Thromboembolism prevention and discontinued on 2025-06-10. On approximately 2025-05-31, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Stevens-Johnson syndrome, Angioedema, Headache. The Anaphylaxis was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed data and advised my. 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 'Unknown'. The Angioedema was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed audience and advised democratic. 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 good and advised test. 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Health four on. Situation assume kid reveal. Recognize debate our agree.</data>
report_id: ADR-2025-653 report_date: '2025-06-18' patient_details: patient_id: ANON-PX-9513 gender: Female relevant_history: - chronic kidney disease - coronary artery disease - seasonal allergies age_at_reaction: 90 suspected_drugs: - drug_name: Lisinopril dosage: 115mg route_of_administration: Intramuscular start_date: '2025-05-10' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-06-10' - drug_name: Warfarin dosage: 48mg route_of_administration: Subcutaneous start_date: '2025-05-10' indication_for_use: Thromboembolism prevention end_date: '2025-06-10' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-05-31' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed data and advised my. - symptom_name: Stevens-Johnson syndrome onset_date: '2025-05-31' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2025-05-31' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed audience and advised democratic. - symptom_name: Headache onset_date: '2025-05-31' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed good and advised test. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: King Inc Medical Center reporter_type: Pharmacist notes: Health four on. Situation assume kid reveal. Recognize debate our agree.
<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-2025-521 Date of Submission: 2025-08-01 This report was submitted by a Other Healthcare Professional from Davis-Aguirre Medical Center concerning patient ANON-PX-5859. The subject is a 59-year-old female with a significant medical history including 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): Warfarin (Anticoagulant) administered via the Intramuscular route at a dosage of 298mg, initiated on 2025-07-06 for Thromboembolism prevention with the course ongoing; Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 398mg, initiated on 2025-07-06 for Hypertension with the course ongoing. On approximately 2025-07-11, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Angioedema, Somnolence, 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 Angioedema was classified as Severe 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. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Diarrhea 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Next history clear theory practice. Why with push argue democratic store most. Building hotel carry anything.</data>
report_id: ADR-2025-521 report_date: '2025-08-01' patient_details: patient_id: ANON-PX-5859 gender: Female relevant_history: - atrial fibrillation - asthma age_at_reaction: 59 suspected_drugs: - drug_name: Warfarin dosage: 298mg route_of_administration: Intramuscular start_date: '2025-07-06' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant - drug_name: Lisinopril dosage: 398mg route_of_administration: Intravenous start_date: '2025-07-06' indication_for_use: Hypertension drug_class: ACE inhibitor adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-07-11' severity: Life-threatening outcome: Not Recovered intervention_required: true - symptom_name: Angioedema onset_date: '2025-07-11' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2025-07-11' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Diarrhea onset_date: '2025-07-11' severity: Life-threatening outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Davis-Aguirre Medical Center reporter_type: Other Healthcare Professional notes: Next history clear theory practice. Why with push argue democratic store most. Building hotel carry anything.
<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: 2025-02-20 This report was submitted by a Patient from Beck-Harris Medical Center concerning patient ANON-PX-4229. The subject is an adult other with a significant medical history including seasonal allergies, 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): Ibuprofen (NSAID) administered via the Topical route at a dosage of 133mg, initiated on 2025-02-06 for Pain and inflammation and discontinued on 2025-02-14; Metformin (Biguanide) administered via the Intramuscular route at a dosage of 169mg, initiated on 2025-02-06 for Type 2 diabetes and discontinued on 2025-02-14. On approximately 2025-02-10, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Anaphylaxis. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed shoulder and advised away. The current patient status regarding this symptom is 'Fatal'. The Anaphylaxis was classified as Mild 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: 'Positive rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-943 report_date: '2025-02-20' patient_details: patient_id: ANON-PX-4229 gender: Other relevant_history: - seasonal allergies - coronary artery disease - asthma suspected_drugs: - drug_name: Ibuprofen dosage: 133mg route_of_administration: Topical start_date: '2025-02-06' indication_for_use: Pain and inflammation drug_class: NSAID end_date: '2025-02-14' - drug_name: Metformin dosage: 169mg route_of_administration: Intramuscular start_date: '2025-02-06' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2025-02-14' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-02-10' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed shoulder and advised away. - symptom_name: Anaphylaxis onset_date: '2025-02-10' severity: Mild outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge naranjo_score: 6 reporting_facility: Beck-Harris 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-2025-161 Date of Submission: 2025-02-23 This report was submitted by a Physician from Lopez-Sanchez Medical Center concerning patient ANON-PX-4176. The subject is a 84-year-old other 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): Omeprazole administered via the Subcutaneous route at a dosage of 134mg, initiated on 2024-12-12 for Gastroesophageal reflux disease and discontinued on 2025-02-12; Sertraline (SSRI) administered via the Intramuscular route at a dosage of 110mg, initiated on 2024-12-12 for Major depressive disorder and discontinued on 2025-02-12. On approximately 2025-02-11, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Vomiting, Nausea, Stevens-Johnson syndrome, Maculopapular Rash. The Anaphylaxis was classified as Mild 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 'Recovering'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovered'. The Maculopapular Rash 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 10 was calculated, The assessment concluded the relationship was 'Highly 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-2025-161 report_date: '2025-02-23' patient_details: patient_id: ANON-PX-4176 gender: Other relevant_history: - coronary artery disease - chronic kidney disease age_at_reaction: 84 suspected_drugs: - drug_name: Omeprazole dosage: 134mg route_of_administration: Subcutaneous start_date: '2024-12-12' indication_for_use: Gastroesophageal reflux disease end_date: '2025-02-12' - drug_name: Sertraline dosage: 110mg route_of_administration: Intramuscular start_date: '2024-12-12' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-02-12' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-02-11' severity: Mild outcome: Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-02-11' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Nausea onset_date: '2025-02-11' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-11' severity: Moderate outcome: Recovered intervention_required: true - symptom_name: Maculopapular Rash onset_date: '2025-02-11' severity: Moderate outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 10 reporting_facility: Lopez-Sanchez 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-2025-979 Date of Submission: 2025-07-15 This report was submitted by a Other Healthcare Professional from White, Daniel and Wang Medical Center concerning patient ANON-PX-6101. 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): Lisinopril (ACE inhibitor) administered via the Topical route at a dosage of 34mg, initiated on 2025-04-22 for Hypertension with the course ongoing; Ibuprofen (NSAID) administered via the Subcutaneous route at a dosage of 458mg, initiated on 2025-04-22 for Pain and inflammation with the course ongoing. On approximately 2025-06-07, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Anaphylaxis. The Angioedema 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 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Fire reflect cold many under democratic. Factor size owner along. Near nice short upon situation so reveal. Everyone until indeed almost sign herself quite.</data>
report_id: ADR-2025-979 report_date: '2025-07-15' patient_details: patient_id: ANON-PX-6101 gender: Other relevant_history: - anxiety - asthma suspected_drugs: - drug_name: Lisinopril dosage: 34mg route_of_administration: Topical start_date: '2025-04-22' indication_for_use: Hypertension drug_class: ACE inhibitor - drug_name: Ibuprofen dosage: 458mg route_of_administration: Subcutaneous start_date: '2025-04-22' indication_for_use: Pain and inflammation drug_class: NSAID adverse_reactions: - symptom_name: Angioedema onset_date: '2025-06-07' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-06-07' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 10 reporting_facility: White, Daniel and Wang Medical Center reporter_type: Other Healthcare Professional notes: Fire reflect cold many under democratic. Factor size owner along. Near nice short upon situation so reveal. Everyone until indeed almost sign herself quite.
<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-2025-513 Date of Submission: 2025-07-26 This report was submitted by a Physician from Booth-Bailey Medical Center concerning patient ANON-PX-2382. The subject is an adult other with a significant medical history including atrial fibrillation, 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 65mg, initiated on 2025-06-18 for Gastroesophageal reflux disease with the course ongoing; Levothyroxine (Thyroid hormone) administered via the Topical route at a dosage of 328mg, initiated on 2025-06-18 for Hypothyroidism with the course ongoing. On approximately 2025-06-19, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Somnolence, Nausea, Pruritus. The Anaphylaxis was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed about and advised environment. 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 'Recovered'. 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 Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed something and advised toward. 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: Hour they beyond court answer woman card. Drug bar skill thank.</data>
report_id: ADR-2025-513 report_date: '2025-07-26' patient_details: patient_id: ANON-PX-2382 gender: Other relevant_history: - atrial fibrillation - chronic kidney disease - hypertension suspected_drugs: - drug_name: Omeprazole dosage: 65mg route_of_administration: Topical start_date: '2025-06-18' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Levothyroxine dosage: 328mg route_of_administration: Topical start_date: '2025-06-18' indication_for_use: Hypothyroidism drug_class: Thyroid hormone adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2025-06-19' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed about and advised environment. - symptom_name: Somnolence onset_date: '2025-06-19' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Nausea onset_date: '2025-06-19' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-06-19' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed something and advised toward. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 2 reporting_facility: Booth-Bailey Medical Center reporter_type: Physician notes: Hour they beyond court answer woman card. Drug bar skill thank.
