Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-2597

2. Registrant Information.

Registrant Reference Number: 3598255

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road - Plaza 2 Suite 300

City: Mississauga

Prov / State: ON

Country: Canada

Postal Code: L5N1V8

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

11-MAY-23

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

Unknown

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

Active(s)

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PMRA Registration No. 31500      PMRA Submission No.       EPA Registration No.

Product Name: TOMCAT MOUSE KLR RFLLBL T1 /8 BAIT/4 BAG

• Active Ingredient(s)
  • DIPHACINONE (PRESENT IN FREE FORM OR AS SODIUM SALT)

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7. b) Type of formulation.

Application Information

8. Product was applied?

No

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

French Bulldog

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

30.00

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Blood
  • Symptom - Anemia
  • Symptom - Bleeding
  • Symptom - Coagulopathy
  • Symptom - Abnormal coagulation
  • Specify - Prothrombin time prolonged

• Cardiovascular System
  • Symptom - Tachycardia

• Gastrointestinal System
  • Symptom - Anorexia
  • Symptom - Vomiting
  • Symptom - Weight loss

• General
  • Symptom - Lethargy

• Respiratory System
  • Symptom - Pleural effusion

• Skin
  • Symptom - Bruises

• General
  • Symptom - Other
  • Specify - Dull

• Blood
  • Symptom - Other
  • Specify - Hemoabdomen

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

5/11/2023 Animal owner is calling because their dog is in critical condition at their veterinary clinic after ingesting 8 blocks of Tomcat Mouse Killer somewhere between 10 days to 2 weeks ago. The pet is bleeding into his abdomen and receiving blood transfusions. Symptoms began two nights ago on May 9th, 2023 with lethargy. 5/11/2023 Treating veterinarian calling back. The dog presented dull, tachycardic, with vomiting and a hemoabdomen last night. Blood work showed the dog was anemic and coagulopathic (elevated prothrombin time (PT) and partial thromboplastin time (PTT)). The dog was treated with anti-emetics and subcutaneous Vitamin K1 last night. Today, pleural effusion and bruising was noted, and the dog has received a plasma transfusion today. 5/15/2023 Follow up with the owner revealed that the dog was released home on approximately May 13th, 2023. The owner is uncertain of all the treatments performed. They are struggling to get him to eat and to take his Vitamin K1 currently. The dog is still lethargic and now has lost a lot of weight due to not eating. No further information has been received.

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To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Major

19. Provide supplemental information here

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.