Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4758
2. Registrant Information.
Registrant Reference Number: 312714
Registrant Name (Full Legal Name no abbreviations): Sergeant's Pet Care Products, Inc. /DBA PetLogic, LLC
Address: 2625 South 158th Plaza
City: Omaha
Prov / State: NE
Country: United States
Postal Code: 68130
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
27-APR-08
5. Location of incident.
Country: UNITED STATES
Prov / State: FLORIDA
6. Date incident was first observed.
27-APR-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. 69332-3-2517
Product Name: Sergeant's Gold Flea and Tick Squeeze-On for Cats and Kittens
- Active Ingredient(s)
- ETOFENPROX
- Guarantee/concentration 55 %
- PYRIPROXYFEN
- Guarantee/concentration 2.2 %
7. b) Type of formulation.
Liquid
Application Information
8. Product was applied?
Yes
9. Application Rate.
.7
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 applied to cat. Details of application unknown.
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
Cat / Chat
3. Breed
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
0.58
7. Weight (provide a range if necessary )
5
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
>2 hrs <=8 hrs / > 2 h < = 8 h
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Seizure
- Symptom - Trembling
12. How long did the symptoms last?
Persisted until death
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
Euthanised / Euthanasie
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
Within two hours of application the cat was trembling like she was cold. The cat was bathed with a flea and tick shampoo to remove the product. Took cat to the DVM , seizuring on presentation. Inhalant Iso flurane for sedation. IV fluids. warm water and detergent bath. Was given 4 mg valium IV x3. Pentobarbital x2 15 mg after valium. Robaxin 150 mg, sedated the cat again. Seizures resumed a third time. Elected to euthanize cat after 2 hours of treatment and continued seizures.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
Cat was treated with spot-on treatment. Cat was also bathed with flea and tick shampoo to remove spot on treatment. Overdose.