<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-2025-486 Date of Submission: 2025-05-01 This report was submitted by a Physician from Douglas, Terry and Mcconnell Medical Center concerning patient ANON-PX-8104. The subject is a 29-year-old male with a significant medical history including osteoarthritis, coronary artery disease, 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): Omeprazole administered via the Oral route at a dosage of 154mg, initiated on 2025-02-04 for Gastroesophageal reflux disease and discontinued on 2025-03-24. On approximately 2025-03-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Headache. 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 Headache 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 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: Others month act year. Agency listen difficult quite goal draw three. Science under ago kind important set.</data>
report_id: ADR-2025-486 report_date: '2025-05-01' patient_details: patient_id: ANON-PX-8104 gender: Male relevant_history: - osteoarthritis - coronary artery disease - hypertension - chronic kidney disease age_at_reaction: 29 suspected_drugs: - drug_name: Omeprazole dosage: 154mg route_of_administration: Oral start_date: '2025-02-04' indication_for_use: Gastroesophageal reflux disease end_date: '2025-03-24' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-03-22' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Headache onset_date: '2025-03-22' severity: Moderate outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 2 reporting_facility: Douglas, Terry and Mcconnell Medical Center reporter_type: Physician notes: Others month act year. Agency listen difficult quite goal draw three. Science under ago kind important set.
<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-2025-400 Date of Submission: 2025-02-14 This report was submitted by a Pharmacist from Clay, Nichols and Christensen Medical Center concerning patient ANON-PX-2369. The subject is a 73-year-old male with a significant medical history including chronic kidney disease, type 2 diabetes, 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 Intramuscular route at a dosage of 388mg, initiated on 2025-01-21 for Gastroesophageal reflux disease with the course ongoing. On approximately 2025-01-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Headache, Maculopapular Rash, Nausea, Stevens-Johnson syndrome. The Pruritus was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is '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'. The Maculopapular Rash was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed since and advised hold. The current patient status regarding this symptom is 'Fatal'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Continue current prove. Single see small positive little happy. Late stop everybody cell item.</data>
report_id: ADR-2025-400 report_date: '2025-02-14' patient_details: patient_id: ANON-PX-2369 gender: Male relevant_history: - chronic kidney disease - type 2 diabetes - anxiety - osteoarthritis age_at_reaction: 73 suspected_drugs: - drug_name: Omeprazole dosage: 388mg route_of_administration: Intramuscular start_date: '2025-01-21' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Pruritus onset_date: '2025-01-23' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-01-23' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-01-23' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed since and advised hold. - symptom_name: Nausea onset_date: '2025-01-23' severity: Moderate outcome: Unknown intervention_required: true - symptom_name: Stevens-Johnson syndrome onset_date: '2025-01-23' severity: Mild outcome: Fatal intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 6 reporting_facility: Clay, Nichols and Christensen Medical Center reporter_type: Pharmacist notes: Continue current prove. Single see small positive little happy. Late stop everybody cell item.
<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-2025-447 Date of Submission: 2025-03-05 This report was submitted by a Other Healthcare Professional from Brown, Barrera and Freeman Medical Center concerning patient ANON-PX-7271. The subject is an adult female with a significant medical history including migraines, osteoarthritis, 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 administered via the Intravenous route at a dosage of 141mg, initiated on 2025-01-17 for Hypothyroidism with the course ongoing; Warfarin (Anticoagulant) administered via the Oral route at a dosage of 17mg, initiated on 2025-01-17 for Thromboembolism prevention with the course ongoing. On approximately 2025-02-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Diarrhea, Vomiting. 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 Diarrhea 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 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 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-2025-447 report_date: '2025-03-05' patient_details: patient_id: ANON-PX-7271 gender: Female relevant_history: - migraines - osteoarthritis - atrial fibrillation suspected_drugs: - drug_name: Levothyroxine dosage: 141mg route_of_administration: Intravenous start_date: '2025-01-17' indication_for_use: Hypothyroidism - drug_name: Warfarin dosage: 17mg route_of_administration: Oral start_date: '2025-01-17' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-02-15' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Diarrhea onset_date: '2025-02-15' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Vomiting onset_date: '2025-02-15' severity: Life-threatening outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 8 reporting_facility: Brown, Barrera and Freeman 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-2025-735 Date of Submission: 2025-04-30 This report was submitted by a Other Healthcare Professional from Mcmahon Group Medical Center concerning patient ANON-PX-1644. The subject is a 71-year-old female with a significant medical history including type 2 diabetes, 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): Metformin (Biguanide) administered via the Intramuscular route at a dosage of 319mg, initiated on 2025-03-13 for Type 2 diabetes with the course ongoing. On approximately 2025-04-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Angioedema, Somnolence, Stevens-Johnson syndrome, Dizziness, Pruritus. The Angioedema was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed remember and advised left. 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 '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 'Fatal'. The Dizziness 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 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. 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: Leg consider imagine type. Race nation meet its. Nice line down where grow.</data>
report_id: ADR-2025-735 report_date: '2025-04-30' patient_details: patient_id: ANON-PX-1644 gender: Female relevant_history: - type 2 diabetes - atrial fibrillation age_at_reaction: 71 suspected_drugs: - drug_name: Metformin dosage: 319mg route_of_administration: Intramuscular start_date: '2025-03-13' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Angioedema onset_date: '2025-04-16' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed remember and advised left. - symptom_name: Somnolence onset_date: '2025-04-16' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-16' severity: Mild outcome: Fatal intervention_required: false - symptom_name: Dizziness onset_date: '2025-04-16' severity: Severe outcome: Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-16' severity: Mild outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Mcmahon Group Medical Center reporter_type: Other Healthcare Professional notes: Leg consider imagine type. Race nation meet its. Nice line down where grow.
<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-2025-729 Date of Submission: 2025-05-01 This report was submitted by a Pharmacist from Bell-Miller Medical Center concerning patient ANON-PX-4764. The subject is a 47-year-old other with a significant medical history including migraines, 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 (Proton-pump inhibitor) administered via the Oral route at a dosage of 368mg, initiated on 2025-04-08 for Gastroesophageal reflux disease with the course ongoing. On approximately 2025-04-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Headache, Angioedema, Dizziness, Vomiting. The Stevens-Johnson syndrome was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Headache was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Angioedema was classified as Severe in severity. This necessitated clinical intervention. 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 'Fatal'. The Vomiting was classified as Severe 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 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. Reporter's Narrative Summary: Last remember sport require popular yard week. End feeling sense each involve race. Court create peace lawyer health.</data>
report_id: ADR-2025-729 report_date: '2025-05-01' patient_details: patient_id: ANON-PX-4764 gender: Other relevant_history: - migraines - asthma age_at_reaction: 47 suspected_drugs: - drug_name: Omeprazole dosage: 368mg route_of_administration: Oral start_date: '2025-04-08' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-18' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Headache onset_date: '2025-04-18' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Angioedema onset_date: '2025-04-18' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Dizziness onset_date: '2025-04-18' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Vomiting onset_date: '2025-04-18' severity: Severe outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 8 reporting_facility: Bell-Miller Medical Center reporter_type: Pharmacist notes: Last remember sport require popular yard week. End feeling sense each involve race. Court create peace lawyer health.
<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-2025-442 Date of Submission: 2025-06-29 This report was submitted by a Nurse from Sandoval, Lawson and Reed Medical Center concerning patient ANON-PX-3747. The subject is a 80-year-old female with a significant medical history including osteoarthritis, 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 Intravenous route at a dosage of 115mg, initiated on 2025-06-01 for Hypothyroidism and discontinued on 2025-06-28. On approximately 2025-06-21, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Nausea, Angioedema. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed policy and advised resource. 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 'Unknown'. The Angioedema was classified as Severe 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 rechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Turn glass interesting. There message into ready bag arm listen.</data>
report_id: ADR-2025-442 report_date: '2025-06-29' patient_details: patient_id: ANON-PX-3747 gender: Female relevant_history: - osteoarthritis - asthma - anxiety age_at_reaction: 80 suspected_drugs: - drug_name: Levothyroxine dosage: 115mg route_of_administration: Intravenous start_date: '2025-06-01' indication_for_use: Hypothyroidism end_date: '2025-06-28' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-06-21' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed policy and advised resource. - symptom_name: Nausea onset_date: '2025-06-21' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Angioedema onset_date: '2025-06-21' severity: Severe outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 4 reporting_facility: Sandoval, Lawson and Reed Medical Center reporter_type: Nurse notes: Turn glass interesting. There message into ready bag arm listen.
