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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2007-4385
2. Registrant Information.
Registrant Reference Number: 070047434
Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.
Address: 301 W. Osborn Road
City: Phoenix
Prov / State: AZ
Country: USA
Postal Code: 85013
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
14-MAY-075. Location of incident.
Country: UNITED STATES
Prov / State: OHIO
6. Date incident was first observed.
13-MAY-07Product 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. PMRA Submission No. EPA Registration No. 270-308
Product Name: Bio Spot Stripe-On Flea Control for Cats and Ferrets
- Active Ingredient(s)
- PYRIPROXYFEN
- Guarantee/concentration 5.3 %
- PYRIPROXYFEN
7. b) Type of formulation.
Liquid
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Animal / Usage sur un animal domestique
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
On May 13, 2007, at 2:00 pm, CDT, the owner applied these products to her 13 month old, 6 pound, male, neutered cat. The products were applied dermally to the animal. On May 14, 2007 the owner brought, to the vet, three different products, any of which may have been used on the cat. They were Bio Spot Stripe on Flea Control for Cats and Ferrets, Scratchex Stripe On Repellent Towelette for Cats, and Bio Spot Flea and Tick Control for Dogs Over 66 lbs.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
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
1.08
7. Weight (provide a range if necessary )
6
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
>24 hrs <=3 days / >24 h <=3 jours
10. Time between exposure and onset of symptoms
>2 hrs <=8 hrs / > 2 h < = 8 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Seizure
- General
- Symptom - Hyperthermia
- Nervous and Muscular Systems
- Symptom - Muscle tremors
- General
- Symptom - Death
12. How long did the symptoms last?
Persisted until death
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?
2
Day(s) / Jour(s)
15. Outcome of the incident
Not recovered / Non rétabli
16. How was the animal exposed?
Treatment / Traitement
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
On May 13, 2007 at 8:30 pm, CDT, the owner noted that the animal was having seizures. At 9:00 pm, CDT, the owner noticed that the cat was tremoring and took the cat to her regular veterinarian. At 9:05 pm, CDT, upon presentation the cat's temperature was 106 degrees F. At 10:00 pm the regular attending veterinarian bathed the cat in attempts to rinse off the product. It is unknown whether liquid dishwashing detergent was used at the time of the bath. On May 14, 2007 at 12:20 pm, CDT, the owner reported the exposure. The APSS veterinarian called the clinic on May 14, 2007 and advised the technician to bathe the cat with a liquid dishwashing detergent. The APSS veterinarian also recommended that they use methocarbamol rectally to treat the seizures and tremors, and provide symptomatic care.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
On May 15, 2007 the owner called the APSS veterinarian to provide an update the cats condition. At that time the owner informed the APSS veterinarian that the cat had passed away that morning.
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
6
7. Weight (provide a range if necessary )
15
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
>8 hrs <=24 hrs / > 8 h < = 24 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Muscle tremors
- Symptom - Seizure
- General
- Symptom - Abnormal behaviour
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?
Treatment / Traitement
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
On May 14, 2007 at 3:30 am, CDT, the owner noted that the cat was tremoring. At 2:30 pm, CDT, on May 14, 2007 the owner noticed that the cat was exhibiting abnormal behavior. Then on May 15, 2007 at 12:00 pm, CDT the owner stated that the cat had an isolated event of seizuring. The owner reported the exposure on May 14, 2007 at 12:20 pm. According to the APSS case the animal was taken to an emergency clinic and later transferred to her regular attending DVM. According to the APSS case, patient 2 received treatment including a bath, administration of diazepam, phenobarbital, methocarbamol, and Propofol. The APSS DVM discussed methocarbamol doses, advised that an additional bath be given with liquid dishwashing detergent and the animal receive symptomatic care.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Major
19. Provide supplemental information here
On May 15 2007, the owner called the APSS veterinarian to update the case. At that time the patient was still having tremors, but was doing much better.
