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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-2461

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16091886

Registrant Name (Full Legal Name no abbreviations): Syngenta Crop Protection Canada, Inc.

Address: 140 Research Lane, Research Park

City: Guelph

Prov / State: Ontario

Country: Canada

Postal Code: N1G4Z3

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. 26637      PMRA Submission No.       EPA Registration No.

Product Name: Helix Seed Treatment

  • 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).

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

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

Border Collie

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

Unknown / Inconnu

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Trembling

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


16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

1-16091886: The reporter, a veterinarian, called on 5/1/08 to report a Border Collie had presented to his clinic with tremors after ingesting an unknown amount of treated canola seed. The seed had been treated with a mixture of 3 fungicides and a neonicotinoid insecticide (Thiamethoxam, Difenoconazole, Metalaxyl-M, Fludioxonil ). The reporter had thought the dog had been exposed to an organophosphate and had already given activated charcoal and Atropine. The reporter was looking for treatment recommendations. The ingredients and safety profile of the product was discussed. As the product is not considered neurotoxic, a recommendation was made to look for other causes of the dog's symptoms and to provide supportive care (fluids, muscle relaxants, monitor temperature). It was further recommended to take an x-ray to get an idea of the quantity of product ingested. The MSDS was faxed to the reporter/veterinarian. Information regarding the signalment of the dog (age, weight, sex) was never revealed during the conversation.

To be determined by Registrant

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


19. Provide supplemental information here