Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7239

2. Registrant Information.

Registrant Reference Number: 070090700

Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.

Address: 301 W. Osborn Rd.

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.

25-AUG-07

5. Location of incident.

Country: UNITED STATES

Prov / State: LOUISIANA

6. Date incident was first observed.

22-AUG-07

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.       PMRA Submission No.       EPA Registration No.

Product Name: Bio Spot Stripe On Flea Control for Cats and Ferrets 270-308

• Active Ingredient(s)
  • PYRIPROXYFEN
    • Guarantee/concentration 5.3 %

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7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

1

Other Units: vial

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 August 19, 2007 at 12:00 p.m. CDT, the owner applied the product to her cat. The product was applied dermally to prevent fleas.

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

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

8

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>3 days <=1 wk / >3 jours <=1 sem

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Vomiting

• General
  • Symptom - Vocalizing
  • Symptom - Death

12. How long did the symptoms last?

>8 hrs <=24 hrs / > 8 h < = 24 h

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

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 August 22, 2007 at 12:00 p.m. CDT, the cat began vomiting. The same day at 10:00 p.m. CDT, the cat began vocalizing. All signs ended on August 22, 2007 at 10:30 p.m. CDT, when the cat died. On August 25, 2007 at 10:57 a.m. CDT, the APSS staff suggested that mild gastrointestinal upset may occur if the cat groomed herself and ingested a small amount of the product. However, the clinical signs the cat had would not be expected from this exposure. Because the owner reported that the cat had been attacked by another cat approximately 5 weeks before and had been missing for a couple of days during that time, the APSS staff suggested other possible causes for the cat's death, including heartworm disease and feline infectious peritonitis.

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To be determined by Registrant

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

Death

19. Provide supplemental information here

The staff recommended a necropsy be done to determine the precise cause of the cat's death; however, the owner refused. Therefore, no additional information is expected.