New incident report
Incident Report Number: 2012-4531
Registrant Reference Number: x
Registrant Name (Full Legal Name no abbreviations): x
Address: x
City: x
Prov / State: x
Country: x
Human
Country: CANADA
Prov / State: BRITISH COLUMBIA
PMRA Registration No. 25739 PMRA Submission No. EPA Registration No.
Product Name: VET-KEM SIPHOTROL 1000
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Unknown
Sex: Male
Age: >64 yrs / > 64 ans
System
Persisted until death
Yes
Unknown
Unknown
Non-occupational
Contact with treated area
What was the activity? re-entry
None
Skin
Respiratory
Unknown / Inconnu
Unknown / Inconnu
I am the daughter that reported the incident. The product that was used was the 1000 dose. Purchased under dad's name (first name last name), February 27 2010 from (name) Animal clinic in (city)(phone number) can confirm with (name) the receptionist. I asked the hospital to check for the pesticide at (name) in (city) BC as Dad died (date). An autopsy was performed, as the executor you have my permission to research the results. I asked them to look for the possibility of poisoning by the pesticide.I do not know if they did the appropriate testfor that. He has since been creamated. I do not know if they still have any samples of the lung tissue on file. I know that the lung xray showed massive scarring and he could not breath without the ventilator. I was pressured into removing life support as they felt he would never be able to be off the vent and his quality of life would be minimal if he ever did come out of the coma which they said was very unlikely. It was very traumatic for me holding him while he took his last breaths and his heart stopped. I know it has been over two years since his death. I only saw your report today and realized it was the one I gave to the manufacturer. Had I known this I would have contacted the hospital to give you a lung sample when the autopsy was done. I did give the manufacturer my name and phone number. My phone number is (phone number) (name). During the same month of his death....I developed dystonia which has worsened over time. I know chemical exposure can be one of the causes for that too among other things. I have ongoing orthomandibular cervical dystonia dysphagia, onset at the time of Dad hospitalization and death.
Sex: Female
Age: >19 <=64 yrs / >19 <=64 ans
System
>6 mos / > 6 mois
Unknown
Unknown
Unknown
Non-occupational
Application
Unknown
Unknown
Unknown / Inconnu
Unknown / Inconnu
I am the daughter that reported the incident. The product that was used was the 1000 dose. Purchased under dad's name (first name last name), February 27 2010 from (name) Animal clinic in (city) (phone number) can confirm with (name) the receptionist. I asked the hospital to check for the pesticide at (name) in (city) BC as Dad died (date). An autopsy was performed, as the executor you have my permission to research the results. I asked them to look for the possibility of poisoning by the pesticide.I do not know if they did the appropriate testfor that. He has since been creamated. I do not know if they still have any samples of the lung tissue on file. I know that the lung xray showed massive scarring and he could not breath without the ventilator. I was pressured into removing life support as they felt he would never be able to be off the vent and his quality of life would be minimal if he ever did come out of the coma which they said was very unlikely. It was very traumatic for me holding him while he took his last breaths and his heart stopped. I know it has been over two years since his death. I only saw your report today and realized it was the one I gave to the manufacturer. Had I known this I would have contacted the hospital to give you a lung sample when the autopsy was done. I did give the manufacturer my name and phone number. My phone number is (phone number) (name). During the same month of his death....I developed dystonia which has worsened over time. I know chemical exposure can be one of the causes for that too among other things. As per daughter ' I have ongoing orthomandibular cervical dystonia dysphagia, onset at the time of Dad hospitalization and death.