New incident report
Incident Report Number: 2017-4548
Registrant Reference Number: 2081188
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: ONTARIO
PMRA Registration No. 27417 PMRA Submission No. EPA Registration No.
Product Name: (discontinued) Raid Outdoor Ant Nest Destroyer - Canada
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Data Subject
Sex: Female
Age: >64 yrs / > 64 ans
System
Unknown / Inconnu
Unknown
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
Respiratory
<=15 min / <=15 min
Unknown / Inconnu
7/25/2017 Caller applied the product twice in the past 8 days. With each use, the nozzle of the product kept coming off and she got some of the product on her hands and inhaled the product because her face was close to the nozzle. Caller developed sore throat, coughing, and laryngitis. Caller is unsure when the symptoms developed, but believes it was some time after the first use of the product. Caller was evaluated by her doctor. No testing was done and no treatments were performed other than advising caller to be on bed rest. Her doctor stated that her lungs sound clear and throat does not look like strep throat. Her doctor does not know what is causing the symptoms, and may be a chemical reaction. Caller does not have the product any more to give product information. 7/28/2017 Call back attempted to the original caller. There was no response when the line was answered, and the line disconnected.
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
7/25/2017 Caller applied the product twice in the past 8 days. With each use, the nozzle of the product kept coming off and she got some of the product on her hands and inhaled the product because her face was close to the nozzle. Caller developed sore throat, coughing, and laryngitis. Caller is unsure when the symptoms developed, but believes it was some time after the first use of the product. Caller was evaluated by her doctor. No testing was done and no treatments were performed other than advising caller to be on bed rest. Her doctor stated that her lungs sound clear and throat does not look like strep throat. Her doctor does not know what is causing the symptoms, and may be a chemical reaction. Caller does not have the product any more to give product information. 7/28/2017 Call back attempted to the original caller. There was no response when the line was answered, and the line disconnected.
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.