Nouvelle déclaration d'incident
No de la demande: 2013-1036
Numéro de référence du titulaire d'homologation: 4744089
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro Inc.
Adresse: 150 Savannah Oaks Dr.
Ville: Brantford
État: Ontario
Pays: Canada
Code postal /Zip: N3V 1E7
Incident chez l'humain
Pays: CANADA
État: ALBERTA
ARLA No d'homologation 28788 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Wilson One Shot House and Garden Insect Killer
ARLA No d'homologation 26192 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: OneShot Ant Roach and Crawling Insect Killer
ARLA No d'homologation ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Dr. Doom Pesticide
ARLA No d'homologation ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Home Defense Max RTU
Oui
Inconnu
Site: Res. - In Home / Rés. - à l'int. maison
Personne affectée
Sexe: Femme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Inconnu
Peau
Respiratoire
Unknown / Inconnu
>8 hrs <=24 hrs / > 8 h < = 24 h
Caller stated she used 3 4 separate products in her home 10 days ago (Wilson One Shot House andGarden Insect Killer, Wilson OneShot Ant Roach and Crawling Insect Killer, Dr.Doom Pesticide,Home Defense Max RTU) . She sprayed approx 15-20 cans of the Wilson's and other products. The fumes are still present in the home. She and 2 others have been exposed to the product over that time, sx initially appeared the day after they were sprayed. Mother: Tumors, Allergies :sulfa, prednisone, wasps, Grandson: GH, NKA Daughter: GH, NKA Outome: Grandson: "rash" and "swelling" on skin, Nose bleeds, fussy not wanting to eat and drink. Daughter: coughing, wheezing, headaches. Mother: Bumps on wrists and arms, Throat irritation, Mild resp distress, wheezing. Acute adult and pediatric inhalation and dermal exposure. Recomendation: Symptoms have persisted and worsened. Recommend to seek immediate medical attention for all three of them. Ventilate home. Contact customer service for best way to remove product of home. Otherwise keep out of home to prevent additional exposure, while fumes present. Caller stated she would be taking family to hospital today. CB scheduled tomorrow. Follow up call, no answer. LM with case and phone
Mineure
The information relayed to us from the consumer clearly identifies a misuse of the products in question through over application. 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.
Autre
Sexe: Homme
Âge: >1 <=6 yrs / > 1 < = 6 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Inconnu
Peau
Respiratoire
Unknown / Inconnu
>8 hrs <=24 hrs / > 8 h < = 24 h
Caller stated she used 3 4 separate products in her home 10 days ago (Wilson One Shot House andGarden Insect Killer, Wilson OneShot Ant Roach and Crawling Insect Killer, Dr.Doom Pesticide,Home Defense Max RTU) . She sprayed approx 15-20 cans of the Wilson's and other products. The fumes are still present in the home. She and 2 others have been exposed to the product over that time, sx initially appeared the day after they were sprayed. Mother: Tumors, Allergies :sulfa, prednisone, wasps, Grandson: GH, NKA Daughter: GH, NKA Outome: Grandson: "rash" and "swelling" on skin, Nose bleeds, fussy not wanting to eat and drink. Daughter: coughing, wheezing, headaches. Mother: Bumps on wrists and arms, Throat irritation, Mild resp distress, wheezing. Acute adult and pediatric inhalation and dermal exposure. Recomendation: Symptoms have persisted and worsened. Recommend to seek immediate medical attention for all three of them. Ventilate home. Contact customer service for best way to remove product of home. Otherwise keep out of home to prevent additional exposure, while fumes present. Caller stated she would be taking family to hospital today. CB scheduled tomorrow. Follow up call, no answer. LM with case and phone
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.
Autre
Sexe: Femme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Inconnu
Peau
Respiratoire
Unknown / Inconnu
>8 hrs <=24 hrs / > 8 h < = 24 h
Caller stated she used 3 4 separate products in her home 10 days ago (Wilson One Shot House andGarden Insect Killer, Wilson OneShot Ant Roach and Crawling Insect Killer, Dr.Doom Pesticide,Home Defense Max RTU) . She sprayed approx 15-20 cans of the Wilson's and other products. The fumes are still present in the home. She and 2 others have been exposed to the product over that time, sx initially appeared the day after they were sprayed. Mother: Tumors, Allergies :sulfa, prednisone, wasps, Grandson: GH, NKA Daughter: GH, NKA Outome: Grandson: "rash" and "swelling" on skin, Nose bleeds, fussy not wanting to eat and drink. Daughter: coughing, wheezing, headaches. Mother: Bumps on wrists and arms, Throat irritation, Mild resp distress, wheezing. Acute adult and pediatric inhalation and dermal exposure. Recomendation: Symptoms have persisted and worsened. Recommend to seek immediate medical attention for all three of them. Ventilate home. Contact customer service for best way to remove product of home. Otherwise keep out of home to prevent additional exposure, while fumes present. Caller stated she would be taking family to hospital today. CB scheduled tomorrow. Follow up call, no answer. LM with case and phone
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.