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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-0289

2. Registrant Information.

Registrant Reference Number: 100138967

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.

26-OCT-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

25-OCT-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. 21744      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Flea and Tick Spray for Dogs and Cats

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
    • PIPERONYL BUTOXIDE
    • PYRETHRINS

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: 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 October 25, 2010 the owner sprayed the cat with the product to treat an existing flea problem.

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

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.25

7. Weight (provide a range if necessary )

Unknown

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

  • Gastrointestinal System
    • Symptom - Drooling
  • General
    • Symptom - Hiding
  • Nervous and Muscular Systems
    • Symptom - Disorientation
  • General
    • Symptom - Lethargy
  • Skin
    • Symptom - Other
    • Specify - Warm Skin
  • Eye
    • Symptom - Pupil dilation
    • Specify - Mydriasis

12. How long did the symptoms last?

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

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

On October 25, 2010 cat began hypersalivating and hiding shortly after the product was applied. Later that day, the owner noticed the cat had developed additional symptoms, so rinsed the cat's coat and skin. That evening, the owner then noticed the cat had warm skin, so she gave the cat 1 mL of Childrens Tylenol and began syringing the cat water. On October 26, 2010 the owner contacted the Animal Product Safety Service (APSS). The APSS veterinarian stated with per label use serious problems are not expected, with overuse some animals develop central nervous system (CNS) depression from the alcohol. The APSS veterinarian also stated with the Tylenol exposure that methemoglobinemia is likely. The APSS veterinarian recommended taking the cat to the veterinarian, having the veterinarian call for information, monitoring the cat home for methemoglobinemia, and calling back with questions.


To be determined by Registrant

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

Minor

19. Provide supplemental information here

The owner stated the cat had fully recovered on October 27, 2010 and she had not taken the cat to the veterinarian.