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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-5744

2. Registrant Information.

Registrant Reference Number: Prosar 1-16977835

Registrant Name (Full Legal Name no abbreviations): FMC Corporation

Address: 1735 Market Street

City: Philadelphia

Prov / State: Pennsylvania

Country: USA

Postal Code: 19103

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

26-NOV-08

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

Unknown

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.

Product Name: Non-specific Dragnet (Permethrin-Based Insecticide)

  • Active Ingredient(s)
    • PERMETHRIN

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. - In Home / Rés. - à l'int. maison

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

The product was applied outside the perimeter of the home, in a crawl space and in the laundry room of the home by a pest control operator approximately one month prior to the report.

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

Other / Autre

specify Lizard

3. Breed

1 Chameleon and 1 Gecko

4. Number of animals affected

2

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>3 days <=1 wk / >3 jours <=1 sem

11. List all symptoms

System

  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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?

Other / Autre

specify Unknown if exposure occurred

17. Provide any additional details about the incident

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

1-16977835: A reporter called on 11/26/2008 to report the exposure of two lizards and a pregnant dog to an insecticide containing the active ingredient Permethrin. According to the reporter, the product was applied to the outside perimeter of the home, a crawl space, and the laundry room of the home approximately one month prior to the report. The reporter left the home with the pets for two days following product application. One week following product application, both lizards (1st Subform III) died within one day of each other. The lizards were housed in separate terrariums and were not in direct contact with treated areas. Neither lizard had signs prior to death. The dog (2nd Subform III) whelped 11 puppies approximately 2 weeks after the product was applied. Two of the 11 puppies were born dead and were grossly malformed. The two dead pups were being stored in a cooler at the time of the report. The reporter was advised of the active ingredient in the product. The reporter was also advised that contact with dried treated surfaces will not produce clinical signs. A recommendation was made to discuss possible causes of the lizards' deaths as they did not show clinical signs. The reporter was advised that exposure to the product may produce neurologic signs, but no signs are expected with the scenario described. The reporter was informed that the active ingredient has not been shown to cause reproductive toxicity or teratogenicity. The reporter was also advised that exposure to toxins in general would not be expected to cause birth defects at the end of gestation. A recommendation was made to discuss necropsy with the dog's veterinarian to determine the cause of the puppies' deaths and disfigurement. It was reiterated to the reporter that the exposure described in this scenario is not expected to result in any clinical signs. The reporter called back on 11/27/2008 to clarify that the dog was only 1 week pregnant at the time of product application. She also mentioned that the dead puppies were still in a cooler. She inquired about necropsy reimbursement. The reporter was advised again that the active ingredient is not expected to cause reproductive toxicity. The reporter was provided the consumer service phone number to discuss possible reimbursement for necropsy services. No further information was obtained.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Unknown breed

4. Number of animals affected

2

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Reproductive System
    • Symptom - Stillborn infant
    • Specify - Whelped two dead, disfigured puppies

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Other / Autre

specify Unknown if exposed to product

17. Provide any additional details about the incident

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

1-16977835: A reporter called on 11/26/2008 to report the exposure of two lizards and a pregnant dog to an insecticide containing the active ingredient Permethrin. According to the reporter, the product was applied to the outside perimeter of the home, a crawl space, and the laundry room of the home approximately one month prior to the report. The reporter left the home with the pets for two days following product application. One week following product application, both lizards (1st Subform III) died within one day of each other. The lizards were housed in separate terrariums and were not in direct contact with treated areas. Neither lizard had signs prior to death. The dog (2nd Subform III) whelped 11 puppies approximately 2 weeks after the product was applied. Two of the 11 puppies were born dead and were grossly malformed. The two dead pups were being stored in a cooler at the time of the report. The reporter was advised of the active ingredient in the product. The reporter was also advised that contact with dried treated surfaces will not produce clinical signs. A recommendation was made to discuss possible causes of the lizards' deaths as they did not show clinical signs. The reporter was advised that exposure to the product may produce neurologic signs, but no signs are expected with the scenario described. The reporter was informed that the active ingredient has not been shown to cause reproductive toxicity or teratogenicity. The reporter was also advised that exposure to toxins in general would not be expected to cause birth defects at the end of gestation. A recommendation was made to discuss necropsy with the dog's veterinarian to determine the cause of the puppies' deaths and disfigurement. It was reiterated to the reporter that the exposure described in this scenario is not expected to result in any clinical signs. The reporter called back on 11/27/2008 to clarify that the dog was only 1 week pregnant at the time of product application. She also mentioned that the dead puppies were still in a cooler. She inquired about necropsy reimbursement. The reporter was advised again that the active ingredient is not expected to cause reproductive toxicity. The reporter was provided the consumer service phone number to discuss possible reimbursement for necropsy services. No further information was obtained.


To be determined by Registrant

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

Major

19. Provide supplemental information here