New incident report
Incident Report Number: 2014-4985
Registrant Reference Number: 5322266
Registrant Name (Full Legal Name no abbreviations): Sure-Gro IP Inc.
Address: 1900 Minnesota Crt
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N 3C9
Human
Country: CANADA
Prov / State: SASKATCHEWAN
PMRA Registration No. 17201 PMRA Submission No. EPA Registration No.
Product Name: Wilson Mosquito Fogging Insecticide
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Unknown
Other
Sex: Female
Age: >1 <=6 yrs / > 1 < = 6 ans
System
Unknown / Inconnu
No
No
Non-occupational
Drift from the application site
None
Eye
<=15 min / <=15 min
<=30 min / <=30 min
08/04/14 11:41 - The fogger went off into grand childs eyes. Caller is unable to verify the product as all of the instructions are in French. gh, nka, no meds R: Good that child had eyes rinsed immediately and is in bathtub being washed. Use soap and water on skin that was exposed to product and wash thoroughly. Irrigate eyes continuously for minimum of 15 minutes. After irrigation, have child close both eyes and place a cool damp cloth over them; rest the eyes for a minimum of 20 min. If eyes still feel irritated or like something is in them, seek medical attention for evaluation of the eyes. Fogger is readily absorbed through the skin. Watch for upset stomach - N/V/D and cramping, unexplained sweating, tearing, increased saliva, urinary frequency, increased secretions in lungs. If SXs develop, seek medical attention immediately. Call for any questions / concerns. Will follow up later. 08/04/14 13:08 - Child is ASX at this time w/ no further eye irritation. R: Continue to observe for SXs over next several hours. If now SXs within 12 hrs from time of exposure, probably will not develop any.
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.