Nouvelle déclaration d'incident
No de la demande: 2018-0810
Numéro de référence du titulaire d'homologation: 2121183
Nom du titulaire (nom légal complet, aucune abbréviation): McLaughlin Gormley King Company
Adresse: 8810 Tenth Ave North
Ville: Minneapolis
État: MN
Pays: USA
Code postal /Zip: 55427-4319
Incident chez un animal domestique
Pays: UNITED STATES
État: ILLINOIS
ARLA No d'homologation ARLA No de la demande d'homologation EPA No d'homologation. 1021-1866-53853
Nom du produit: Black Flag Fogging Insecticide Formula 2
Oui
Inconnu
Site: Res. - Out Home / Rés - à l'ext.maison
Propriétaire de l'animal
Dog / Chien
Labrador Retriever
1
Homme
11
130.00
lbs
Cutanée
Respiratoire
<=15 min / <=15 min
<=30 min / <=30 min
Système
Persisted until death
Non
Non
Inconnu
Mort
Spray drift / Dérive de pulvérisation
(p.ex. description des symptômes tels que la fréquence et la gravité
10/5/2017 Caller reports that on 9/3/2017 someone on her neighbor's property was using the product in the yard. Caller's dog was tied out on a leash in caller's backyard. The dog barked, and caller looked outside. Caller saw 3 billows of the fog drift from the neighbor's property directly towards her dog. Caller tried to call the dog inside, and it took a minute or two to for the dog to decide to come towards the house. As he started to walk towards the house, the dog collapsed in the yard. he was able to get back up and get inside the house. Once inside, he vomited multiple times and was very weak. He collapsed again inside the house within 45 minutes. The dog was unable to get up again. He had shortness of breath at times, and kept trying to stand but was too weak. He urinated in place several times. The pet died the following day 9/4/2017 in the afternoon. Caller did offer the dog food and water, but did not administer any specific treatments. Caller spoke to the veterinarian over the phone on the morning of 9/4/2017, but did not take the dog to the veterinarian before he died. Caller does not have access to the product. She looked at the label after the incident and noted the name only. Caller's neighbor was not the one applying the product, but it was a friend of the neighbor. The dog was previously healthy and was current on vaccines. The veterinarian said the dog was overweight and was on a diet. 10/7/2017 Caller contacted her neighbor and was able to obtain product information from the can reported to have been used the day of the exposure. Owner reports that product was sprayed multiple days.
Mort
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.