Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-1406

2. Registrant Information.

Registrant Reference Number: Prosar case 1-15808996

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G 4Z3

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


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.       PMRA Submission No.       EPA Registration No.

Product Name: Daconil

  • 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 - Outdoor/Zone publique - ext

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

A Daconil product (type not specifically known) was used to spray trees in the general area of the owner's dwelling.

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

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Yorkshire terrier

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 - Vomiting
    • Symptom - Diarrhea
  • General
    • Symptom - Dehydration

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

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Other / Autre

specify Exposure route is not known

17. Provide any additional details about the incident

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

1-15808996: The reporter, a veterinarian, called on 2/21/08 to report that a 15 month old dog may have been exposed to a product containing the active ingredient Chlorothalonil. The exposure was presumed to have occurred 24-48 hours previously when the product was used to spray some trees in the general area of the owner's dwelling. The dog began vomiting and having diarrhea the morning of 2/21/08. The reporter had already done blood tests, which showed mild dehydration. The reporter requested information regarding product safety especially potential long-term effects. Recommendations included symptomatic and supportive care along with the toxic profile of the product - acute, minor, self-limiting GI upset. A follow-up call was placed on 2/27/08 which revealed that the dehydration was treated in clinic and the dog was sent home with GI protectant medications and an easy digestible diet. At the time of the follow-up call the reporter had spoken with the dog's owners and the dog was doing fine.

To be determined by Registrant

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


19. Provide supplemental information here