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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-2241

2. Registrant Information.

Registrant Reference Number: PROSAR 1-22298797

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.

18-APR-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

17-APR-10

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. 29060      PMRA Submission No.       EPA Registration No.

Product Name: SCOTTS® TURF BUILDER? WEED PREVENT CORN GLUTEN MEAL HERBICIDE

  • Active Ingredient(s)
    • CORN GLUTEN MEAL

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 product was applied on 4/16/10 and the patient developed symptoms on 4/17/10.

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

Mixed Breed

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

10

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Vomiting

12. How long did the symptoms last?

>8 hrs <=24 hrs / > 8 h < = 24 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?

Other / Autre

specify There was no witnessed exposure; the owner presumed the dog ingested product since the vomitus was a similar color as the product.

17. Provide any additional details about the incident

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

1-22298797: The reporter, an animal owner, notified the registrant on 4/18/10 of the exposure of a 2 year old female mixed breed dog to a fertilizer/herbicide product containing the active ingredient Corn Gluten meal. According to the reporter, the product had been applied on 4/16/10. The dog developed persistent vomiting on 4/17; however, by the time of the call the dog was asymptomatic. The reporter was concerned the dog had ingested the product as the dog's vomitus resembled the color of the product. She inquired about possible long-term effects. The reporter was advised that ingestions of the product could cause minor GI irritation, which should be managed with fluid replacement therapy as needed. Veterinary care should be sought if symptoms persisted. A follow-up call on 4/19/10 revealed the dog was doing better ¿ symptoms had resolved after 24 hours.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here