Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2010-0069
2. Registrant Information.
Registrant Reference Number: 090036158
Registrant Name (Full Legal Name no abbreviations): Wellmark International
Address: 100 Stone Road West, Suite 111
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G5L3
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
05-APR-09
5. Location of incident.
Country: CANADA
Prov / State: QUEBEC
6. Date incident was first observed.
05-APR-09
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. 26493
PMRA Submission No.
EPA Registration No.
Product Name: Zodiac Fleatrol Power Spot Flea and Tick Control For Dogs Over 14 kg
- Active Ingredient(s)
- (S)-METHOPRENE
- PERMETHRIN
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
2
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).
On April 5, 2009, the owner incorrectly applied the product to the pet to treat a flea infestation.
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
No
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Dog / Chien
3. Breed
Alaskan Malamute
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
0.71
7. Weight (provide a range if necessary )
30
lbs
8. Route(s) of exposure
Skin
Oral
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
<=30 min / <=30 min
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Aggressive behaviour
- Specify - Erratic Behavior
- General
- Symptom - Biting
- Specify - Chewing Feet
12. How long did the symptoms last?
Unknown / Inconnu
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
Not recovered / Non rétabli
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
The APSS veterinarian stated that some dogs experience a dermal hypersensitivity reaction to this substance, but the signs should be mild and self-limiting. She recommended that the owner take the dog for a walk to distract her from biting her tail and offer a taste treat in case the product was ingested. She also recommended that the owner monitor at home, bathe the dog if she is concerned, and call back with any questions.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
19. Provide supplemental information here
On April 7, the APSS technician spoke to the owner. The owner stated that she had not bathed the dog. She also mentioned that the pet had started biting her feet. On April 9, 2009, the APSS technician spoke to the owner again. The owner stated that she still had not bathed the dog. The owner was planning to have her examined by her veterinarian. She also stated that she had given her a bone as a taste treat on the day of the call and monitored at home. The following day, the dog vomited once. This product was not applied properly: directions state to apply to the top of the dog's rump near the base of the dog's tail.