Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-1838
2. Registrant Information.
Registrant Reference Number: 080032343
Registrant Name (Full Legal Name no abbreviations): Wellmark International
Address: 100 Stone Road 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.
31-MAR-08
5. Location of incident.
Country: UNITED STATES
Prov / State: OREGON
6. Date incident was first observed.
31-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.
PMRA Submission No.
EPA Registration No. 2724-404
Product Name: Zodiac Fleatrol Flea And Tick Spray For Dogs Cats Puppies And Kittens
- Active Ingredient(s)
- (S)-METHOPRENE
- Guarantee/concentration .27 %
- N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
- Guarantee/concentration .62 %
- PIPERONYL BUTOXIDE
- Guarantee/concentration .37 %
- PYRETHRINS
- Guarantee/concentration .2 %
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 March 31, 2008, the owner applied the product to her cat as a preventative measure.
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 )
1
7. Weight (provide a range if necessary )
4
lbs
8. Route(s) of exposure
Skin
Oral
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
12. How long did the symptoms last?
Unknown / Inconnu
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
Died
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 March 31, 2008, the APSS veterinarian stated that hypersalivation is a taste reaction due to the animal grooming the product off of her coat. The APSS veterinarian recommended the owner wipe the product off of the animal's coat, offer the animal a taste treat for dilution purposes, and to call the APSS back if questions arose. On April 6, 2008, the owner reported that the animal had died on April 3, 2008.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
The APSS veterinarian stated that the product is not the cause of the animal's death, because all of the active ingredients have a high margin of safety. Several attempts have been made to contact the owner and confirm body submittal for necropsy, but the attempts have not been successful. As a result, it is unknown if further testing has taken place.