New incident report
Incident Report Number: 2016-6866
Registrant Reference Number: 5650750
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: NEW BRUNSWICK
PMRA Registration No. 9802 PMRA Submission No. EPA Registration No.
Product Name: Wilson 50% Malathion
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Unknown
Data Subject
Sex: Male
Age: >64 yrs / > 64 ans
System
Unknown / Inconnu
Yes
No
Non-occupational
Application
None
Skin
Oral
Respiratory
<=15 min / <=15 min
>8 hrs <=24 hrs / > 8 h < = 24 h
caller stated that he was using a sprayer to put the product on to some ants . It was diluted with water at the time , it was windy and blew back on him. Caller was not wearing a mask and at the time a short sleeve shirt. The product had got on his skin and he inhaled it. gh and nka O: he has been in to the ER x 4 and they do not know what is wrong TOE was Thursday afternoon sxs started the next day on Friday he had vomiting, diarrhea and sweating on Friday but that has resolved. He also has pain around his stomach and kidneys that is not improving he was also short of breath on Friday but that has improved. A: acute adult inhalation and dermal exposure symptomatic R: recommend to wash off with soap and water in shower x 3 and disregard any leather that was worn at the time of exposure recommend to go back to ER and have MD CB to speak with tox about his sxs . Outcome unknown
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.