<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-2025-569 Date of Submission: 2025-08-02 This report was submitted by a Other Healthcare Professional from Brewer LLC Medical Center concerning patient ANON-PX-9626. The subject is a 76-year-old male 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): Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 414mg, initiated on 2025-07-12 for Gastroesophageal reflux disease and discontinued on 2025-07-26; Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 310mg, initiated on 2025-07-12 for Bacterial infection and discontinued on 2025-07-26. On approximately 2025-07-22, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Maculopapular Rash. The Vomiting 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 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 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: Base suggest center might idea. Admit him back per seem always purpose.</data>
report_id: ADR-2025-569 report_date: '2025-08-02' patient_details: patient_id: ANON-PX-9626 gender: Male relevant_history: - coronary artery disease - seasonal allergies age_at_reaction: 76 suspected_drugs: - drug_name: Omeprazole dosage: 414mg route_of_administration: Subcutaneous start_date: '2025-07-12' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-07-26' - drug_name: Amoxicillin dosage: 310mg route_of_administration: Topical start_date: '2025-07-12' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-07-26' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-07-22' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2025-07-22' severity: Mild outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Brewer LLC Medical Center reporter_type: Other Healthcare Professional notes: Base suggest center might idea. Admit him back per seem always purpose.
<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-2025-799 Date of Submission: 2025-08-05 This report was submitted by a Physician from Compton-Johnson Medical Center concerning patient ANON-PX-9854. The subject is an adult male with a significant medical history including type 2 diabetes, 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): Warfarin administered via the Intravenous route at a dosage of 446mg, initiated on 2025-06-20 for Thromboembolism prevention and discontinued on 2025-07-29; Omeprazole administered via the Subcutaneous route at a dosage of 380mg, initiated on 2025-06-20 for Gastroesophageal reflux disease and discontinued on 2025-07-29. On approximately 2025-07-06, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Stevens-Johnson syndrome, Nausea. The Diarrhea was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. 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'. 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-2025-799 report_date: '2025-08-05' patient_details: patient_id: ANON-PX-9854 gender: Male relevant_history: - type 2 diabetes - osteoarthritis suspected_drugs: - drug_name: Warfarin dosage: 446mg route_of_administration: Intravenous start_date: '2025-06-20' indication_for_use: Thromboembolism prevention end_date: '2025-07-29' - drug_name: Omeprazole dosage: 380mg route_of_administration: Subcutaneous start_date: '2025-06-20' indication_for_use: Gastroesophageal reflux disease end_date: '2025-07-29' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-07-06' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-07-06' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Nausea onset_date: '2025-07-06' severity: Moderate outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 7 reporting_facility: Compton-Johnson 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-2025-518 Date of Submission: 2025-04-26 This report was submitted by a Physician from Watson, Kennedy and Shaw Medical Center concerning patient ANON-PX-5179. The subject is a 53-year-old male with a significant medical history including migraines, 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): Warfarin (Anticoagulant) administered via the Topical route at a dosage of 433mg, initiated on 2025-04-08 for Thromboembolism prevention and discontinued on 2025-04-24; Lisinopril (ACE inhibitor) administered via the Intramuscular route at a dosage of 486mg, initiated on 2025-04-08 for Hypertension and discontinued on 2025-04-24. On approximately 2025-04-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Diarrhea, Pruritus. The Hepatotoxicity was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed maintain and advised general. The current patient status regarding this symptom is 'Not Recovered'. The Diarrhea was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed military and advised national. 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 dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Debate scientist pressure common carry. Then watch security past others dream dog road.</data>
report_id: ADR-2025-518 report_date: '2025-04-26' patient_details: patient_id: ANON-PX-5179 gender: Male relevant_history: - migraines - osteoarthritis - type 2 diabetes age_at_reaction: 53 suspected_drugs: - drug_name: Warfarin dosage: 433mg route_of_administration: Topical start_date: '2025-04-08' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2025-04-24' - drug_name: Lisinopril dosage: 486mg route_of_administration: Intramuscular start_date: '2025-04-08' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2025-04-24' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-04-17' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed maintain and advised general. - symptom_name: Diarrhea onset_date: '2025-04-17' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-17' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed military and advised national. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 7 reporting_facility: Watson, Kennedy and Shaw Medical Center reporter_type: Physician notes: Debate scientist pressure common carry. Then watch security past others dream dog road.
<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-2025-647 Date of Submission: 2025-07-14 This report was submitted by a Physician from Parker-Juarez Medical Center concerning patient ANON-PX-5114. The subject is a 80-year-old female 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): Sertraline (SSRI) administered via the Subcutaneous route at a dosage of 462mg, initiated on 2025-07-04 for Major depressive disorder and discontinued on 2025-07-13; Omeprazole (Proton-pump inhibitor) administered via the Subcutaneous route at a dosage of 147mg, initiated on 2025-07-04 for Gastroesophageal reflux disease and discontinued on 2025-07-13. On approximately 2025-07-07, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Vomiting. The Hepatotoxicity 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 '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. Reporter's Narrative Summary: Player fire just indeed south whole. Age yes project take it by general.</data>
report_id: ADR-2025-647 report_date: '2025-07-14' patient_details: patient_id: ANON-PX-5114 gender: Female relevant_history: - migraines - atrial fibrillation age_at_reaction: 80 suspected_drugs: - drug_name: Sertraline dosage: 462mg route_of_administration: Subcutaneous start_date: '2025-07-04' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-07-13' - drug_name: Omeprazole dosage: 147mg route_of_administration: Subcutaneous start_date: '2025-07-04' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-07-13' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2025-07-07' severity: Life-threatening outcome: Unknown intervention_required: false - symptom_name: Vomiting onset_date: '2025-07-07' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 4 reporting_facility: Parker-Juarez Medical Center reporter_type: Physician notes: Player fire just indeed south whole. Age yes project take it by general.
<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-2024-431 Date of Submission: 2024-10-25 This report was submitted by a Physician from Haas PLC Medical Center concerning patient ANON-PX-2451. The subject is an adult female with a significant medical history including 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): Metformin (Biguanide) administered via the Intravenous route at a dosage of 413mg, initiated on 2024-08-07 for Type 2 diabetes and discontinued on 2024-10-11. On approximately 2024-09-20, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Somnolence, Maculopapular Rash, Diarrhea. 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 Somnolence was classified as Mild in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Diarrhea 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 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-2024-431 report_date: '2024-10-25' patient_details: patient_id: ANON-PX-2451 gender: Female relevant_history: - coronary artery disease - osteoarthritis suspected_drugs: - drug_name: Metformin dosage: 413mg route_of_administration: Intravenous start_date: '2024-08-07' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-10-11' adverse_reactions: - symptom_name: Vomiting onset_date: '2024-09-20' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2024-09-20' severity: Mild outcome: Unknown intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-09-20' severity: Severe outcome: Fatal intervention_required: true - symptom_name: Diarrhea onset_date: '2024-09-20' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 5 reporting_facility: Haas PLC 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-2024-891 Date of Submission: 2024-11-17 This report was submitted by a Other Healthcare Professional from Davis-Nelson Medical Center concerning patient ANON-PX-1998. The subject is an adult other with a significant medical history including seasonal allergies, 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 Intramuscular route at a dosage of 23mg, initiated on 2024-09-29 for Neuropathic pain with the course ongoing; Levothyroxine (Thyroid hormone) administered via the Topical route at a dosage of 266mg, initiated on 2024-09-29 for Hypothyroidism with the course ongoing. On approximately 2024-10-12, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Diarrhea, Vomiting, Headache, Hepatotoxicity. 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 Diarrhea was classified as Mild in severity. This necessitated clinical intervention. 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 class and advised show. The current patient status regarding this symptom is 'Recovered'. The Headache was classified as Mild in severity. This necessitated clinical intervention. 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 stock and advised almost. The current patient status regarding this symptom is '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: I knowledge free this matter land.</data>
report_id: ADR-2024-891 report_date: '2024-11-17' patient_details: patient_id: ANON-PX-1998 gender: Other relevant_history: - seasonal allergies - atrial fibrillation - chronic kidney disease suspected_drugs: - drug_name: Gabapentin dosage: 23mg route_of_administration: Intramuscular start_date: '2024-09-29' indication_for_use: Neuropathic pain drug_class: Anticonvulsant - drug_name: Levothyroxine dosage: 266mg route_of_administration: Topical start_date: '2024-09-29' indication_for_use: Hypothyroidism drug_class: Thyroid hormone adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-10-12' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Diarrhea onset_date: '2024-10-12' severity: Mild outcome: Recovering intervention_required: true - symptom_name: Vomiting onset_date: '2024-10-12' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed class and advised show. - symptom_name: Headache onset_date: '2024-10-12' severity: Mild outcome: Not Recovered intervention_required: true - symptom_name: Hepatotoxicity onset_date: '2024-10-12' severity: Moderate outcome: Recovered intervention_required: true intervention_details: Prescribed stock and advised almost. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Davis-Nelson Medical Center reporter_type: Other Healthcare Professional notes: I knowledge free this matter land.
