New incident report
Incident Report Number: 2016-3353
Registrant Reference Number: 1809845
Registrant Name (Full Legal Name no abbreviations): McLaughlin Gormley King Company
Address: 8810 Tenth Ave North
City: Minneapolis
Prov / State: MN
Country: USA
Postal Code: 55427-4319
Human
Country: UNITED STATES
Prov / State: ARIZONA
PMRA Registration No. PMRA Submission No. EPA Registration No. 1021-1674-8845
Product Name: Hot Shot Bedbug & Flea Fogger
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Data Subject
Sex: Female
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
Yes
Yes
9
Day(s) / Jour(s)
Non-occupational
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
Drift from the application site
Unknown
Respiratory
<=15 min / <=15 min
Unknown / Inconnu
6/2/2016 A report dated 4/25/2016 was forwarded for documentation. The report states that caller lives in an apartment complex. Caller had returned from 7 days in the hospital being treated for chronic obstructive pulmonary disease. Caller's neighbor used a fogger. Caller developed shortness of breath, weakness, and blisters on her face and chest. Caller returned to the hospital and was hospitalized for 9 days for exacerbation of chronic obstructive pulmonary disease symptoms. Caller was given oxygen and breathing treatments every 3 hours.
Major
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. Direct exposure to this pesticide is not evident in this incident. The delayed onset of the patient symptoms after application is not suggestive of toxicity nor would they be expected symptoms should contact to airborne spray have occurred. Usually complications such as immediate onset of acute eye, skin and respiratory irritation may be seen following exposure to spray drift but these symptoms were not reported in this incident.