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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-4065

2. Registrant Information.

Registrant Reference Number: 621990

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.

21-APR-10

5. Location of incident.

Country: UNITED STATES

Prov / State: TENNESSEE

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. 4822-273

Product Name: Raid Flea Killer Plus Carpet and Room Spray 16 oz

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration .015 %
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
      • Guarantee/concentration 1 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration 1 %
    • PYRETHRINS
      • Guarantee/concentration .14 %
    • TETRAMETHRIN
      • Guarantee/concentration .063 %

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. - 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).

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

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

2

5. Sex

Unknown

6. Age (provide a range if necessary )

0.15

7. Weight (provide a range if necessary )

2.00

lbs

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Anorexia
  • 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 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

4/21/2010 Caller applied the product six days ago. The states that 6 kittens and the mother were placed outside in a cat carrier during application and for four hours afterwards. The area was also ventilated for one hour before cats were allowed back into the area. Two of the cats stopped nursing two days later and both died at different times. Caller does not recall when either of the cats died. A third cat has now stopped eating, is lethargic, cold to the touch, and having difficulty breathing. None of the kittens have received any type of preventative veterinary case since being born. None of the cats have been evaluated by a veterinarian.


To be determined by Registrant

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

Death

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. Any relationship between the use of this product and the delayed development of the complications reported in this case is inconceivable and lacks and biological plausibility. Even had casual or incidental contact with this product occurred, such illness reported in 3 out or 6 kittens in the home would be unexpected. Finally, these cats were never properly evaluated and treated by a DVM nor was a necropsy performed to determine a possible cause of death. The differential diagnosis for the sudden onset of acute illness and death in 8 week old kittens would include multiple potential etiologies, especially since the kittens never received preventative care from a veterinarian.

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

0.15

7. Weight (provide a range if necessary )

2.00

lbs

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

  • Gastrointestinal System
    • Symptom - Anorexia
  • Skin
    • Symptom -
    • Specify - Cold to touch
  • General
    • Symptom - Lethargy
  • Respiratory System
    • Symptom - Respiratory distress

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 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

4/21/2010 Caller applied the product six days ago. The states that 6 kittens and the mother were placed outside in a cat carrier during application and for four hours afterwards. The area was also ventilated for one hour before cats were allowed back into the area. Two of the cats stopped nursing two days later and both died at different times. Caller does not recall when either of the cats died. A third cat has now stopped eating, is lethargic, cold to the touch, and having difficulty breathing. None of the kittens have received any type of preventative veterinary case since being born. None of the cats have been evaluated by a veterinarian.


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. Any relationship between the use of this product and the delayed development of the complications reported in this case is inconceivable and lacks and biological plausibility. Even had casual or incidental contact with this product occurred, such illness reported in 3 out or 6 kittens in the home would be unexpected. Finally, these cats were never properly evaluated and treated by a DVM nor was a necropsy performed to determine a possible cause of death. The differential diagnosis for the sudden onset of acute illness and death in 8 week old kittens would include multiple potential etiologies, especially since the kittens never received preventative care from a veterinarian.