Nouvelle déclaration d'incident
No de la demande: 2014-5699
Numéro de référence du titulaire d'homologation: 1397058
Nom du titulaire (nom légal complet, aucune abbréviation): S.C. Johnson and Son, Limited
Adresse: 1 Webster Street
Ville: Brantford
État: ON
Pays: Canada
Code postal /Zip: N3T 5R1
Incident chez l'humain
Pays: CANADA
État: MANITOBA
Inconnu
ARLA No d'homologation 27324 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: OFF! familycare Spray Insect Repellent Summer Splash 175mL
Oui
Inconnu
Site: Personal use / Usage personnel
Autre
Sexe: Femme
Âge: >1 <=6 yrs / > 1 < = 6 ans
Système
>1 wk <=1 mo / > 1 sem < = 1 mois
Oui
Non
Inconnu
Non professionnel
Application
Quelle était l'activité? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
Aucun
Peau
<=15 min / <=15 min
>8 hrs <=24 hrs / > 8 h < = 24 h
6/5/2014 Caller's two daughters developed a skin reaction after applying the product to their arms, legs, and faces. One daughter applied the product on 5/30/2014, and developed hives and itching the following day. Caller gave her Benadryl and applied calamine lotion to the affected areas. Caller took her to the doctor on 6/2/2014. The doctor stated it was hives, and thought she may be reacting to something she contacted at the zoo on 5/31/2014. The doctor did not prescribe any treatments for the daughter stating that the Mom's use of OTC medications was appropriate. Caller's other daughter used the product on 6/3/2014, and had the same reaction. Caller used Benadryl and calamine lotion for treatment on her as well. Caller also mentioned that her son used the product and had no reaction. 6/13/2014 Attempted call back to the original caller. A message was left requesting follow up information. 6/13/2014 Caller is returning the previous message. Both of her daughter's are now asymptomatic.
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 in the telephone interviews.
Autre
Sexe: Femme
Âge: >1 <=6 yrs / > 1 < = 6 ans
Système
>1 wk <=1 mo / > 1 sem < = 1 mois
Non
Non
Inconnu
Non professionnel
Application
Quelle était l'activité? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
Aucun
Peau
<=15 min / <=15 min
>8 hrs <=24 hrs / > 8 h < = 24 h
6/5/2014 Caller's two daughters developed a skin reaction after applying the product to their arms, legs, and faces. One daughter applied the product on 5/30/2014, and developed hives and itching the following day. Caller gave her Benadryl and applied calamine lotion to the affected areas. Caller took her to the doctor on 6/2/2014. The doctor stated it was hives, and thought she may be reacting to something she contacted at the zoo on 5/31/2014. The doctor did not prescribe any treatments for the daughter stating that the Mom's use of OTC medications was appropriate. Caller's other daughter used the product on 6/3/2014, and had the same reaction. Caller used Benadryl and calamine lotion for treatment on her as well. Caller also mentioned that her son used the product and had no reaction. 6/13/2014 Attempted call back to the original caller. A message was left requesting follow up information. 6/13/2014 Caller is returning the previous message. Both of her daughter's are now asymptomatic.
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 in the telephone interviews.