<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-2024-230 Date of Submission: 2024-09-14 This report was submitted by a Patient from Wyatt Group Medical Center concerning patient ANON-PX-2437. The subject is a 89-year-old male with a significant medical history including asthma, osteoarthritis, 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): Amoxicillin administered via the Subcutaneous route at a dosage of 495mg, initiated on 2024-07-27 for Bacterial infection and discontinued on 2024-08-26; Gabapentin (Anticonvulsant) administered via the Topical route at a dosage of 349mg, initiated on 2024-07-27 for Neuropathic pain and discontinued on 2024-08-26. On approximately 2024-08-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Maculopapular Rash, Dizziness, Somnolence, Diarrhea. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed compare and advised by. 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 'Recovered'. The Dizziness was classified as Severe in severity. This necessitated clinical intervention. 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 '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'. 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: Tough only realize. Let church attorney. Store race process structure.</data>
report_id: ADR-2024-230 report_date: '2024-09-14' patient_details: patient_id: ANON-PX-2437 gender: Male relevant_history: - asthma - osteoarthritis - seasonal allergies - anxiety age_at_reaction: 89 suspected_drugs: - drug_name: Amoxicillin dosage: 495mg route_of_administration: Subcutaneous start_date: '2024-07-27' indication_for_use: Bacterial infection end_date: '2024-08-26' - drug_name: Gabapentin dosage: 349mg route_of_administration: Topical start_date: '2024-07-27' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2024-08-26' adverse_reactions: - symptom_name: Pruritus onset_date: '2024-08-23' severity: Mild outcome: Unknown intervention_required: true intervention_details: Prescribed compare and advised by. - symptom_name: Maculopapular Rash onset_date: '2024-08-23' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Dizziness onset_date: '2024-08-23' severity: Severe outcome: Recovered intervention_required: true - symptom_name: Somnolence onset_date: '2024-08-23' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Diarrhea onset_date: '2024-08-23' severity: Mild outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Wyatt Group Medical Center reporter_type: Patient notes: Tough only realize. Let church attorney. Store race process structure.
<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-2025-309 Date of Submission: 2025-06-17 This report was submitted by a Nurse from Garrison, Mccarthy and Nash Medical Center concerning patient ANON-PX-4059. The subject is an adult male with a significant medical history including migraines, coronary artery disease, asthma, atrial fibrillation. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Amoxicillin (Penicillin antibiotic) administered via the Subcutaneous route at a dosage of 456mg, initiated on 2025-04-18 for Bacterial infection and discontinued on 2025-05-14. On approximately 2025-04-27, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Hepatotoxicity, Stevens-Johnson syndrome, Pruritus, Diarrhea. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed leader and advised truth. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity was classified as Severe 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovered'. The Pruritus was classified as Life-threatening in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Recovering'. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed tax and advised behavior. The current patient status regarding this symptom is 'Not Recovered'. 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: Student whether like pull among. Play suddenly once question. Someone herself job respond single officer door center.</data>
report_id: ADR-2025-309 report_date: '2025-06-17' patient_details: patient_id: ANON-PX-4059 gender: Male relevant_history: - migraines - coronary artery disease - asthma - atrial fibrillation suspected_drugs: - drug_name: Amoxicillin dosage: 456mg route_of_administration: Subcutaneous start_date: '2025-04-18' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2025-05-14' adverse_reactions: - symptom_name: Dizziness onset_date: '2025-04-27' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed leader and advised truth. - symptom_name: Hepatotoxicity onset_date: '2025-04-27' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-04-27' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2025-04-27' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Diarrhea onset_date: '2025-04-27' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed tax and advised behavior. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 4 reporting_facility: Garrison, Mccarthy and Nash Medical Center reporter_type: Nurse notes: Student whether like pull among. Play suddenly once question. Someone herself job respond single officer door center.
<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-2024-322 Date of Submission: 2024-09-17 This report was submitted by a Physician from Gonzalez, Gomez and Thompson Medical Center concerning patient ANON-PX-8137. The subject is a 40-year-old other 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): Ibuprofen administered via the Intramuscular route at a dosage of 331mg, initiated on 2024-07-02 for Pain and inflammation with the course ongoing. On approximately 2024-07-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Somnolence, Headache. The Pruritus was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed state and advised bank. 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 'Fatal'. The Headache was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed up and advised phone. 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 dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2024-322 report_date: '2024-09-17' patient_details: patient_id: ANON-PX-8137 gender: Other relevant_history: - hypertension - migraines age_at_reaction: 40 suspected_drugs: - drug_name: Ibuprofen dosage: 331mg route_of_administration: Intramuscular start_date: '2024-07-02' indication_for_use: Pain and inflammation adverse_reactions: - symptom_name: Pruritus onset_date: '2024-07-14' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed state and advised bank. - symptom_name: Somnolence onset_date: '2024-07-14' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Headache onset_date: '2024-07-14' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed up and advised phone. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge reporting_facility: Gonzalez, Gomez and Thompson 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-2025-125 Date of Submission: 2025-03-26 This report was submitted by a Physician from Webb-Hunter Medical Center concerning patient ANON-PX-2072. The subject is a 77-year-old female with a significant medical history including osteoarthritis, chronic kidney 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): Omeprazole (Proton-pump inhibitor) administered via the Oral route at a dosage of 456mg, initiated on 2025-01-01 for Gastroesophageal reflux disease and discontinued on 2025-02-28; Metformin (Biguanide) administered via the Topical route at a dosage of 146mg, initiated on 2025-01-01 for Type 2 diabetes and discontinued on 2025-02-28. On approximately 2025-01-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Angioedema, Hepatotoxicity. The Diarrhea 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. This necessitated clinical intervention. The documented action was: Prescribed report and advised use. The current patient status regarding this symptom is 'Recovering'. The Hepatotoxicity was classified as Mild 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 1 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: Message executive significant nation something. Despite small head leader.</data>
report_id: ADR-2025-125 report_date: '2025-03-26' patient_details: patient_id: ANON-PX-2072 gender: Female relevant_history: - osteoarthritis - chronic kidney disease - atrial fibrillation age_at_reaction: 77 suspected_drugs: - drug_name: Omeprazole dosage: 456mg route_of_administration: Oral start_date: '2025-01-01' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor end_date: '2025-02-28' - drug_name: Metformin dosage: 146mg route_of_administration: Topical start_date: '2025-01-01' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2025-02-28' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-30' severity: Life-threatening outcome: Recovering intervention_required: true - symptom_name: Angioedema onset_date: '2025-01-30' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed report and advised use. - symptom_name: Hepatotoxicity onset_date: '2025-01-30' severity: Mild outcome: Recovered intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 1 reporting_facility: Webb-Hunter Medical Center reporter_type: Physician notes: Message executive significant nation something. Despite small head leader.
<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-2025-684 Date of Submission: 2025-01-11 This report was submitted by a Other Healthcare Professional from Hunter, White and Austin Medical Center concerning patient ANON-PX-5565. The subject is a 41-year-old other with a significant medical history including type 2 diabetes, 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): Omeprazole administered via the Intravenous route at a dosage of 209mg, initiated on 2024-11-19 for Gastroesophageal reflux disease and discontinued on 2025-01-05. On approximately 2024-11-26, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Hepatotoxicity, Nausea, Somnolence. The Vomiting was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed east and advised road. 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 'Not Recovered'. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed argue and advised both. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Life-threatening 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 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. Reporter's Narrative Summary: Time these eight financial face.</data>
report_id: ADR-2025-684 report_date: '2025-01-11' patient_details: patient_id: ANON-PX-5565 gender: Other relevant_history: - type 2 diabetes - anxiety - chronic kidney disease age_at_reaction: 41 suspected_drugs: - drug_name: Omeprazole dosage: 209mg route_of_administration: Intravenous start_date: '2024-11-19' indication_for_use: Gastroesophageal reflux disease end_date: '2025-01-05' adverse_reactions: - symptom_name: Vomiting onset_date: '2024-11-26' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed east and advised road. - symptom_name: Hepatotoxicity onset_date: '2024-11-26' severity: Life-threatening outcome: Not Recovered intervention_required: false - symptom_name: Nausea onset_date: '2024-11-26' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed argue and advised both. - symptom_name: Somnolence onset_date: '2024-11-26' severity: Life-threatening outcome: Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive dechallenge naranjo_score: 5 reporting_facility: Hunter, White and Austin Medical Center reporter_type: Other Healthcare Professional notes: Time these eight financial face.
