New incident report
Incident Report Number: 2023-0706
Registrant Reference Number: 2022-CA-000454 and 2022-CA-000455
Registrant Name (Full Legal Name no abbreviations): Wellmark International
Address: 100 Stone Road West, Suite 111
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G 5L3
Human
Country: CANADA
Prov / State: BRITISH COLUMBIA
Unknown
PMRA Registration No. 23075 PMRA Submission No. EPA Registration No.
Product Name: Zodiac Premise Plus Spray
Yes
Unknown
Site: Res. - In Home / Rés. - à l'int. maison
Unknown
Data Subject
Sex: Female
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
No
No
Non-occupational
Contact with treated area
What was the activity? Secondary exposure within household - unspecified activity.
Respiratory
Unknown / Inconnu
Unknown / Inconnu
On approximately 29 Aug 2022, the reporter applied the product in the household. Product application was repeated an unspecified number of times at an unspecified interval. On an unknown date(s), the reporter noted they could smell the product and the application site was sticky. When the reporter noted the smell of the product, she experienced sneezing. Reporter sought fresh air outside and the sneezing resolved. Recurrence of clinical signs is unknown. No further information is expected.
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 cannot 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.
Data Subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
No
No
Non-occupational
Contact with treated area
What was the activity? Secondary exposure within household - unspecified activity.
Respiratory
Unknown / Inconnu
Unknown / Inconnu
On approximately 29 Aug 2022, the reporter applied the product in the household. Product application was repeated an unspecified number of times at an unspecified interval. On an unknown date(s), the reporter noted they could smell the product and the application site was sticky. When the reporter noted the smell of the product, he experienced lightheadedness. Reporter sought fresh air outside when lightheadedness was experienced, but did not report if there was resolution or recurrence of the lightheadedness. No further information is expected.
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 cannot 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.