Nouvelle déclaration d'incident
No de la demande: 2013-6626
Numéro de référence du titulaire d'homologation: 5080061
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: ONTARIO
ARLA No d'homologation 27492 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Wilson Riddex Bloks Rat and Mouse Bait
Oui
Inconnu
Site: Res. - In Home / Rés. - à l'int. maison
Inconnu
Autre
Sexe: Femme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Quelle était l'activité? rodenticide applied in the attic of the house
Aucun
Respiratoire
>1 mo <= 6 mos / > 1 mois < = 6 mois
>1 mo <=2 mos / > 1 mois < = 2 mois
S. Caller stated she put down \fs23 Wilson\ ae Riddex\ ae Bloks Rat Mouse Bait 4 months ago in the attic and her and her family have been have mild respitory distress ever since. caller is pregnant, transferred to SPI The family is in good health with no meds or allergies O. shortness of breath, Coughing up phelm A. Acute, adult/pediatric, inhaltion, R. Transferred to SPI Patient #1 Therapies: Unknown if therapy provided Patient #2 Therapies: Unknown if therapy provided Patient #3 Therapies: Unknown if therapy provided S: Spoke with caller no ingestion. She had them placed in the attic and is concerned that rat's may not have finished them. Their symptoms started shortly after placing them in the attic a couple months ago. She has already been to PCP regarding the sx. O: Shortness of breath, coughing up phlegm A: Chronic adult possible inhalation of Wilson Riddex Bloks Rat and Mouse Bait, sx unlikely related R: Would not expect sx from inhalation of product. Sx come from repeated ingestions or large acute ingestions. Sx include bruising and bleeding. Would not expect respiratory sx from ingestion of product. If sx persistent would recommend seeking medical attention CB with further quesitons/concerns cc/ap
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: Homme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Quelle était l'activité? Rodenticide applied in the attic
Aucun
Respiratoire
>1 mo <= 6 mos / > 1 mois < = 6 mois
>1 mo <=2 mos / > 1 mois < = 2 mois
S. Caller stated she put down \fs23 Wilson\ae Riddex\ae Bloks Rat Mouse Bait 4 months ago in the attic and her and her family have been have mild respitory distress ever since. caller is pregnant, transferred to SPI The family is in good health with no meds or allergies O. shortness of breath, Coughing up phelm A. Acute, adult/pediatric, inhaltion, R. Transferred to SPI Patient #1 Therapies: Unknown if therapy provided Patient #2 Therapies: Unknown if therapy provided Patient #3 Therapies: Unknown if therapy provided S: Spoke with caller no ingestion. She had them placed in the attic and is concerned that rat's may not have finished them. Their symptoms started shortly after placing them in the attic a couple months ago. She has already been to PCP regarding the sx. O: Shortness of breath, coughing up phlegm A: Chronic adult possible inhalation of Wilson Riddex Bloks Rat and Mouse Bait, sx unlikely related R: Would not expect sx from inhalation of product. Sx come from repeated ingestions or large acute ingestions. Sx include bruising and bleeding. Would not expect respiratory sx from ingestion of product. If sx persistent would recommend seeking medical attention CB with further quesitons/concerns cc/ap
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: Homme
Âge: <=1 yr / < = 1 an
Système
Unknown / Inconnu
Inconnu
Inconnu
Non professionnel
Contact avec la zone traitée
Quelle était l'activité? Roddenticide applied in the attic
Aucun
Respiratoire
>1 mo <= 6 mos / > 1 mois < = 6 mois
>1 mo <=2 mos / > 1 mois < = 2 mois
S. Caller stated she put down \fs23 Wilson\ae Riddex\ae Bloks Rat Mouse Bait 4 months ago in the attic and her and her family have been have mild respitory distress ever since. caller is pregnant, transferred to SPI The family is in good health with no meds or allergies O. shortness of breath, Coughing up phelm A. Acute, adult/pediatric, inhaltion, R. Transferred to SPI Patient #1 Therapies: Unknown if therapy provided Patient #2 Therapies: Unknown if therapy provided Patient #3 Therapies: Unknown if therapy provided S: Spoke with caller no ingestion. She had them placed in the attic and is concerned that rat's may not have finished them. Their symptoms started shortly after placing them in the attic a couple months ago. She has already been to PCP regarding the sx. O: Shortness of breath, coughing up phlegm A: Chronic adult possible inhalation of Wilson Riddex Bloks Rat and Mouse Bait, sx unlikely related R: Would not expect sx from inhalation of product. Sx come from repeated ingestions or large acute ingestions. Sx include bruising and bleeding. Would not expect respiratory sx from ingestion of product. If sx persistent would recommend seeking medical attention CB with further quesitons/concerns cc/ap
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.