Nouvelle déclaration d'incident
No de la demande: 2013-6661
Numéro de référence du titulaire d'homologation: 5128368
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 21111 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Green Earth Insecticidal Soap
Oui
Inconnu
Site: Unknown / Inconnu
Inconnu
Personne affectée
Sexe: Femme
Âge: >64 yrs / > 64 ans
Système
Unknown / Inconnu
Oui
Inconnu
Non professionnel
Application
Aucun
Peau
>3 days <=1 wk / >3 jours <=1 sem
Unknown / Inconnu
S: Caller applied the product to her plants and now has a rash on her neck, stomach, back and arm pits. Caller was applying the product for 30 minutes. Caller got her sleeves wet with the product and then went into shower. Callers symptoms started the day after the use of the product. Callers rash started last Wednesday. Caller did go to the Doctor. Doctor is uncertain what the rash is from and is able to confirm that caller doesn't have shingles. Doctor gave caller prednisone and an antihistamine. Caller is unable to verify EPA number. gh, latex, bp meds, lipitor , SX R: Caller advised that she has an additional Doctors appointment on Monday. Advised caller of case number and PC number. Advised caller to bring product into her Doctors office with her and her Doctor is welcome to contact PC as needed. Offered to call back to PC with any additional concerns PC to follow. 07/22/13 11:18 S: TC to listed # left message requesting medical outcome. Left PC number and case number. PC to follow 1X O: A: R: 07/22/13 12:05 S: Caller returned PC call. Caller went to the Doctor and was diagnosed with Poison Oak. Caller is now treating for Poison Oak with her Doctor. Offered to call back to PC with any additional concerns.
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.