<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-2024-630 Date of Submission: 2024-11-16 This report was submitted by a Pharmacist from Rodriguez, Webster and Dunn Medical Center concerning patient ANON-PX-3000. The subject is a 80-year-old female with a significant medical history including 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): Metformin administered via the Subcutaneous route at a dosage of 408mg, initiated on 2024-09-08 for Type 2 diabetes and discontinued on 2024-11-10; Amoxicillin (Penicillin antibiotic) administered via the Topical route at a dosage of 444mg, initiated on 2024-09-08 for Bacterial infection and discontinued on 2024-11-10. On approximately 2024-11-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Angioedema. The Vomiting 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 accept and advised good. 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. Reporter's Narrative Summary: Name blue learn collection. Fish everything relate her protect himself interesting nothing. Quality my pull pretty.</data>
report_id: ADR-2024-630 report_date: '2024-11-16' patient_details: patient_id: ANON-PX-3000 gender: Female relevant_history: - osteoarthritis - hypertension age_at_reaction: 80 suspected_drugs: - drug_name: Metformin dosage: 408mg route_of_administration: Subcutaneous start_date: '2024-09-08' indication_for_use: Type 2 diabetes end_date: '2024-11-10' - drug_name: Amoxicillin dosage: 444mg route_of_administration: Topical start_date: '2024-09-08' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2024-11-10' adverse_reactions: - symptom_name: Vomiting onset_date: '2024-11-02' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Angioedema onset_date: '2024-11-02' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed accept and advised good. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed reporting_facility: Rodriguez, Webster and Dunn Medical Center reporter_type: Pharmacist notes: Name blue learn collection. Fish everything relate her protect himself interesting nothing. Quality my pull pretty.
<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-2024-181 Date of Submission: 2024-09-24 This report was submitted by a Patient from Ferguson-Bryant Medical Center concerning patient ANON-PX-9249. The subject is a 22-year-old other with a significant medical history including chronic kidney disease, 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): Lisinopril administered via the Intramuscular route at a dosage of 494mg, initiated on 2024-06-28 for Hypertension and discontinued on 2024-09-17; Warfarin (Anticoagulant) administered via the Topical route at a dosage of 47mg, initiated on 2024-06-28 for Thromboembolism prevention and discontinued on 2024-09-17. On approximately 2024-08-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Dizziness. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed same and advised interview. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate 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: 'Rechallenge not performed'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Visit fine care senior light young accept. Level continue sign day.</data>
report_id: ADR-2024-181 report_date: '2024-09-24' patient_details: patient_id: ANON-PX-9249 gender: Other relevant_history: - chronic kidney disease - migraines - coronary artery disease age_at_reaction: 22 suspected_drugs: - drug_name: Lisinopril dosage: 494mg route_of_administration: Intramuscular start_date: '2024-06-28' indication_for_use: Hypertension end_date: '2024-09-17' - drug_name: Warfarin dosage: 47mg route_of_administration: Topical start_date: '2024-06-28' indication_for_use: Thromboembolism prevention drug_class: Anticoagulant end_date: '2024-09-17' adverse_reactions: - symptom_name: Somnolence onset_date: '2024-08-16' severity: Mild outcome: Recovering intervention_required: true intervention_details: Prescribed same and advised interview. - symptom_name: Dizziness onset_date: '2024-08-16' severity: Moderate outcome: Not Recovered intervention_required: true causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Rechallenge not performed naranjo_score: 3 reporting_facility: Ferguson-Bryant Medical Center reporter_type: Patient notes: Visit fine care senior light young accept. Level continue sign day.
<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-2024-402 Date of Submission: 2024-11-29 This report was submitted by a Nurse from Proctor, Sosa and Ramirez Medical Center concerning patient ANON-PX-3568. The subject is a 45-year-old other with a significant medical history including type 2 diabetes, migraines, seasonal allergies, 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): Ibuprofen administered via the Subcutaneous route at a dosage of 215mg, initiated on 2024-10-07 for Pain and inflammation and discontinued on 2024-11-25; Lisinopril administered via the Subcutaneous route at a dosage of 22mg, initiated on 2024-10-07 for Hypertension and discontinued on 2024-11-25. On approximately 2024-11-24, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Dizziness, Pruritus. The Maculopapular Rash was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed size and advised many. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Pruritus 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 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-2024-402 report_date: '2024-11-29' patient_details: patient_id: ANON-PX-3568 gender: Other relevant_history: - type 2 diabetes - migraines - seasonal allergies - asthma age_at_reaction: 45 suspected_drugs: - drug_name: Ibuprofen dosage: 215mg route_of_administration: Subcutaneous start_date: '2024-10-07' indication_for_use: Pain and inflammation end_date: '2024-11-25' - drug_name: Lisinopril dosage: 22mg route_of_administration: Subcutaneous start_date: '2024-10-07' indication_for_use: Hypertension end_date: '2024-11-25' adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2024-11-24' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed size and advised many. - symptom_name: Dizziness onset_date: '2024-11-24' severity: Mild outcome: Fatal intervention_required: true - symptom_name: Pruritus onset_date: '2024-11-24' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Negative dechallenge naranjo_score: 3 reporting_facility: Proctor, Sosa and Ramirez 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-2025-258 Date of Submission: 2025-07-18 This report was submitted by a Patient from Fletcher LLC Medical Center concerning patient ANON-PX-4282. The subject is an adult female with a significant medical history including asthma, 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): Metformin administered via the Subcutaneous route at a dosage of 59mg, initiated on 2025-05-17 for Type 2 diabetes and discontinued on 2025-07-12. On approximately 2025-06-07, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Vomiting, Nausea. The Vomiting was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed per and advised expect. 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 newspaper and advised job. 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: Sell foot traditional heart.</data>
report_id: ADR-2025-258 report_date: '2025-07-18' patient_details: patient_id: ANON-PX-4282 gender: Female relevant_history: - asthma - anxiety - hypertension suspected_drugs: - drug_name: Metformin dosage: 59mg route_of_administration: Subcutaneous start_date: '2025-05-17' indication_for_use: Type 2 diabetes end_date: '2025-07-12' adverse_reactions: - symptom_name: Vomiting onset_date: '2025-06-07' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed per and advised expect. - symptom_name: Nausea onset_date: '2025-06-07' severity: Moderate outcome: Fatal intervention_required: true intervention_details: Prescribed newspaper and advised job. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive rechallenge naranjo_score: 1 reporting_facility: Fletcher LLC Medical Center reporter_type: Patient notes: Sell foot traditional heart.
<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: 2025-02-27 This report was submitted by a Other Healthcare Professional from Campbell-Smith Medical Center concerning patient ANON-PX-8910. The subject is a 53-year-old other with a significant medical history including migraines, 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 Intramuscular route at a dosage of 327mg, initiated on 2025-01-24 for Neuropathic pain and discontinued on 2025-02-23. On approximately 2025-02-09, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Headache, Vomiting, Stevens-Johnson syndrome. 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 Headache was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Unknown'. The Vomiting 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 Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed understand and advised book. 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: Hope product plan economic city.</data>
report_id: ADR-2025-599 report_date: '2025-02-27' patient_details: patient_id: ANON-PX-8910 gender: Other relevant_history: - migraines - type 2 diabetes age_at_reaction: 53 suspected_drugs: - drug_name: Gabapentin dosage: 327mg route_of_administration: Intramuscular start_date: '2025-01-24' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2025-02-23' adverse_reactions: - symptom_name: Somnolence onset_date: '2025-02-09' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Headache onset_date: '2025-02-09' severity: Severe outcome: Unknown intervention_required: true - symptom_name: Vomiting onset_date: '2025-02-09' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2025-02-09' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed understand and advised book. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 7 reporting_facility: Campbell-Smith Medical Center reporter_type: Other Healthcare Professional notes: Hope product plan economic 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-2024-848 Date of Submission: 2024-09-10 This report was submitted by a Nurse from Hopkins-Gonzalez Medical Center concerning patient ANON-PX-1282. The subject is a 50-year-old other with a significant medical history including 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): Lisinopril (ACE inhibitor) administered via the Subcutaneous route at a dosage of 102mg, initiated on 2024-08-04 for Hypertension and discontinued on 2024-08-26. On approximately 2024-08-16, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Hepatotoxicity, Angioedema. The Anaphylaxis was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed ask and advised into. 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 'Fatal'. 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. 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. </data>
report_id: ADR-2024-848 report_date: '2024-09-10' patient_details: patient_id: ANON-PX-1282 gender: Other relevant_history: - seasonal allergies - coronary artery disease age_at_reaction: 50 suspected_drugs: - drug_name: Lisinopril dosage: 102mg route_of_administration: Subcutaneous start_date: '2024-08-04' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2024-08-26' adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-08-16' severity: Moderate outcome: Not Recovered intervention_required: true intervention_details: Prescribed ask and advised into. - symptom_name: Hepatotoxicity onset_date: '2024-08-16' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Angioedema onset_date: '2024-08-16' severity: Mild outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Hopkins-Gonzalez 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-2024-793 Date of Submission: 2024-10-29 This report was submitted by a Physician from Duffy Group Medical Center concerning patient ANON-PX-7174. The subject is a 40-year-old other with a significant medical history including 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): Levothyroxine (Thyroid hormone) administered via the Subcutaneous route at a dosage of 158mg, initiated on 2024-10-13 for Hypothyroidism with the course ongoing; Amoxicillin (Penicillin antibiotic) administered via the Intravenous route at a dosage of 55mg, initiated on 2024-10-13 for Bacterial infection with the course ongoing. On approximately 2024-10-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Dizziness, Headache, Stevens-Johnson syndrome, Maculopapular Rash. The Dizziness 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. This necessitated clinical intervention. The documented action was: Prescribed history and advised challenge. The current patient status regarding this symptom is 'Not Recovered'. The Stevens-Johnson syndrome was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed expert and advised carry. The current patient status regarding this symptom is 'Fatal'. The Maculopapular Rash 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 3 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: Assume natural among model. Trip true region newspaper.</data>
report_id: ADR-2024-793 report_date: '2024-10-29' patient_details: patient_id: ANON-PX-7174 gender: Other relevant_history: - hypertension - chronic kidney disease - asthma age_at_reaction: 40 suspected_drugs: - drug_name: Levothyroxine dosage: 158mg route_of_administration: Subcutaneous start_date: '2024-10-13' indication_for_use: Hypothyroidism drug_class: Thyroid hormone - drug_name: Amoxicillin dosage: 55mg route_of_administration: Intravenous start_date: '2024-10-13' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic adverse_reactions: - symptom_name: Dizziness onset_date: '2024-10-17' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Headache onset_date: '2024-10-17' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed history and advised challenge. - symptom_name: Stevens-Johnson syndrome onset_date: '2024-10-17' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed expert and advised carry. - symptom_name: Maculopapular Rash onset_date: '2024-10-17' severity: Moderate outcome: Unknown intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Positive dechallenge naranjo_score: 3 reporting_facility: Duffy Group Medical Center reporter_type: Physician notes: Assume natural among model. Trip true region newspaper.
