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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-5091

2. Registrant Information.

Registrant Reference Number: 528555

Registrant Name (Full Legal Name no abbreviations): S.C. Johnson and Son, Limited

Address: 1 Webster Street

City: Brantford

Prov / State: ON

Country: Canada

Postal Code: N3T 5R1

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

Domestic Animal

4. Date registrant was first informed of the incident.

04-SEP-09

5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

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. 28347      PMRA Submission No.       EPA Registration No. 4822-538

Product Name: Raid Outdoor Ant Spikes - Canada

  • Active Ingredient(s)
    • ABAMECTIN

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).

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

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

Dog / Chien

3. Breed

Boston Terrier

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1

7. Weight (provide a range if necessary )

12

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Salivating excessively
    • Symptom - Vomiting
  • General
    • Symptom - Lethargy
  • Nervous and Muscular Systems
    • Symptom - Muscle tremors
    • Symptom - Muscle weakness
  • Gastrointestinal System
    • Symptom - Drooling
  • General
    • Symptom - Weakness

12. How long did the symptoms last?

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

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

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Other / Autre

specify Defined point of exposure not evident or witnessed. Exposure based on speculation.

17. Provide any additional details about the incident

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

9/4/2009 Caller's dog developed vomiting, drooling, weakness, lethargy, and tremors last night. Caller believes that an ant spike in the yard may have teeth marks in it, but no direct exposure was witnessed. 9/8/2009 Callback attempted to the original caller. A message was left requesting follow up information. 9/9/2009 The original caller is returning the previous message. The dog was taken to a veterinarian, who determined the dog's symptoms were not caused by the product. The dog was prescribed antibiotics and other medications, and the dog has been improving.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. Exposure history appears to indicate that even though the bait stations had been chewed on, it was still intact such that majority of the bait pesticide still remained within the bait station housing. Secondly, the potential dose of abamectin this large dog could have received from a single ant bait station is well below any dose of this compound that could potentially lead to illness in a dog and is unlikely to have been the cause of this dog's illness. The dose of abamectin used within the ant bait station is significant smaller than the dose of ivermectin, a similar compound to abamectin, used therapeutically by veterinarians to treat heartworm in dogs. Finally, follow-up with the DVM confirmed that the DVM had diagnosed the dog with an alternative etiology and that the ant spike had been ruled out as the causative agent.