New incident report
Incident Report Number: 2017-5841
Registrant Reference Number: 2097328
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
Human
Country: CANADA
Prov / State: ONTARIO
Unknown
PMRA Registration No. 24723 PMRA Submission No. EPA Registration No.
Product Name: OFF! Deep Woods 3 Insect Repellent 230g - Canada
Yes
Unknown
Site: Personal use / Usage personnel
Data Subject
Sex: Female
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
Yes
Yes
2
Day(s) / Jour(s)
Non-occupational
Application
What was the activity? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
Unknown
Skin
>1 wk <=1 mo / > 1 sem < = 1 mois
<=30 min / <=30 min
8/22/2017 Caller applied this product to her legs on 8/12/2017. Approximately 15 minutes later, her legs started to itch. She then got into the shower to wash the product off. After her shower, her legs and back started to turn purple. During the morning of 8/13/2017 she woke up with difficulty breathing and hives on her legs and back. Her mother drove her to the emergency room. At the emergency room, she was given intravenous fluids with Morphine, Benadryl, and Penicillin. She was also given oral Benadryl. She stated her condition did not improve in the hospital. Her doctor diagnosed her with an allergic reaction to the product. She was admitted to the hospital. No further treatments were performed. She was observed until her discharge during the evening of 8/15/2017. No prescriptions were given. Caller had a follow up with her primary care doctor today, 8/22/2017. No treatments were performed and no prescriptions were given. Her doctor told her just to monitor herself. She states she is still itching and still has the skin discoloration. Caller has allergies to lactose, pollen and grass. Caller also has Celiac disease. 8/24/2017 Call back to the original caller for follow up. Caller states that itching and discoloration is still present. She has not had any other treatments, and has a follow up scheduled with her doctor.
Moderate
The differential diagnosis for a skin or allergic condition of this nature includes multiple potential etiologies which, in addition to this product include such factors as plant allergens, poison ivy, poison oak, food, medications, dietary supplements, household soaps, skin care products, infectious pathogens, heat exposure, insect bites, etc. Targeted allergy testing would be required before concluding that this product may be the causative agent. 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.