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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-2632

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-26317992

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.

30-MAY-11

5. Location of incident.

Country: CANADA

Prov / State: SASKATCHEWAN

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. Unknown

Product Name: Killex (Non-specific)

  • Active Ingredient(s)
    • 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
    • DICAMBA (PRESENT AS ACID, AMINE SALT, ESTER, OR SODIUM SALT)
    • MECOPROP P-ISOMER (PRESENT AS ACID)

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).

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

Golden Retriever

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

10

7. Weight (provide a range if necessary )

60

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 - Diarrhea
    • Symptom - Vomiting
  • General
    • Symptom - Cancer
    • Specify - Diagnosed with stomach cancer
    • Symptom - Death

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?

Unknown

14. b) How long was the animal hospitalized?

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

1-26317992-The caller, a pet owner, indicated his animal had been exposed to an herbicide containing the active ingredients 2,4-D (dimethylamine salt), Mecoprop-P (propionic acid), and dicamba (dimethylamine salt). The reporter indicates he had applied the product to his residential lawn sixteen days prior to his initial contact with the registrant. He indicated his ten year old sixty pound female golden retriever dog (Subform III, #1)had developed vomiting and diarrhea within four days of application. He did not describe a discreet exposure incident. He then reported his female sixty pound Labrador retriever dog (Subform III, #2) had also developed vomiting and diarrhea fifteen days following application. He, similarly, did not describe a discreet exposure incident. He reports the Golden retriever dog had been to the veterinarian due to the persistent signs and they have not been able to determine the nature of the illness. The pet owner was advised of the potential gastrointestinal irritant effect of the product when directly ingested by animals, but that the time line and severity/persistence of the signs described were inconsistent with the toxicity profile of the active ingredients. On follow up the pet owner indicated the golden retriever dog had been diagnosed with stomach cancer and euthanized. The Labrador had spontaneously resolved. He provided no time line associated with these events. No further information is available.


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

Animal's Owner

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 )

Unknown

7. Weight (provide a range if necessary )

60

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>1 wk <=1 mo / > 1 sem < = 1 mois

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Diarrhea

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

Fully Recovered / Complètement rétabli

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

1-26317992-The caller, a pet owner, indicated his animal had been exposed to an herbicide containing the active ingredients 2,4-D (dimethylamine salt), Mecoprop-P (propionic acid), and dicamba (dimethylamine salt). The reporter indicates he had applied the product to his residential lawn sixteen days prior to his initial contact with the registrant. He indicated his ten year old sixty pound female golden retriever dog (Subform III, #1)had developed vomiting and diarrhea within four days of application. He did not describe a discreet exposure incident. He then reported his female sixty pound Labrador retriever dog (Subform III, #2) had also developed vomiting and diarrhea fifteen days following application. He, similarly, did not describe a discreet exposure incident. He reports the Golden retriever dog had been to the veterinarian due to the persistent signs and they have not been able to determine the nature of the illness. The pet owner was advised of the potential gastrointestinal irritant effect of the product when directly ingested by animals, but that the time line and severity/persistence of the signs described were inconsistent with the toxicity profile of the active ingredients. On follow up the pet owner indicated the golden retriever dog had been diagnosed with stomach cancer and euthanized. The Labrador had spontaneously resolved. He provided no time line associated with these events. No further information is available.


To be determined by Registrant

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

Minor

19. Provide supplemental information here