New incident report
Incident Report Number: 2011-5762
Registrant Reference Number: 811460
Registrant Name (Full Legal Name no abbreviations): S.C. Johnson and Son, Limited
Address: 1 Webster Street
City: Brantford
Prov / State: ON
Country: Canada
Postal Code: N3T 5R1
Domestic Animal
Country: CANADA
Prov / State: ONTARIO
Unknown
PMRA Registration No. 27227 PMRA Submission No. EPA Registration No. 4822-469
Product Name: (discontinued) OFF! Mosquito Lamp (Canada) Refills
Unknown
Unknown
Animal's Owner
Dog / Chien
Miniature Schnauzer
1
Male
7
15.00
lbs
Unknown
Unknown / Inconnu
Unknown / Inconnu
System
Unknown / Inconnu
Unknown
No
Unknown/Inconnu
Other / Autre
specify Defined point of exposure not evident or witnessed. Exposure based on speculation.
(eg. description of the frequency and severity of the symptoms
6/29/2011 Caller's dog spontaneously developed vomiting, abdominal pain, and anorexia this morning. Caller is concerned that dog may have ingested product. The dog has had no witnessed exposure to the product. Such an exposure is based on speculation. 7/1/2011 Callback attempted to the original caller. A message was left requesting follow up information. 7/6/2011 Callback attempted to the original caller. A message was left requesting follow up information.
Minor
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.