Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3162

2. Registrant Information.

Registrant Reference Number: 340958

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.

03-JUL-08

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSOURI

6. Date incident was first observed.

02-JUL-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. 432-1212-59144

Product Name: Eliminator Sevin Grub Killer Granules

• Active Ingredient(s)
  • CARBARYL
    • Guarantee/concentration 2 %

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 9688-250-8845

Product Name: Triazicide

• Active Ingredient(s)
  • LAMBDA-CYHALOTHRIN

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7. b) Type of formulation.

Granular

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: Male

Age: >64 yrs / > 64 ans

3. List all symptoms, using the selections below.

System

• General
  • Symptom - Fever
  • Symptom - Other
  • Specify - Infection (NOS)

• Blood
  • Symptom - Thrombocytopenia

• Renal System
  • Symptom - Other
  • Specify - Bacteriuria

• General
  • Symptom - Chills

• Renal System
  • Symptom - Other
  • Specify - Urinary tract infection

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?

3

Day(s) / Jour(s)

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.

>2 hrs <=8 hrs / > 2 h < = 8 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.)

Caller reports that on July 2, 2008, her husband had applied 4 bags of pesticide around an acre of their property. He was applying two different pesticide granules formulations containing carbaryl and gamma-cyhalothrin, respectively. He also used an unspecified spray for which the caller had no information. 7/3/2008 She initially had trouble describing how he would have been exposed to any of the pesticides, but later stated that when his spreader stopped working effectively, he was grab the granules and spread them with his hand. Later in the evening on the day he applied these pesticides, he developed a fever and chills which were not relieved by ibruprofen. On July 3, he went to the ER where a head CT and laboratory analysis of his blood did not reveal any abnormalities. He was eventually admitted and started on multiple IV antibiotics because he was found to have a urinary tract infection. Following his treatment for the severe infection, they found that he had a low platelet count (30,000). She had mentioned the use of the pesticides to the treating physicians but they did not feel that they warranted any consideration.

To be determined by Registrant

14. Severity classification.

Major

15. Provide supplemental information here.