New incident report
Incident Report Number: 2016-5424
Registrant Reference Number: 1858323
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
Packaging Failure
Country: CANADA
Prov / State: BRITISH COLUMBIA
PMRA Registration No. 30744 PMRA Submission No. EPA Registration No.
Product Name: Raid Outdoor Ant Nest Destroyer 2 400g - Canada
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Data Subject
Sex: Male
Age: >64 yrs / > 64 ans
System
>8 hrs <=24 hrs / > 8 h < = 24 h
No
No
Unknown
Non-occupational
Application
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
Unknown
Skin
<=15 min / <=15 min
>2 hrs <=8 hrs / > 2 h < = 8 h
7/5/2016 Caller used the product 3 to 4 weeks ago. The product sprayed out properly, but also came out of another area getting on his fingers. He washed his hands as soon as he was finished. He had a small cut on his hand and thinks some of the product may have gotten into the cut. Later in the day he developed a tingling sensation on his lips, heartburn, and an upset stomach. The symptoms resolved by the next morning without treatment.
Minor
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.
Pressurized product /Prod. sous pression
Use of Product
potential exposure
7/5/2016 Caller used the product 3 to 4 weeks ago. The product sprayed out properly, but also came out of another area getting on his fingers. He washed his hands as soon as he was finished. He had a small cut on his hand and thinks some of the product may have gotten into the cut. Later in the day he developed a tingling sensation on his lips, heartburn, and an upset stomach. The symptoms resolved by the next morning without treatment.
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.