New incident report
Incident Report Number: 2013-6715
Registrant Reference Number: 5154194
Registrant Name (Full Legal Name no abbreviations): Sure-Gro Inc.
Address: 150 Savannah Oaks Dr.
City: Brantford
Prov / State: Ontario
Country: Canada
Postal Code: N3V 1E7
Domestic Animal
Country: CANADA
Prov / State: ONTARIO
PMRA Registration No. 27124 PMRA Submission No. EPA Registration No.
Product Name: Green Earth Home Care Ant, Roach and Crawling Dust
PMRA Registration No. 26720 PMRA Submission No. EPA Registration No.
Product Name: Green Earth HomeCare Flying and Crawling Insect Killer
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Unknown
Animal's Owner
Dog / Chien
Chihuahua
1
Male
4
2
lbs
Respiratory
>3 days <=1 wk / >3 jours <=1 sem
Unknown / Inconnu
System
Unknown / Inconnu
Unknown
Unknown
Unknown/Inconnu
Contact treat.area/Contact surf. traitée
(eg. description of the frequency and severity of the symptoms
S: Caller used the product in home 4 days ago,caller sates that his dog got sick the day after using the product. Caller states that his dog has had diarrhea and been sick every since he used both products. Caller states that he took the dog to the vet and the vet did nothing for the dog. TOE4 days ago Gh,NO MEDS,NKA O: SXdiarrhea lethargic anorexia A: acute,animal,Green Earth HomeCare Ant, Roach Crawling Dust,Green Earth HomeCare Flying Crawling Insect Killer,SX R: Transferred NAPCC. Case# Caller got disconnected during transfer. Tried calling owner back. Got recording stating that number cannot receive incoming calls. No option to leave message. On Sept 6, 2013 contact with caller was made and caller was informed that based on the information provided the patient was considered not to be at risk of developing further clinical signs. If signs develop, there is no risk that those signs will be life-threatening.
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.