Nouvelle déclaration d'incident
No de la demande: 2013-6715
Numéro de référence du titulaire d'homologation: 5154194
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro Inc.
Adresse: 150 Savannah Oaks Dr.
Ville: Brantford
État: Ontario
Pays: Canada
Code postal /Zip: N3V 1E7
Incident chez un animal domestique
Pays: CANADA
État: ONTARIO
ARLA No d'homologation 27124 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Green Earth Home Care Ant, Roach and Crawling Dust
ARLA No d'homologation 26720 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Green Earth HomeCare Flying and Crawling Insect Killer
Oui
Inconnu
Site: Res. - In Home / Rés. - à l'int. maison
Inconnu
Propriétaire de l'animal
Dog / Chien
Chihuahua
1
Homme
4
2
lbs
Respiratoire
>3 days <=1 wk / >3 jours <=1 sem
Unknown / Inconnu
Système
Unknown / Inconnu
Inconnu
Inconnu
Unknown/Inconnu
Contact treat.area/Contact surf. traitée
(p.ex. description des symptômes tels que la fréquence et la gravité
S: Caller used the product in home 4 days ago,caller sates that his dog got sick the day after using the product. Caller states that his dog has had diarrhea and been sick every since he used both products. Caller states that he took the dog to the vet and the vet did nothing for the dog. TOE4 days ago Gh,NO MEDS,NKA O: SXdiarrhea lethargic anorexia A: acute,animal,Green Earth HomeCare Ant, Roach Crawling Dust,Green Earth HomeCare Flying Crawling Insect Killer,SX R: Transferred NAPCC. Case# Caller got disconnected during transfer. Tried calling owner back. Got recording stating that number cannot receive incoming calls. No option to leave message. On Sept 6, 2013 contact with caller was made and caller was informed that based on the information provided the patient was considered not to be at risk of developing further clinical signs. If signs develop, there is no risk that those signs will be life-threatening.
Mineure
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.