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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-0483

2. Registrant Information.

Registrant Reference Number: 070070902

Registrant Name (Full Legal Name no abbreviations): Wellmark International

Address: 100 Stone Rd. West, Suite 111

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G5L3

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

Domestic Animal

4. Date registrant was first informed of the incident.


5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

6. Date incident was first observed.


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.


PMRA Registration No. 21573      PMRA Submission No.       EPA Registration No.

Product Name: Precor EC Emulsifiable Concentrate

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


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

Site: Pub. Area - Indoor/Zone publique - int

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

An office was treated with the agent on June 28, 2007.

To be determined by Registrant

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


Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Miniature Schnauzer

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure



9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms


  • Gastrointestinal System
    • Symptom - Diarrhea

12. How long did the symptoms last?

Unknown / Inconnu

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


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident

Not recovered / Non rétabli

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

On June 26, 2007, at 12:34, pm, CDT, the owner's office was treated by a local exterminator for a flea infestation. Two days after the office was treated, on June 28, 2007, the owner brought her dog to work with her. On June 28, 2007, at 12:37 pm, CDT, the owner noted that the dog began to have diarrhea. The signs persisted and the owner took the dog to her regular veterinarian on July 9, 2007. The regular veterinarian (RDVM) performed a parvovirus test that was negative, and a fecal examination that was negative as well. The RDVM placed the dog on Metronidazole for the diarrhea. The APSS veterinarian advised the owner to continue on the Metronidazole as directed by her RDVM and to explore other possibilities for the dogs diarrhea.

To be determined by Registrant

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


19. Provide supplemental information here

The APSS veterinarian stated that an exposure to the dry product would not cause any symptoms. APSS vertinarian stated the product had doubtful likelihood of causing the clinical situation.