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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-3852

2. Registrant Information.

Registrant Reference Number: 110045759

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.


5. Location of incident.


Prov / State: FLORIDA

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2724-404-270

Product Name: Adams Plus Flea And Tick Mist With Precor For Use Only On Dogs Cats

  • Active Ingredient(s)
      • Guarantee/concentration .27 %
      • Guarantee/concentration .62 %
      • Guarantee/concentration .37 %
      • Guarantee/concentration .2 %

7. b) Type of formulation.


Application Information

8. Product was applied?


9. Application Rate.


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 April 17, 2011 the owner applied the product to his cat.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


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


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure


9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

>30 min <=2 hrs / >30 min <=2 h

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Ataxia
    • Symptom - Recumbent
  • Respiratory System
    • Symptom - Laboured breathing
  • General
    • Symptom - Hypothermia
  • Nervous and Muscular Systems
    • Symptom - Disorientation
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?


15. Outcome of the incident


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 April 17, 2011 the owner noticed his cat was symptomatic. On the morning of April 18, 2011 the owner bathed the cat and contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that ingestion of the product can cause hypersalivation and vomiting and that some of these types of products contain alcohols as carriers, although central nervous system (CNS) effects from dermal or oral exposure are not expected unless there was a massive exposure. The APSS technician recommended taking the cat to the veterinarian; having the veterinarian call for information; obtaining additional information; providing fluid therapy; monitoring for CNS signs, cardiovascular function, and body temperature; providing symptomatic and supportive care; providing a diagnostic evaluation; and calling back with questions. The owner took the cat to the veterinarian shortly after speaking with the APSS, and the veterianarian called the APSS to discuss the case further. The veterinarian stated that the cat had a heart rate of 150.0 beats per minute (bpm) and a temperature of 99.0 degrees Fahrenheit. The veterinarian stated that the cat had hypothermia and was disoriented, but no longer had labored breathing.

To be determined by Registrant

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


19. Provide supplemental information here

The APSS veterinarian stated that the substance was considered to be not related to causing the clinical situation. On April 19, 2011 the owner contacted the APSS to update the case. The owner stated that the veterinarian provided the cat with fluid therapy and monitored the cat for CNS signs, cardiovascular function, and body temperature. The owner refused additional care and took the cat home from the clinic for continued monitoring, and the cat died on the morning of April 19, 2011. Later that day an APSS technician contacted the owner to discuss a necropsy. After making several follow up calls, on April 25, 2011 an APSS technician contacted the owner to let him know the body has been scheduled to be picked up and sent for a necropsy. Necropsy results revealed the cat probably died due to multiple factors including hypertrophic cardiomyopathy, liver lipidosis, thryroid tumors, and kidney disease.