Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-3164

2. Registrant Information.

Registrant Reference Number: 355020

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.

31-JUL-08

5. Location of incident.

Country: CANADA

Prov / State: NOVA SCOTIA

6. Date incident was first observed.

31-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. 10828      PMRA Submission No.       EPA Registration No.

Product Name: Furadan 480

• Active Ingredient(s)
  • CARBOFURAN

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7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Agricultural-Outdoor/Agricole-extérieur

Préciser le type: Strawberries

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?

Yes

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

1. Source of Report.

Medical Professional

2. Demographic information of data subject

Sex: Male

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

3. List all symptoms, using the selections below.

System

• Blood
  • Symptom - Hyperglycemia

• Cardiovascular System
  • Symptom - Tachycardia

• Eye
  • Symptom - Blurred vision

• General
  • Symptom - Diaphoresis
  • Symptom - Lethargy

• Respiratory System
  • Symptom - Shortness of breath

• General
  • Symptom - Weakness

4. How long did the symptoms last?

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

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

Yes

6. a) Was the person hospitalized?

No

6. b) For how long?

7. Exposure scenario

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.

Unknown

11. What was the length of exposure?

<=15 min / <=15 min

12. Time between exposure and onset of symptoms.

<=30 min / <=30 min

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.)

7/31/2008 Received call from a pharmacist seeking information on Furadan. The local hospital is treating a man who was out spraying strawberries the morning of July 31, 2008 with the product. At noon he he developed weakness, blurred vision, shortness of breath sweating and a blood sugar of 12 mmol/L (nl range 3.9 to 5.5 mmol/L), and Elevated HR. The patient has a history of coronary artery disease and diabetes. They are evaluating him for these issues now. There is no known exposure to the pesticide. All that was reported was that the patient had been spraying material earlier in the day. The patient was treated with IV fluids and became asymptomatic within 3 hours. He was then discharged after they ruled out myocardial infarction.

To be determined by Registrant

14. Severity classification.

Moderate

15. Provide supplemental information here.