Nouvelle déclaration d'incident
No de la demande: 2017-8046
Numéro de référence du titulaire d'homologation: 2119612
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: BRITISH COLUMBIA
Inconnu
ARLA No d'homologation 30640 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Raid Max Spider Blaster Bug Killer 500g Canada
Oui
Inconnu
Site: Res. - In Home / Rés. - à l'int. maison
Non
Personne affectée
Sexe: Homme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
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
Inconnu
Respiratoire
>1 mo <= 6 mos / > 1 mois < = 6 mois
>1 wk <=1 mo / > 1 sem < = 1 mois
10/2/2017 Caller applied the product in his home approximately 1 year ago for 1 week to treat a spider problem. He sprayed the product into a soup can and used a tooth brush to apply wet product around the perimeter of his bed and soaked into the carpet. It was a heavy application of the product. Approximately 1 month after application he experienced nasal and respiratory irritation. He was seen in the emergency department approximately six times, where he was treated with Benadryl. His primary doctor performs nasal rinses for him with salt and water. He informed his doctors of the use of the product, and was told they thought his symptoms were related to the product use and that he should not enter his home. Caller notes that he is calling from his mother's home. He has removed some of the carpeting in his bedroom and shampooed the carpet multiple times, Caller still notices an odor, and notes that his mother and landlord can smell the product in the home. 10/4/2017 Attempted call back to the original caller for follow up. Caller spoke to a nurse information line yesterday. They suggested calling an ambulance, which he did. They suggested taking an antihistamine, which he did. This seems to be helping. Caller states that another complication arose from this, and he no longer feels the product is responsible for his symptoms.
Modérée
Any relationship between the use of this product and the development of the complications reported in this case is inconceivable and lacks biological plausibility. Secondly, the product use history is extremely vague and lacks any description of a known or defined point of direct exposure to this product. Even had casual or incidental contact with this product occurred, such illness would be unexpected and is not consistent with the toxicological profile of this product.. 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.