New incident report
Incident Report Number: 2018-5827
Registrant Reference Number: 5972384
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: QUEBEC
PMRA Registration No. 26901 PMRA Submission No. EPA Registration No.
Product Name: Wilson Ready To Use (1L) Home Pest Control
Yes
Unknown
Site: Unknown / Inconnu
Unknown
Data Subject
Sex: Female
Age: >64 yrs / > 64 ans
System
Unknown / Inconnu
No
No
Non-occupational
Application
None
Skin
<=15 min / <=15 min
>3 days <=1 wk / >3 jours <=1 sem
S: The caller was spraying the product and states the bottle was slippery. She dropped it and the handle caught on her leg and cut it. TOE: 1 week ago. She bandaged the cut, but states it doesn't seem to be healing. Caller states bottle was not opened and no pesticide got in the wound. She's going to her physician today. Diabetes insulin NKA O: Laceration A: Acute adult dermal Wilson Ready To Use (1L) Home Pest Control SX R: French interpreter (name) #459826 Caller given case number. Have physician call with questions/concerns. Case will be closed pending further contact. 08/23/18 11:14 S: CB performed to number provided via interpreter. The caller went to a hospital and they cleaned the cut, applied an ointment and bandaged her up. She was told to watch for infection. States she had pain and a lot of burning when she came home. Her skin has a strange texture now and she's been using peroxide on the area.
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.