<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: 2025-01-29 This report was submitted by a Patient from Malone, Curtis and Ward Medical Center concerning patient ANON-PX-2944. The subject is an adult female with a significant medical history including type 2 diabetes, 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): Atorvastatin (Statin) administered via the Oral route at a dosage of 466mg, initiated on 2024-11-25 for Hypercholesterolemia with the course ongoing; Levothyroxine (Thyroid hormone) administered via the Intramuscular route at a dosage of 216mg, initiated on 2024-11-25 for Hypothyroidism with the course ongoing. On approximately 2025-01-02, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Dizziness, 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 Dizziness was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Pruritus was classified as Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed friend and advised under. 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: 'Not applicable'. The on-site pharmacist concurred with the assessment during a routine case review. </data>
report_id: ADR-2025-166 report_date: '2025-01-29' patient_details: patient_id: ANON-PX-2944 gender: Female relevant_history: - type 2 diabetes - seasonal allergies - osteoarthritis suspected_drugs: - drug_name: Atorvastatin dosage: 466mg route_of_administration: Oral start_date: '2024-11-25' indication_for_use: Hypercholesterolemia drug_class: Statin - drug_name: Levothyroxine dosage: 216mg route_of_administration: Intramuscular start_date: '2024-11-25' indication_for_use: Hypothyroidism drug_class: Thyroid hormone adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-01-02' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Dizziness onset_date: '2025-01-02' severity: Life-threatening outcome: Recovering intervention_required: false - symptom_name: Pruritus onset_date: '2025-01-02' severity: Severe outcome: Recovering intervention_required: true intervention_details: Prescribed friend and advised under. causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 3 reporting_facility: Malone, Curtis and Ward 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-2024-259 Date of Submission: 2024-12-26 This report was submitted by a Patient from Olson Group Medical Center concerning patient ANON-PX-3758. The subject is a 87-year-old 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): Atorvastatin administered via the Subcutaneous route at a dosage of 432mg, initiated on 2024-10-24 for Hypercholesterolemia and discontinued on 2024-11-22. On approximately 2024-11-11, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Somnolence, Hepatotoxicity, Maculopapular Rash, Vomiting, Dizziness. The Somnolence 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. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed information and advised future. The current patient status regarding this symptom is 'Fatal'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed measure and advised human. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Form boy plan heavy entire attention. Population bag customer read together test care. Explain send bag present field.</data>
report_id: ADR-2024-259 report_date: '2024-12-26' patient_details: patient_id: ANON-PX-3758 gender: Other relevant_history: - chronic kidney disease - hypertension age_at_reaction: 87 suspected_drugs: - drug_name: Atorvastatin dosage: 432mg route_of_administration: Subcutaneous start_date: '2024-10-24' indication_for_use: Hypercholesterolemia end_date: '2024-11-22' adverse_reactions: - symptom_name: Somnolence onset_date: '2024-11-11' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Hepatotoxicity onset_date: '2024-11-11' severity: Moderate outcome: Unknown intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-11-11' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Vomiting onset_date: '2024-11-11' severity: Life-threatening outcome: Fatal intervention_required: true intervention_details: Prescribed information and advised future. - symptom_name: Dizziness onset_date: '2024-11-11' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed measure and advised human. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Olson Group Medical Center reporter_type: Patient notes: Form boy plan heavy entire attention. Population bag customer read together test care. Explain send bag present field.
<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-2025-423 Date of Submission: 2025-05-11 This report was submitted by a Nurse from Cunningham, Murray and Singh Medical Center concerning patient ANON-PX-6585. The subject is a 79-year-old male with a significant medical history including asthma, 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): Levothyroxine administered via the Topical route at a dosage of 23mg, initiated on 2025-04-11 for Hypothyroidism with the course ongoing; Gabapentin (Anticonvulsant) administered via the Oral route at a dosage of 5mg, initiated on 2025-04-11 for Neuropathic pain with the course ongoing. On approximately 2025-04-28, 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 Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed hit and advised guy. 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 civil and advised event. The current patient status regarding this symptom is 'Fatal'. CAUSALITY ASSESSMENT: An evaluation of causality was performed. A Naranjo score of 10 was calculated, The assessment concluded the relationship was 'Highly Probable'. Dechallenge/Rechallenge status was noted as: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Early audience whether focus radio relate case. Much until well forward place we.</data>
report_id: ADR-2025-423 report_date: '2025-05-11' patient_details: patient_id: ANON-PX-6585 gender: Male relevant_history: - asthma - chronic kidney disease - migraines - atrial fibrillation age_at_reaction: 79 suspected_drugs: - drug_name: Levothyroxine dosage: 23mg route_of_administration: Topical start_date: '2025-04-11' indication_for_use: Hypothyroidism - drug_name: Gabapentin dosage: 5mg route_of_administration: Oral start_date: '2025-04-11' indication_for_use: Neuropathic pain drug_class: Anticonvulsant adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-04-28' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed hit and advised guy. - symptom_name: Hepatotoxicity onset_date: '2025-04-28' severity: Severe outcome: Fatal intervention_required: true intervention_details: Prescribed civil and advised event. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 10 reporting_facility: Cunningham, Murray and Singh Medical Center reporter_type: Nurse notes: Early audience whether focus radio relate case. Much until well forward place we.
<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: 2024-12-02 This report was submitted by a Patient from Robinson-Martinez Medical Center concerning patient ANON-PX-1694. The subject is a 44-year-old other with a significant medical history including atrial fibrillation, 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): Atorvastatin (Statin) administered via the Oral route at a dosage of 78mg, initiated on 2024-10-09 for Hypercholesterolemia with the course ongoing. On approximately 2024-11-25, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Anaphylaxis, Somnolence, Maculopapular Rash, Vomiting, Nausea. The Anaphylaxis 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. This necessitated clinical intervention. The documented action was: Prescribed fund and advised data. The current patient status regarding this symptom is 'Unknown'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. 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'. The Nausea was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed effort and advised send. 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: Few together out mention son word serious act. Themselves look environmental suggest continue paper. May people quickly talk.</data>
report_id: ADR-2024-798 report_date: '2024-12-02' patient_details: patient_id: ANON-PX-1694 gender: Other relevant_history: - atrial fibrillation - osteoarthritis - asthma age_at_reaction: 44 suspected_drugs: - drug_name: Atorvastatin dosage: 78mg route_of_administration: Oral start_date: '2024-10-09' indication_for_use: Hypercholesterolemia drug_class: Statin adverse_reactions: - symptom_name: Anaphylaxis onset_date: '2024-11-25' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Somnolence onset_date: '2024-11-25' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed fund and advised data. - symptom_name: Maculopapular Rash onset_date: '2024-11-25' severity: Life-threatening outcome: Unknown intervention_required: true - symptom_name: Vomiting onset_date: '2024-11-25' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Nausea onset_date: '2024-11-25' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed effort and advised send. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Robinson-Martinez Medical Center reporter_type: Patient notes: Few together out mention son word serious act. Themselves look environmental suggest continue paper. May people quickly talk.
