Nouvelle déclaration d'incident
No de la demande: 2010-4835
Numéro de référence du titulaire d'homologation: 685821
Nom du titulaire (nom légal complet, aucune abbréviation): S.C. Johnson and Son, Limited
Adresse: 1 Webster Street
Ville: Brantford
État: ON
Pays: Canada
Code postal /Zip: N3T 5R1
Incident chez l'humain
Défaillance de l'emballage
Pays: CANADA
État: ONTARIO
ARLA No d'homologation ARLA No de la demande d'homologation EPA No d'homologation. 4822-543
Nom du produit: OFF! familycare Insect Repellant smooth and dry 113 g - Canada
Non
Inconnu
Autre
Sexe: Homme
Âge: >6 <=12 yrs / > 6 < = 12 ans
Système
>3 days <=1 wk / >3 jours <=1 sem
Non
Non
Non professionnel
Empoisonnement par ingestion d'un produit
Aucun
Orale
<=15 min / <=15 min
Unknown / Inconnu
8/31/2010 Caller's son had product leak into his toiletry bag and onto his toothbrush while he was away from home 1 week ago. Caller was unable to describe how the product leaked from the can. He brushed his teeth twice with the toothbrush, and noticed a bad taste and rinsed his mouth extensively. During the rest of the time he was away, son was lethargic and had a headache. Son returned home 3 days ago and has been asymptomatic since then. 9/8/2010 Attempted callback to the original caller. A message was left requesting follow up information. No return call has been made.
Mineure
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.
Pressurized product /Prod. sous pression
L'entreposage
une blessure potentielle
une exposition potentielle
8/31/2010 Caller's son had product leak into his toiletry bag and onto his toothbrush while he was away from home 1 week ago. Caller was unable to describe how the product leaked from the can. He brushed his teeth twice with the toothbrush, and noticed a bad taste and rinsed his mouth extensively. During the rest of the time he was away, son was lethargic and had a headache. Son returned home 3 days ago and has been asymptomatic since then. 9/8/2010 Attempted callback to the original caller. A message was left requesting follow up information. No return call has been made.
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.