Nouvelle déclaration d'incident
No de la demande: 2014-5043
Numéro de référence du titulaire d'homologation: 5289810
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro Inc.
Adresse: 1900 Minnesota Crt
Ville: Mississauga
État: Ontario
Pays: Canada
Code postal /Zip: L5N 3C9
Incident chez l'humain
Pays: CANADA
État: ONTARIO
ARLA No d'homologation 26201 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Wilson Jet Foam Wasp & Hornet Killer
Oui
Inconnu
Site: Res. - In Home / Rés. - à l'int. maison
Inconnu
Personne affectée
Sexe: Femme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Oui
Non
Non professionnel
Application
Aucun
Respiratoire
<=15 min / <=15 min
>8 hrs <=24 hrs / > 8 h < = 24 h
06/03/14 - 7:54 -Caller states that she was spraying some Wilson Jet Foam Wasp Hornet Killer last night and thinks she might have inhaled the product because she woke up having dizzy spells and vomited once and it blood in it. Caller said that she actually had a dizzy spell while still laying down. Caller does take 8 different medications daily but states that they have never made her dizzy. NKA - Smoker 1 1/2 a day. Caller thinks she was spraying too close when she used product yesterday around 1900-2000 - duration 5-10 mins - she was spraying on balcony/ceiling. She felt dizzy this morning when she was turning in bed and continued to feel dizzy when she got out of bed, wonders if it's related to product use. As we speak she states she has eaten a banana and now is feeling better. She is diabetic but does not check her blood sugar at home. She also spit and had some red color in spit, but she had eaten blue berries so not sure if that what caused color. Recs? Recommendation: protein snack, have someone check on her over next couple hours to make sure she is doing OK (no one can come over), ER evaluation if SX do not resolve. 06/03/14 - 9:30 (follow up call) caller States she fell down, still feeling dizzy, someone is coming to pick her up to take her to ER. Not calling 911. Will go to (name) Memorial 06/03/14 - 13:00 unable to reach the caller. 06/04/14 - 7:25 caller states he has a problem that she gets "dizzy spells" and it will happen in the future. States it is not related to the product at all.
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.