Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-1657
2. Registrant Information.
Registrant Reference Number: 2008TH007
Registrant Name (Full Legal Name no abbreviations): Bayer Inc.
Address: 77 Belfied Road
City: Toronto
Prov / State: ON
Country: Canada
Postal Code: M9W 1G6
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
11-MAR-08
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
10-MAR-08
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. 25129
PMRA Submission No.
EPA Registration No.
Product Name: Advantage 18
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
.8
Units: mL
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).
Product was applied to two cats in appropriate locations. Owner not sure if one cat may have licked the other while product was wet.
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
Medical Professional
2. Type of animal affected
Cat / Chat
3. Breed
Domestic Short Hair
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
1.2
7. Weight (provide a range if necessary )
9.2
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
>8 hrs <= 24 hrs / >8 h <= 24 h
10. Time between exposure and onset of symptoms
>8 hrs <=24 hrs / > 8 h < = 24 h
11. List all symptoms
System
- Gastrointestinal System
- Symptom - Loss of appetite
- Symptom - Vomiting
- Symptom - Stomach pain
- Specify - tense tender abdomen
12. How long did the symptoms last?
>24 hrs <=3 days / >24 h <=3 jours
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
Fully Recovered / Complètement 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
Owner applied product to both cats March 10. Cats go outdoors. About 8 hours later 1 cat was vomiting and unwell. Visit to vet March 11, bloodwork and radiographs with no abnormal findings on March 12, owner reports cat back to normal Mar 14. Bloodwork showed some mild increase in total protein and glucose consistent with mild dehydration and stress, radiographs showed some gas in the stomach. Treatment included sucralfate, 1 dose of dexamethasone (0.25 mg/kg) and longisil. Some subcutaneous fluids were given.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
19. Provide supplemental information here
Dr not able to determine cause due to multiple possibilities including those resulting from outdoor exposure.