New incident report
Incident Report Number: 2018-5825
Registrant Reference Number: 5969553
Registrant Name (Full Legal Name no abbreviations): Sure-Gro IP Inc.
Address: 1900 Minnesota Crt
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N 3C9
Human
Country: CANADA
Prov / State: BRITISH COLUMBIA
PMRA Registration No. 28353 PMRA Submission No. EPA Registration No.
Product Name: Wilson Predator Rat & Mouse Killer Pellets
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Unknown
Data Subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
No
No
Non-occupational
Contact with treated area
What was the activity? entering the shed where bait was placed
None
Respiratory
<=15 min / <=15 min
<=30 min / <=30 min
08/09/18 19:46 Caller states that he was in the shed where the product was. He states that product looked like it had been eaten. He states that he may have inhaled the dust. TOE: few minutes ago Gh No Med Allergies: pollen, peanut O: a little chest tightness. slight headache. A: Acute adult inhalation exposure to Wilson Predator Rat Mouse Killer Pellets Place Packs: SX R: Ventilate indoor areas. Get plenty of fresh air If symptoms persist, inhale steam from shower. Keep hydrated If difficulty breathing, persistent cough, or prolonged symptoms occur, seek medical attention PC advised caller that he can take an OTC mediation that he would normally take for a headache. PC will cb in 1 hour for follow up. 08/09/18 20:54 b to (name) to see how he is doing after his exposure. Caller states that his chest still hurts. He states that he did the steam. Caller also states that his chest hurts when he stand up and walks around, when sitting it doesn't hurt that much. O: chest hurts headache better. A: Acute adult inhalation exposure to Wilson Predator Rat Mouse Killer Pellets Place Packs: SX R: PC advised caller to seek medical attention due to sxs. PC will cb tomorrow for follow up. 08/10/18 09:36 CB performed to number provided. Caller states he did not go to a physician. He repeated steam inhalation and states his SX resolved on their own. O: ASX A: Acute adult inhalation Wilson Predator Rat Mouse Killer Pellets Place Packs ASX R: Call back with questions/concerns.
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.