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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2012-1145

2. Registrant Information.

Registrant Reference Number: 110154218

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.

05-DEC-11

5. Location of incident.

Country: UNITED STATES

Prov / State: TENNESSEE

6. Date incident was first observed.

04-DEC-11

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. 2724-404-270

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

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration .27 %
    • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
      • Guarantee/concentration .62 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration .37 %
    • PYRETHRINS
      • Guarantee/concentration .2 %

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: 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 an unknown date, the owner's girlfriend applied a flea and tick squeeze on product to the cat. On December 4, 2011 the owner shampooed the cat with a flea and tick shampoo product and later applied a flea and tick mist product to the cat to treat for fleas.

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

Male

6. Age (provide a range if necessary )

0.33

7. Weight (provide a range if necessary )

4.0

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>8 hrs <= 24 hrs / >8 h <= 24 h

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • General
    • Symptom - Subdued
    • Symptom - Lethargy
  • Nervous and Muscular Systems
    • Symptom - Ataxia
    • Symptom - Fasciculations
  • Eye
    • Symptom - Discharge eye
  • Renal System
    • Symptom - Inappropriate urination
  • 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?

Treatment / Traitement

17. Provide any additional details about the incident

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

On December 4, 2011, immediately after the owner shampooed the cat with a flea and tick shampoo product, the owner noticed that the cat was subdued, lethargic, ataxic, and had fasciculations. On the morning of December 5, 2011 the owner noticed that the cat had was symptomatic. A short time later, the owner rinsed the cat's coat and skin. Later that morning, the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that signs from the flea and tick shampoo product were not expected as long as the product was rinsed and that ingestion of the flea and tick mist product could cause a taste reaction or vomiting, a dermal exposure could cause dermal irritation, and with excess use central nervous system (CNS) signs could be seen from the alcohol carrier. The APSS technician stated that cats can be sensitive to higher concentrations of permethrin product and that CNS signs such as tremors, trembling, fasciculations, and seizures could be seen. The APSS technician recommended that the owner give the cat Karo syrup, take the cat to the veterinarian, and have the veterinarian call for information.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the flea and tick shampoo product was considered to have a doubtful likelihood of causing the clinical situation, that the flea and tick mist product was not considered to be related to causing the clinical situation, and that the flea and tick squeeze on product was considered to have a medium likelihood of causing the clinical situation. On December 6, 2011 an APSS veterinarian contacted the owner to update the case. The owner stated that the cat died on the way to the veterinary clinic on the morning of December 5, 2011. The APSS veterinarian recommended a necropsy, but the owner declined because the cat had already been buried. The APSS veterinarian recommended that the owner call back to give additional information about the product that was used on the cat prior to the application of the other two products. Later that morning, the owner called back to update the case. He stated that he did not have any additional information on the products.