Nouvelle déclaration d'incident
No de la demande: 2014-4985
Numéro de référence du titulaire d'homologation: 5322266
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro IP Inc.
Adresse: 1900 Minnesota Crt
Ville: Mississauga
État: Ontario
Pays: Canada
Code postal /Zip: L5N 3C9
Incident chez l'humain
Pays: CANADA
État: SASKATCHEWAN
ARLA No d'homologation 17201 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Wilson Mosquito Fogging Insecticide
Oui
Inconnu
Site: Res. - Out Home / Rés - à l'ext.maison
Inconnu
Autre
Sexe: Femme
Âge: >1 <=6 yrs / > 1 < = 6 ans
Système
Unknown / Inconnu
Non
Non
Non professionnel
Dérive du pesticide à partir de la zone traitée
Aucun
Yeux
<=15 min / <=15 min
<=30 min / <=30 min
08/04/14 11:41 - The fogger went off into grand childs eyes. Caller is unable to verify the product as all of the instructions are in French. gh, nka, no meds R: Good that child had eyes rinsed immediately and is in bathtub being washed. Use soap and water on skin that was exposed to product and wash thoroughly. Irrigate eyes continuously for minimum of 15 minutes. After irrigation, have child close both eyes and place a cool damp cloth over them; rest the eyes for a minimum of 20 min. If eyes still feel irritated or like something is in them, seek medical attention for evaluation of the eyes. Fogger is readily absorbed through the skin. Watch for upset stomach - N/V/D and cramping, unexplained sweating, tearing, increased saliva, urinary frequency, increased secretions in lungs. If SXs develop, seek medical attention immediately. Call for any questions / concerns. Will follow up later. 08/04/14 13:08 - Child is ASX at this time w/ no further eye irritation. R: Continue to observe for SXs over next several hours. If now SXs within 12 hrs from time of exposure, probably will not develop any.
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.