Both of mine started off moderately warm, since that's the sort of temperature that ambient has been recently.
Neither of mine showed any signs of leaking, and I did attempt to shake the second one somewhat vigorously (the first one less so, since I followed the instructions).
Having a quick look around, Calcium oxide is sometimes used in these devices, and whilst not toxic as such, because it reacts very aggressively with water, contact with eyes, the respiratory tract etc is quite hazardous. Anhydrous calcium chloride is also used, and since it's actually used as a food additive, it clearly isn't toxic, but again can be hazardous because of the potential for burns.
So, it seems that the constituents of the self heating element of the can aren't likely to be dangerous, providing they have fully reacted with the water. If any part hasn't fully reacted with water, then it could be hazardous.