<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: 2024-10-24 This report was submitted by a Physician from Casey, Mills and Beasley Medical Center concerning patient ANON-PX-9912. The subject is a 58-year-old other with a significant medical history including coronary artery disease, 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): Amoxicillin (Penicillin antibiotic) administered via the Intravenous route at a dosage of 203mg, initiated on 2024-09-24 for Bacterial infection and discontinued on 2024-10-19; Metformin (Biguanide) administered via the Intravenous route at a dosage of 264mg, initiated on 2024-09-24 for Type 2 diabetes and discontinued on 2024-10-19. On approximately 2024-10-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Pruritus, Hepatotoxicity, Dizziness, Anaphylaxis, Stevens-Johnson syndrome. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed enough and advised station. The current patient status regarding this symptom is 'Fatal'. The Hepatotoxicity was classified as Mild 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 'Recovered'. 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 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 9 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. </data>
report_id: ADR-2024-798 report_date: '2024-10-24' patient_details: patient_id: ANON-PX-9912 gender: Other relevant_history: - coronary artery disease - type 2 diabetes - migraines age_at_reaction: 58 suspected_drugs: - drug_name: Amoxicillin dosage: 203mg route_of_administration: Intravenous start_date: '2024-09-24' indication_for_use: Bacterial infection drug_class: Penicillin antibiotic end_date: '2024-10-19' - drug_name: Metformin dosage: 264mg route_of_administration: Intravenous start_date: '2024-09-24' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-10-19' adverse_reactions: - symptom_name: Pruritus onset_date: '2024-10-15' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed enough and advised station. - symptom_name: Hepatotoxicity onset_date: '2024-10-15' severity: Mild outcome: Recovering intervention_required: true - symptom_name: Dizziness onset_date: '2024-10-15' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2024-10-15' severity: Moderate outcome: Recovering intervention_required: false - symptom_name: Stevens-Johnson syndrome onset_date: '2024-10-15' severity: Life-threatening outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Rechallenge not performed naranjo_score: 9 reporting_facility: Casey, Mills and Beasley 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-2025-677 Date of Submission: 2025-08-07 This report was submitted by a Pharmacist from Marshall PLC Medical Center concerning patient ANON-PX-1371. The subject is an adult other 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): Levothyroxine (Thyroid hormone) administered via the Intravenous route at a dosage of 338mg, initiated on 2025-06-12 for Hypothyroidism and discontinued on 2025-07-17; Ibuprofen administered via the Oral route at a dosage of 191mg, initiated on 2025-06-12 for Pain and inflammation and discontinued on 2025-07-17. On approximately 2025-07-15, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Diarrhea, Dizziness, Somnolence, Pruritus, Anaphylaxis. The Diarrhea was classified as Severe in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Dizziness was classified as Severe in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Recovering'. The Somnolence was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed product and advised sign. The current patient status regarding this symptom is 'Recovered'. 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 Severe in severity. This necessitated clinical intervention. The documented action was: Prescribed by and advised recent. 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: Movie national guess her pull later commercial. Him maintain respond edge pass billion network bed.</data>
report_id: ADR-2025-677 report_date: '2025-08-07' patient_details: patient_id: ANON-PX-1371 gender: Other relevant_history: - seasonal allergies - chronic kidney disease - osteoarthritis suspected_drugs: - drug_name: Levothyroxine dosage: 338mg route_of_administration: Intravenous start_date: '2025-06-12' indication_for_use: Hypothyroidism drug_class: Thyroid hormone end_date: '2025-07-17' - drug_name: Ibuprofen dosage: 191mg route_of_administration: Oral start_date: '2025-06-12' indication_for_use: Pain and inflammation end_date: '2025-07-17' adverse_reactions: - symptom_name: Diarrhea onset_date: '2025-07-15' severity: Severe outcome: Fatal intervention_required: true - symptom_name: Dizziness onset_date: '2025-07-15' severity: Severe outcome: Recovering intervention_required: false - symptom_name: Somnolence onset_date: '2025-07-15' severity: Life-threatening outcome: Recovered intervention_required: true intervention_details: Prescribed product and advised sign. - symptom_name: Pruritus onset_date: '2025-07-15' severity: Moderate outcome: Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-07-15' severity: Severe outcome: Recovered intervention_required: true intervention_details: Prescribed by and advised recent. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 6 reporting_facility: Marshall PLC Medical Center reporter_type: Pharmacist notes: Movie national guess her pull later commercial. Him maintain respond edge pass billion network bed.
<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-2025-561 Date of Submission: 2025-04-07 This report was submitted by a Physician from Johnson-Medina Medical Center concerning patient ANON-PX-5322. The subject is a 18-year-old female with a significant medical history including seasonal allergies, 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): Omeprazole (Proton-pump inhibitor) administered via the Intramuscular route at a dosage of 82mg, initiated on 2025-03-29 for Gastroesophageal reflux disease with the course ongoing; Levothyroxine (Thyroid hormone) administered via the Topical route at a dosage of 476mg, initiated on 2025-03-29 for Hypothyroidism with the course ongoing. On approximately 2025-03-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Maculopapular Rash, Vomiting. The Maculopapular Rash 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 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 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: Exist magazine billion process call everybody official. Thousand record campaign individual thus budget actually seem. Moment conference surface score spring hard claim.</data>
report_id: ADR-2025-561 report_date: '2025-04-07' patient_details: patient_id: ANON-PX-5322 gender: Female relevant_history: - seasonal allergies - migraines - coronary artery disease age_at_reaction: 18 suspected_drugs: - drug_name: Omeprazole dosage: 82mg route_of_administration: Intramuscular start_date: '2025-03-29' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Levothyroxine dosage: 476mg route_of_administration: Topical start_date: '2025-03-29' indication_for_use: Hypothyroidism drug_class: Thyroid hormone adverse_reactions: - symptom_name: Maculopapular Rash onset_date: '2025-03-30' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Vomiting onset_date: '2025-03-30' severity: Mild outcome: Fatal intervention_required: false causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Johnson-Medina Medical Center reporter_type: Physician notes: Exist magazine billion process call everybody official. Thousand record campaign individual thus budget actually seem. Moment conference surface score spring hard claim.
<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-2024-524 Date of Submission: 2024-10-10 This report was submitted by a Pharmacist from Walsh-Hardin Medical Center concerning patient ANON-PX-3319. The subject is an adult other with a significant medical history including asthma, migraines. The facility's standard operating procedure for ADR reporting was followed, and all patient data has been anonymized. The patient chart was reviewed for comorbidities. Current medication review revealed the following suspected agent(s): Gabapentin (Anticonvulsant) administered via the Intravenous route at a dosage of 14mg, initiated on 2024-08-10 for Neuropathic pain and discontinued on 2024-09-28; Lisinopril (ACE inhibitor) administered via the Intravenous route at a dosage of 470mg, initiated on 2024-08-10 for Hypertension and discontinued on 2024-09-28. On approximately 2024-09-18, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Vomiting, Maculopapular Rash, Pruritus, Nausea. The Stevens-Johnson syndrome was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed growth and advised with. The current patient status regarding this symptom is 'Unknown'. The Vomiting was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed moment and advised section. The current patient status regarding this symptom is 'Recovering'. The Maculopapular Rash was classified as Moderate in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Not Recovered'. The Pruritus was classified as Mild in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. 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. 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: These friend participant soldier firm. Movement as notice join. Staff year common become sit fire beyond PM.</data>
report_id: ADR-2024-524 report_date: '2024-10-10' patient_details: patient_id: ANON-PX-3319 gender: Other relevant_history: - asthma - migraines suspected_drugs: - drug_name: Gabapentin dosage: 14mg route_of_administration: Intravenous start_date: '2024-08-10' indication_for_use: Neuropathic pain drug_class: Anticonvulsant end_date: '2024-09-28' - drug_name: Lisinopril dosage: 470mg route_of_administration: Intravenous start_date: '2024-08-10' indication_for_use: Hypertension drug_class: ACE inhibitor end_date: '2024-09-28' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-09-18' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed growth and advised with. - symptom_name: Vomiting onset_date: '2024-09-18' severity: Life-threatening outcome: Recovering intervention_required: true intervention_details: Prescribed moment and advised section. - symptom_name: Maculopapular Rash onset_date: '2024-09-18' severity: Moderate outcome: Not Recovered intervention_required: false - symptom_name: Pruritus onset_date: '2024-09-18' severity: Mild outcome: Fatal intervention_required: true - symptom_name: Nausea onset_date: '2024-09-18' severity: Severe outcome: Not Recovered intervention_required: false causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Positive rechallenge reporting_facility: Walsh-Hardin Medical Center reporter_type: Pharmacist notes: These friend participant soldier firm. Movement as notice join. Staff year common become sit fire beyond PM.
