New incident report
Incident Report Number: 2022-0192
Registrant Reference Number: 3163844
Registrant Name (Full Legal Name no abbreviations): Bell Laboratories, Inc.
Address: 3699 Kinsman Blvd
City: Madison
Prov / State: WI
Country: USA
Postal Code: 53704
Human
Country: UNITED STATES
Prov / State: CALIFORNIA
PMRA Registration No. PMRA Submission No. EPA Registration No. 12455-132-3240
Product Name: Tomcat with Bromethalin Bait Chunx
Bait
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Data Subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
Yes
Yes
Unknown
Non-occupational
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
Other
None
Unknown
<=15 min / <=15 min
>1 mo <=2 mos / > 1 mois < = 2 mois
1/6/2022 Caller had a renter in a trailer that was using the product and not using a bait box. The trailer was infested with rats, and there was feces everywhere. Caller had to renovate the trailer, and removed ceilings and floor to repair damage. Caller never came in contact with the product, and he is worried that it was laying around in the area where he was working. About 2 months into renovating the trailer, on 12/27/2020, he went into cardiac arrest. Caller was also coughing up an unknown substance that day. He was hospitalized and diagnosed with heart failure. He had a pacemaker and defibrillator placed at that time. The length of the hospital stay is not reported. He has had no issues since, and does remain on a couple of medications for his condition. He did speak with his doctor regarding the product, but his doctor did not provide any input at that time.
Major
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.