Nouvelle déclaration d'incident
No de la demande: 2017-4548
Numéro de référence du titulaire d'homologation: 2081188
Nom du titulaire (nom légal complet, aucune abbréviation): S.C. Johnson and Son, Limited
Adresse: 1 Webster Street
Ville: Brantford
État: ON
Pays: Canada
Code postal /Zip: N3T 5R1
Incident chez l'humain
Défaillance de l'emballage
Pays: CANADA
État: ONTARIO
ARLA No d'homologation 27417 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: (discontinued) Raid Outdoor Ant Nest Destroyer - Canada
Oui
Inconnu
Site: Res. - Out Home / Rés - à l'ext.maison
Personne affectée
Sexe: Femme
Âge: >64 yrs / > 64 ans
Système
Unknown / Inconnu
Inconnu
Non
Inconnu
Non professionnel
Application
Quelle était l'activité? Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding the activity
Inconnu
Peau
Respiratoire
<=15 min / <=15 min
Unknown / Inconnu
7/25/2017 Caller applied the product twice in the past 8 days. With each use, the nozzle of the product kept coming off and she got some of the product on her hands and inhaled the product because her face was close to the nozzle. Caller developed sore throat, coughing, and laryngitis. Caller is unsure when the symptoms developed, but believes it was some time after the first use of the product. Caller was evaluated by her doctor. No testing was done and no treatments were performed other than advising caller to be on bed rest. Her doctor stated that her lungs sound clear and throat does not look like strep throat. Her doctor does not know what is causing the symptoms, and may be a chemical reaction. Caller does not have the product any more to give product information. 7/28/2017 Call back attempted to the original caller. There was no response when the line was answered, and the line disconnected.
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 in the telephone interviews.
Pressurized product /Prod. sous pression
L'utilisation du produit
une exposition potentielle
7/25/2017 Caller applied the product twice in the past 8 days. With each use, the nozzle of the product kept coming off and she got some of the product on her hands and inhaled the product because her face was close to the nozzle. Caller developed sore throat, coughing, and laryngitis. Caller is unsure when the symptoms developed, but believes it was some time after the first use of the product. Caller was evaluated by her doctor. No testing was done and no treatments were performed other than advising caller to be on bed rest. Her doctor stated that her lungs sound clear and throat does not look like strep throat. Her doctor does not know what is causing the symptoms, and may be a chemical reaction. Caller does not have the product any more to give product information. 7/28/2017 Call back attempted to the original caller. There was no response when the line was answered, and the line disconnected.
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 in the telephone interviews.