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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-6518

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15179552

Registrant Name (Full Legal Name no abbreviations): The Scotts Company LLC

Address: 14111 Scottslawn Road

City: Marysville

Prov / State: Ohio

Country: USA

Postal Code: 43041

3. Select the appropriate subform(s) for the incident.


4. Date registrant was first informed of the incident.


5. Location of incident.


Prov / State: NEW YORK

6. Date incident was first observed.


Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. 28293-126-239

Product Name: Bug-B-Gon Garden + Landscape RTU Insect Killer Dust- EPA:28293-126-239

  • Active Ingredient(s)
      • Guarantee/concentration .25 %

7. b) Type of formulation.


Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Res. - Out Home / Rés - à l'

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.


2. Demographic information of data subject

Sex: Female

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.


  • Nervous and Muscular Systems
    • Symptom - Muscle twitching
    • Specify - tongue twitching
    • Symptom - Seizure

4. How long did the symptoms last?

Unknown / Inconnu

5. Was medical treatment provided? Provide details in question 13.


6. a) Was the person hospitalized?


6. b) For how long?

7. Exposure scenario


8. How did exposure occur? (Select all that apply)


9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)


10. Route(s) of exposure.


11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

>8 hrs <=24 hrs / > 8 h < = 24 h

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

History: Wife used product on 7/31 or 8/1, was not wearing a facial mask. 1 day post use she developed tongue twitching, caller is unable to determine onset of symptoms or route of exposure. Wife consulted HCP 8/2/07 and has undergone a series of blood tests this morning. Caller also adds that wife had unknown dental work done 1 week ago. Wife is currently at home, caller is at work. He is wondering if product could cause symptoms. Assessment: Symptoms described not typical or expected following routine use with these types of product. Due to unknowns my rec would be a consult with HCP as well. If possible recommend retrieving product and calling us back to identify product in question. Offer treating MD our telephone and case# for consult 08/05/2007 Follow-Up States wife consulted HCP on 8/3/07 blood tests, still awaiting results of these initial blood tests, and ED today 8/5/07 due to seizures. Caller states tongue twitching got worse and then he brought wife to ED, while at ED had another seizure. States was given an unknown pill to stop seizures. An MRI was performed, everything returned normal. She has a consult with a neurologist on 8/6/07 at 7:30 am. Adds that wife believes she ingested a large amount of product while treating gardens on a windy day. Callers assumes at most 1 tsp was ingested and believes wife applied product with out use of gloves and directly from bag. Wife is currently staying with her son, caller will meet her in am at MD appt. Assessment: Would not anticipate symptoms described from given exposure, however with severe toxicity from larger exposures seizures have been noted. Rec continue to follow up with HCP 08/05/2007 Follow-up Husband calling back states he spoke to his wife, confirms she applied product with bare hands on windy day. Assessment: From exposure given still would not expect symptoms described Wife would have to intentionally ingest large amounts of product directly. Offer HCP our telephone and case# for consult or questions regarding product. Note: Based on the toxicologic profile of the product and the temporal relationship to alleged contact/effect in the incident description, the symptoms alleged would be inconsistent with what would be expected from the described product contact.

To be determined by Registrant

14. Severity classification.


15. Provide supplemental information here.