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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-3110
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16394443
Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.
Address: 2000 Argentia Road Plaza 5 Suite 101
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N2R7
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
13-JUL-085. Location of incident.
Country: CANADA
Prov / State: BRITISH COLUMBIA
6. Date incident was first observed.
13-JUL-08Product 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. 27801 PMRA Submission No. EPA Registration No.
Product Name: Killex Lawn Weed Control Concentrate (Green Cross)
- Active Ingredient(s)
- 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
- DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
- MECOPROP-P (PRESENT AS DIMETHYLAMINE SALT)
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
10. Site pesticide was applied to (select all that apply).
Site: Res. - Out Home / Rés - à l'ext.maison
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
The diluted product was applied to the yard on 7/13/08 about 4.5 hours prior to the call.To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
Unknown
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Dog / Chien
3. Breed
Maltese
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
0.33
7. Weight (provide a range if necessary )
3
lbs
8. Route(s) of exposure
Oral
9. What was the length of exposure?
>15 min <=2 hrs / >15 min <=2 h
10. Time between exposure and onset of symptoms
<=30 min / <=30 min
11. List all symptoms
System
- Gastrointestinal System
- Symptom - Vomiting
12. How long did the symptoms last?
>2 hrs <=8 hrs / > 2 h < = 8 h
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
Fully Recovered / Complètement 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
1-16394443: The reporter called on 7/13/08 to report the possible exposure of her dog to a product containing the active ingredients Mecoprop, Dicamba, and 2,4,D. According to the reporter, she had treated her lawn with the product about 4.5 hours prior to the call. She had let her dog have access to the yard about 30 minutes prior to the call. She thought her dog had chewed on some of the treated vegetation, as he had started to vomit soon after. The safety profile of the product was discussed in terms of its potential as a GI irritant. A recommendation was made to monitor the pet - the vomiting should be self-limiting as long as further ingestion of the treated vegetation was prevented. An additional recommendation was made to replace fluids and to encourage drinking by adding some chicken broth to the pet¿s water. The reporter was encouraged to seek veterinary care if the vomiting continued for more than 2-3 hours. A follow-up call revealed the dog had recovered after being ill most of the evening of 7/13/08.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
