New incident report
Incident Report Number: 2016-2930
Registrant Reference Number: 1806076
Registrant Name (Full Legal Name no abbreviations): S.C. Johnson and Son, Limited
Address: 1 Webster Street
City: Brantford
Prov / State: ON
Country: Canada
Postal Code: N3T 5R1
Human
Country: CANADA
Prov / State: BRITISH COLUMBIA
Unknown
PMRA Registration No. 23088 PMRA Submission No. EPA Registration No.
Product Name: Raid Max Crawling Insect Bug Killer 500g - Canada
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Other
Sex: Female
Age: >6 <=12 yrs / > 6 < = 12 ans
System
Unknown / Inconnu
Unknown
No
Unknown
Non-occupational
Contact with treated area
What was the activity? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
None
Unknown
Unknown / Inconnu
Unknown / Inconnu
4/20/2016 Caller sprayed product in daughter's room 1 month ago. Caller removed daughter's clothing prior to application. Daughter does not sleep in the room, but her clothes were put back in the room . Around the same time that the product was used, daughter began sporadically developing rashes and hives on her body. Caller took daughter to the doctor 2 weeks ago. They were told to change the laundry soap, which they did, but the symptoms persist on and off. 4/27/2016 Attempted call back to the original caller. A message was left requesting follow up information.
Moderate
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. The reporters description of exposure is speculative as there does not appear to be any direct evidence of a defined exposure taking place. The differential diagnosis for a skin or allergic condition of this nature includes multiple potential etiologies and targeted allergy testing would be required before concluding that this product may be the causative agent.