Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-2604

2. Registrant Information.

Registrant Reference Number: 3582620

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.

24-APR-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)

---

PMRA Registration No. 29060      PMRA Submission No.       EPA Registration No.

Product Name: SCOTTS WEED PREVENTERENT 18.2KG/50

• Active Ingredient(s)
  • CORN GLUTEN MEAL

---

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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

Site: Res. - Out Home / Rés - à l'ext.maison

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

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

To be determined by Registrant

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

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Shihpoo

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

16

7. Weight (provide a range if necessary )

12.44

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

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

• General
  • Symptom - Adipsia
  • Symptom - Lethargy

• Nervous and Muscular Systems
  • Symptom - Other
  • Specify - Moving slowly

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?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Other / Autre

specify It is unknown how the dog was potentially exposed to the product.

17. Provide any additional details about the incident

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

4/24/2023 Caller's 2 dogs have been sick for the last several weeks and she is wondering if their symptoms are related to exposure to a lawn product that was applied at least 3-4 weeks ago. One of the dogs is losing is loosing weight, not eating, has vomited several times, is lethargic, moving slowly, and is not drinking. The other dog is having similar signs, although he is eating a bit. He does not have the mobility issues the first dog does. Caller did not specify whether he is drinking as normal or not. Prior to product application, the dogs saw their veterinarian on February 16th, 2023 at which time the first dog was prescribed Antirobe 75 milligrams and Duramax 25 milligrams for coughing and mobility issues the owner was noticing. The second dog was prescribed Sucralfate, Omeprazole, and Metronidazole for vomiting issues at that visit. The owner took the dogs to their veterinarian again on April 20th, 2023. They were weighed and the owner talked to the veterinarian about their weight loss. No examination was performed and no diagnostic tests were run. The second dog was not prescribed anything, while the first dog was sent home on another course of Antirobe 75 milligrams as well as Duramax 25 milligrams. No further information is available.

---

To be determined by Registrant

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

Moderate

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.

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Shihpoo

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

14

7. Weight (provide a range if necessary )

17.42

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Anorexia
  • Symptom - Vomiting

• General
  • Symptom - Lethargy

• Gastrointestinal System
  • Symptom - Weight loss

12. How long did the symptoms last?

Unknown / Inconnu

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

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Other / Autre

specify It is unknown how the dog was potentially exposed to the product.

17. Provide any additional details about the incident

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

4/24/2023 Caller's 2 dogs have been sick for the last several weeks and she is wondering if their symptoms are related to exposure to a lawn product that was applied at least 3-4 weeks ago. One of the dogs is losing is loosing weight, not eating, has vomited several times, is lethargic, moving slowly, and is not drinking. The other dog is having similar signs, although he is eating a bit. He does not have the mobility issues the first dog does. Caller did not specify whether he is drinking as normal or not. Prior to product application, the dogs saw their veterinarian on February 16th, 2023 at which time the first dog was prescribed Antirobe 75 milligrams and Duramax 25 milligrams for coughing and mobility issues the owner was noticing. The second dog was prescribed Sucralfate, Omeprazole, and Metronidazole for vomiting issues at that visit. The owner took the dogs to their veterinarian again on April 20th, 2023. They were weighed and the owner talked to the veterinarian about their weight loss. No examination was performed and no diagnostic tests were run. The second dog was not prescribed anything, while the first dog was sent home on another course of Antirobe 75 milligrams as well as Duramax 25 milligrams. No further information is available.

---

To be determined by Registrant

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

Moderate

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.