Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-3977

2. Registrant Information.

Registrant Reference Number: 647887

Registrant Name (Full Legal Name no abbreviations): Bayer CropScience Inc.

Address: #200, 160 Quarry Park Blvd SE

City: Calgary

Prov / State: AB

Country: Canada

Postal Code: T2C 3G3

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

Domestic Animal

4. Date registrant was first informed of the incident.

16-JUN-10

5. Location of incident.

Country: UNITED STATES

Prov / State: WISCONSIN

6. Date incident was first observed.

07-JUN-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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 264-840

Product Name: Baythroid XL

• Active Ingredient(s)
  • CYFLUTHRIN
    • Guarantee/concentration 12.7 %

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7. b) Type of formulation.

Liquid

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

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Labrador Retriever

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

4

7. Weight (provide a range if necessary )

58.00

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

<=15 min / <=15 min

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• General
  • Symptom - Death

• Respiratory System
  • Symptom - Nose bleed
  • Symptom - Respiratory distress

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?

Yes

14. b) How long was the animal hospitalized?

3

Day(s) / Jour(s)

15. Outcome of the incident

Died

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

June 16, 2010 Veterinarian called to report on two dogs who were believe to have possible been exposed to insecticide. The owner's neighbor reportedly applied diluted Baythroid on the neighbors property on June 7. It had rained heavily on June 8. The dogs have had free access to the field, but it is not known if or when the dogs reentered the field after application. Both dogs developed nose bleeds and respiratory issues within about 3-5 days of insecticide application. The four year-old female passed away on June 14; The five year-old male has developed seizures today. Both dogs have normal prothrombin times which would seemingly rule out rodenticide exposure.

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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

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

Labrador Retriever

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

5

7. Weight (provide a range if necessary )

91.00

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

<=15 min / <=15 min

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• Nervous and Muscular Systems
  • Symptom - Seizure

• Respiratory System
  • Symptom - Nose bleed
  • Symptom - Respiratory distress

12. How long did the symptoms last?

Unknown / Inconnu

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

4

Day(s) / Jour(s)

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

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

June 16, 2010 Veterinarian called to report on two dogs who were believe to have possible been exposed to insecticide. The owner's neighbor reportedly applied product on the neighbors property on June 7. It had rained heavily on June 8. The dogs have had free access to the field, but it is not known if or when the dogs reentered the field after application. Both dogs developed nose bleeds and respiratory issues within about 3-5 days of insecticide application. The four year-old female passed away on June 14; The five year-old make has developed seizures today. Both dogs have normal prothrombin times which would seemingly rule out rodenticide exposure.

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To be determined by Registrant

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

Major

19. Provide supplemental information here