New incident report
Incident Report Number: 2010-5740
Registrant Reference Number: 679405
Registrant Name (Full Legal Name no abbreviations): Bell Laboratories, Inc.
Address: 3699 Kinsman Blvd
City: Madison
Prov / State: WI
Country: USA
Postal Code: 53704
Domestic Animal
Country: UNITED STATES
Prov / State: CALIFORNIA
Unknown
PMRA Registration No. PMRA Submission No. EPA Registration No. 12455-69-3240
Product Name: Tomcat Ultra (Bait Tray)
Bait
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
No
Animal's Owner
Dog / Chien
Mixed Breed
1
Male
3
60.00
lbs
Unknown
Unknown / Inconnu
Unknown / Inconnu
System
Unknown / Inconnu
Unknown
No
Unknown/Inconnu
Other / Autre
specify Oral exposure based on speculation only.
(eg. description of the frequency and severity of the symptoms
8/17/2010 8:05:32 PM The caller has placed an unknown number of bait trays on his farm over the past year. Three days ago he noticed a small wound on Dog 1¿s neck. Last night he found her dead in her kennel. Today he noticed that his other dog had blood in his urine and is not eating. Both dogs are kenneled or chained unless out in yard with caller. He did not witness an ingestion of the product.
Moderate
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.
Animal's Owner
Dog / Chien
Mixed Breed
1
Female
2
50.00
lbs
Unknown
Unknown / Inconnu
Unknown / Inconnu
System
Persisted until death
No
No
Died
Other / Autre
specify No known exposure.
(eg. description of the frequency and severity of the symptoms
8/17/2010 8:05:32 PM The caller has placed an unknown number of bait trays on his farm over the past year. Three days ago he noticed a small wound on Dog 1¿s neck. Last night he found her dead in her kennel. Today he noticed that his other dog had blood in his urine and is not eating. Both dogs are kenneled or chained unless out in yard with caller. He did not witness an ingestion of the product.
Death
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.