<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-2025-541 Date of Submission: 2025-07-11 This report was submitted by a Pharmacist from Walker-Fisher Medical Center concerning patient ANON-PX-3302. The subject is a 77-year-old female with a significant medical history including coronary artery disease, seasonal allergies, 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): Sertraline administered via the Topical route at a dosage of 466mg, initiated on 2025-04-13 for Major depressive disorder and discontinued on 2025-07-02. On approximately 2025-06-23, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Vomiting, Dizziness, Diarrhea, Anaphylaxis. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed create and advised record. 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 deep and advised ask. The current patient status regarding this symptom is 'Recovering'. The Dizziness was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Fatal'. The Diarrhea 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 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 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: Current only because region. Position local according how leader create.</data>
report_id: ADR-2025-541 report_date: '2025-07-11' patient_details: patient_id: ANON-PX-3302 gender: Female relevant_history: - coronary artery disease - seasonal allergies - osteoarthritis - hypertension age_at_reaction: 77 suspected_drugs: - drug_name: Sertraline dosage: 466mg route_of_administration: Topical start_date: '2025-04-13' indication_for_use: Major depressive disorder end_date: '2025-07-02' adverse_reactions: - symptom_name: Nausea onset_date: '2025-06-23' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed create and advised record. - symptom_name: Vomiting onset_date: '2025-06-23' severity: Moderate outcome: Recovering intervention_required: true intervention_details: Prescribed deep and advised ask. - symptom_name: Dizziness onset_date: '2025-06-23' severity: Moderate outcome: Fatal intervention_required: true - symptom_name: Diarrhea onset_date: '2025-06-23' severity: Severe outcome: Not Recovered intervention_required: false - symptom_name: Anaphylaxis onset_date: '2025-06-23' severity: Mild outcome: Unknown intervention_required: true causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Not applicable naranjo_score: 5 reporting_facility: Walker-Fisher Medical Center reporter_type: Pharmacist notes: Current only because region. Position local according how leader create.
<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-2025-781 Date of Submission: 2025-02-01 This report was submitted by a Nurse from Hart-Garrison Medical Center concerning patient ANON-PX-8745. The subject is a 65-year-old male with a significant medical history including asthma, chronic kidney disease, migraines, 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 Oral route at a dosage of 63mg, initiated on 2024-11-24 for Gastroesophageal reflux disease with the course ongoing; Metformin (Biguanide) administered via the Oral route at a dosage of 25mg, initiated on 2024-11-24 for Type 2 diabetes with the course ongoing. On approximately 2024-12-14, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Nausea, Diarrhea, Somnolence, Hepatotoxicity. The Nausea was classified as Moderate in severity. This necessitated clinical intervention. The documented action was: Prescribed site and advised among. The current patient status regarding this symptom is 'Unknown'. The Diarrhea was classified as Life-threatening in severity. No specific therapeutic intervention was required. The current patient status regarding this symptom is 'Fatal'. The Somnolence was classified as Mild in severity. This necessitated clinical intervention. The documented action was: Prescribed improve and advised most. The current patient status regarding this symptom is 'Fatal'. 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 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: Walk couple rather. Write account letter view data. Sense us information stuff go successful.</data>
report_id: ADR-2025-781 report_date: '2025-02-01' patient_details: patient_id: ANON-PX-8745 gender: Male relevant_history: - asthma - chronic kidney disease - migraines - type 2 diabetes age_at_reaction: 65 suspected_drugs: - drug_name: Omeprazole dosage: 63mg route_of_administration: Oral start_date: '2024-11-24' indication_for_use: Gastroesophageal reflux disease drug_class: Proton-pump inhibitor - drug_name: Metformin dosage: 25mg route_of_administration: Oral start_date: '2024-11-24' indication_for_use: Type 2 diabetes drug_class: Biguanide adverse_reactions: - symptom_name: Nausea onset_date: '2024-12-14' severity: Moderate outcome: Unknown intervention_required: true intervention_details: Prescribed site and advised among. - symptom_name: Diarrhea onset_date: '2024-12-14' severity: Life-threatening outcome: Fatal intervention_required: false - symptom_name: Somnolence onset_date: '2024-12-14' severity: Mild outcome: Fatal intervention_required: true intervention_details: Prescribed improve and advised most. - symptom_name: Hepatotoxicity onset_date: '2024-12-14' severity: Severe outcome: Recovering intervention_required: false causality_assessment: assessment_conclusion: Possible dechallenge_rechallenge: Not applicable naranjo_score: 3 reporting_facility: Hart-Garrison Medical Center reporter_type: Nurse notes: Walk couple rather. Write account letter view data. Sense us information stuff go successful.
<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-2024-306 Date of Submission: 2024-08-30 This report was submitted by a Pharmacist from Gordon PLC Medical Center concerning patient ANON-PX-4936. The subject is a 83-year-old other with a significant medical history including type 2 diabetes, seasonal allergies, atrial fibrillation, 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 482mg, initiated on 2024-07-30 for Type 2 diabetes and discontinued on 2024-08-20. On approximately 2024-08-17, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Stevens-Johnson syndrome, Maculopapular Rash, Headache, Vomiting, Somnolence. The Stevens-Johnson syndrome was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed player and advised follow. The current patient status regarding this symptom is 'Not Recovered'. 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 Headache was classified as Moderate in severity. This necessitated clinical intervention. The current patient status regarding this symptom is 'Not Recovered'. The Vomiting was classified as Severe 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 through and advised drop. 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: 'Negative dechallenge'. The on-site pharmacist concurred with the assessment during a routine case review. Reporter's Narrative Summary: Develop wife drive different test put. Business analysis Republican structure American husband. Reveal program tax Mr.</data>
report_id: ADR-2024-306 report_date: '2024-08-30' patient_details: patient_id: ANON-PX-4936 gender: Other relevant_history: - type 2 diabetes - seasonal allergies - atrial fibrillation - osteoarthritis age_at_reaction: 83 suspected_drugs: - drug_name: Metformin dosage: 482mg route_of_administration: Topical start_date: '2024-07-30' indication_for_use: Type 2 diabetes drug_class: Biguanide end_date: '2024-08-20' adverse_reactions: - symptom_name: Stevens-Johnson syndrome onset_date: '2024-08-17' severity: Life-threatening outcome: Not Recovered intervention_required: true intervention_details: Prescribed player and advised follow. - symptom_name: Maculopapular Rash onset_date: '2024-08-17' severity: Life-threatening outcome: Recovered intervention_required: false - symptom_name: Headache onset_date: '2024-08-17' severity: Moderate outcome: Not Recovered intervention_required: true - symptom_name: Vomiting onset_date: '2024-08-17' severity: Severe outcome: Fatal intervention_required: false - symptom_name: Somnolence onset_date: '2024-08-17' severity: Severe outcome: Not Recovered intervention_required: true intervention_details: Prescribed through and advised drop. causality_assessment: assessment_conclusion: Highly Probable dechallenge_rechallenge: Negative dechallenge naranjo_score: 9 reporting_facility: Gordon PLC Medical Center reporter_type: Pharmacist notes: Develop wife drive different test put. Business analysis Republican structure American husband. Reveal program tax Mr.
<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-2025-872 Date of Submission: 2025-01-11 This report was submitted by a Other Healthcare Professional from Morales, Castillo and Greene Medical Center concerning patient ANON-PX-1531. The subject is a 37-year-old male with a significant medical history including asthma, hypertension, 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): Sertraline (SSRI) administered via the Oral route at a dosage of 239mg, initiated on 2024-11-04 for Major depressive disorder and discontinued on 2025-01-01. On approximately 2024-12-30, the patient began to manifest an adverse event. The primary symptoms noted in the clinical log were Hepatotoxicity, Nausea, Maculopapular Rash. The Hepatotoxicity was classified as Moderate in severity. No specific therapeutic intervention was required. 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 'Not Recovered'. The Maculopapular Rash was classified as Life-threatening in severity. This necessitated clinical intervention. The documented action was: Prescribed tax and advised method. 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-2025-872 report_date: '2025-01-11' patient_details: patient_id: ANON-PX-1531 gender: Male relevant_history: - asthma - hypertension - osteoarthritis - anxiety age_at_reaction: 37 suspected_drugs: - drug_name: Sertraline dosage: 239mg route_of_administration: Oral start_date: '2024-11-04' indication_for_use: Major depressive disorder drug_class: SSRI end_date: '2025-01-01' adverse_reactions: - symptom_name: Hepatotoxicity onset_date: '2024-12-30' severity: Moderate outcome: Fatal intervention_required: false - symptom_name: Nausea onset_date: '2024-12-30' severity: Mild outcome: Not Recovered intervention_required: false - symptom_name: Maculopapular Rash onset_date: '2024-12-30' severity: Life-threatening outcome: Unknown intervention_required: true intervention_details: Prescribed tax and advised method. causality_assessment: assessment_conclusion: Probable dechallenge_rechallenge: Negative dechallenge reporting_facility: Morales, Castillo and Greene Medical Center reporter_type: Other Healthcare Professional