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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2022-2087

2. Registrant Information.

Registrant Reference Number: 2022-05-20-001

Registrant Name (Full Legal Name no abbreviations): Valent BioSciences LLC

Address: 1910 Innovation Way

City: Libertyville

Prov / State: IL

Country: USA

Postal Code: 60048

3. Select the appropriate subform(s) for the incident.


4. Date registrant was first informed of the incident.


5. Location of incident.

Country: CANADA


6. Date incident was first observed.


Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.


PMRA Registration No. 24977      PMRA Submission No.       EPA Registration No.

Product Name: Foray 48B Biological Insecticide Aqueous Suspension

  • Active Ingredient(s)
    • Bacillus thuringiensis subsp. kurstaki strain ABTS-351

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


Units: L/ha

10. Site pesticide was applied to (select all that apply).

Site: Pub. Area - Outdoor/Zone publique - ext

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The BC Ministry of Forests, (MoF) was conducting multiple aerial applications for Lymantria Moth eradication in eight locations in southern BC this Spring (May-June 2022). Foray 48B was applied aerially @ 4L/ha to these primarily residential areas on May 20. The residence is located just over 300 m from the treatment boundary. She was indoors during the application but she says her son came in/out of the house a few times that day.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform II: Human Incident Report (A separate form for each person affected)

1. Source of Report.

Data Subject

2. Demographic information of data subject

Sex: Female

Age: >19 <=64 yrs / >19 <=64 ans

3. List all symptoms, using the selections below.


  • Respiratory System
    • Symptom - Scratchy throat
    • Symptom - Coughing
  • Cardiovascular System
    • Symptom - Chest tightness

4. How long did the symptoms last?

>3 days <=1 wk / >3 jours <=1 sem

5. Was medical treatment provided? Provide details in question 13.


6. a) Was the person hospitalized?


6. b) For how long?

7. Exposure scenario


8. How did exposure occur? (Select all that apply)

Drift from the application site

9. If the exposure occured during application or re-entry, what protective clothing was worn? (select all that apply)


10. Route(s) of exposure.


11. What was the length of exposure?

Unknown / Inconnu

12. Time between exposure and onset of symptoms.

Unknown / Inconnu

13. Provide any additional details about the incident (eg. description of the frequency and severity of the symptoms, type of medical treatment, results from medical tests, outcome of the incident, amount of pesticide exposed to, etc.)

Appears to have resolved as of May 25.

To be determined by Registrant

14. Severity classification.


15. Provide supplemental information here.

Medical history: severe reaction to chemical pesticide treatment in Okanagan 30 years ago. Still recovering. Considered hyper-sensitive to smoke. Had Covid at the end of Oct/early Nov (Delta variant) just recovering sense of smell but only to bad odours