Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-2469

2. Registrant Information.

Registrant Reference Number: 324025

Registrant Name (Full Legal Name no abbreviations): Bayer CropScience Inc.

Address: Suite 100, 3131 114 Avenue SE

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T2Z 3X2

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

Human

4. Date registrant was first informed of the incident.

26-MAY-08

5. Location of incident.

Country: UNITED STATES

Prov / State: KENTUCKY

6. Date incident was first observed.

24-MAY-08

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.

Active(s)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 72155-14

Product Name: Disease Control for Roses, Flowers + Shrubs

• Active Ingredient(s)
  • TEBUCONAZOLE
    • Guarantee/concentration 2.9 %

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Res. - Out Home / Rés - à l'ext.maison

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

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

To be determined by Registrant

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

No

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

1. Source of Report.

Other

2. Demographic information of data subject

Sex: Female

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

• Gastrointestinal System
  • Symptom - Irritated throat

• Respiratory System
  • Symptom - Pneumonia
  • Symptom - Respiratory irritation

4. How long did the symptoms last?

Unknown / Inconnu

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

Yes

6. a) Was the person hospitalized?

Yes

6. b) For how long?

Unknown

7. Exposure scenario

Non-occupational

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

Application

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

None

10. Route(s) of exposure.

Skin

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

>24 hrs <=3 days / >24 h <=3 jours

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.)

5/26/2008 Caller reports that a family member applied product to rose bushes two days ago, and did have some product contact the skin during application. The family member exposed was not wearing any personal protective equipment or protective clothing during application. Caller is unsure if skin was washed thoroughly after the exposure, or whether product had been diluted prior to use. The next day, the family member began to complain of throat and respiratory irritation. The family member was taken to the hospital today, but has not been evaluated by the physician yet. 6/2/2008 Callback for follow up information. The family member is currently being treated in the intensive care unit on a ventilator and intravenous antibiotics for bacterial pneumonia. He indicated that the doctors do not think her illness was in an way related to her use of the Bayer product on the previous day.

To be determined by Registrant

14. Severity classification.

Major

15. Provide supplemental information here.