Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2012-5366
2. Registrant Information.
Registrant Reference Number: DASL12090600
Registrant Name (Full Legal Name no abbreviations): Dow AgroSciences Canada Inc.
Address: Suite 2100, 450 - 1 Street S.W.
City: Calgary
Prov / State: Alberta
Country: Canada
Postal Code: T2P 5H1
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
06-SEP-12
5. Location of incident.
Country: UNITED STATES
Prov / State: TENNESSEE
6. Date incident was first observed.
20-AUG-12
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. 62719-628
Product Name: GrazonNext HL
- Active Ingredient(s)
- 2,4-D (PRESENT AS AMINE SALTS : DIMETHYLAMINE SALT, DIETHANOLAMINE SALT, OR OTHER AMINE SALTS)
- AMINOPYRALID
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: Agricultural-Outdoor/Agricole-extérieur
Préciser le type: Pasture
11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).
Plaintiff purchased five gallons of GrazonNext Herbicide and application was made on or about August 20 and 21, 2011 and 12 cattle died in September and October of 2011. The product was applied to the pastures to keep them free of broadleaf weeds and certain woody plants.
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
Other
2. Type of animal affected
Cow / Vache
3. Breed
Cow
4. Number of animals affected
12
5. Sex
Unknown
6. Age (provide a range if necessary )
Unknown
7. Weight (provide a range if necessary )
Unknown
8. Route(s) of exposure
Oral
9. What was the length of exposure?
>1 mo <= 6 mos / > 1 mois < = 6 mois
10. Time between exposure and onset of symptoms
>1 mo <=2 mos / > 1 mois < = 2 mois
11. List all symptoms
System
12. How long did the symptoms last?
Persisted until death
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
Died
16. How was the animal exposed?
Accidental ingestion/Ingestion accident.
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
The herbicide was alleged to have increased the palatability of toxic perilla mint plants causing his cattle to consume lethal amounts of the plants resulting in the death of twelve (12) cattle. Plaintiff was allegedly forced to liquidate the remainder of his herd that, as of 8/20/11, consisted of seventy-three (73) cows, five (5) small heifers, fifty-four (54) calves and three (3) angus bulls. The (name) Department of Agriculture's Regulatory Services Division Laboratory prepared an autopsy report that concluded the perilla mint "toxicosis was the cause of death" of the cattle.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here