New incident report
Incident Report Number: 2017-0609
Registrant Reference Number: 1933693
Registrant Name (Full Legal Name no abbreviations): Bell Laboratories, Inc.
Address: 3699 Kinsman Blvd
City: Madison
Prov / State: WI
Country: USA
Postal Code: 53704
Domestic Animal
Country: UNITED STATES
Prov / State: WISCONSIN
PMRA Registration No. PMRA Submission No. EPA Registration No. 12455-123-3240
Product Name: Tomcat Mouse Killer II (pre-loaded resistant bait station)
Bait
Unknown
Unknown
Unknown
Other
Cat / Chat
DSH
1
Male
3
10.00
lbs
Unknown
Unknown / Inconnu
Unknown / Inconnu
System
Persisted until death
No
No
Unknown
Died
Other / Autre
specify No known or witnessed ingestion but was playing with mice possibly poisoned by the product.
(eg. description of the frequency and severity of the symptoms
10/29/2016 11:28:45 AM A woman called to report an adverse event on behalf of her adult son. She stated that, last week, her son's 3 year old, 10 pound cat was twice seen playing with mice that may have been poisoned by the product. She remarked that, to the best of her knowledge, the cat did not eat the mice, but she does not live with the cat and is only reporting only what her son told her. For the past 24 hours the cat has been hiding under a bed and vomiting. During the course of the phone call, her son notified her that the cat had died at his home.
Death
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.