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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-2905

2. Registrant Information.

Registrant Reference Number: 130064160

Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.

Address: 301 W. Osborn Road

City: Phoenix

Prov / State: Arizona

Country: USA

Postal Code: 85013

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

16-MAY-13

5. Location of incident.

Country: UNITED STATES

Prov / State: FLORIDA

6. Date incident was first observed.

14-MAY-13

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. 270-263

Product Name: Farnam Bronco Gold Equine Fly Spray

  • Active Ingredient(s)
    • BUTOXYPOLYPROPYLENE GLYCOL
      • Guarantee/concentration 7.5 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration 1 %
    • PYRETHRINS
      • Guarantee/concentration .1 %

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 May 14, 2013 the owner sprayed the dog with the product as a preventative.

To be determined by Registrant

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

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed

American Pit Bull Terrier

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

1.75

7. Weight (provide a range if necessary )

35.0

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>3 days <=1 wk / >3 jours <=1 sem

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • Skin
    • Symptom - Erythema
  • Nervous and Muscular Systems
    • Symptom - Recumbent
    • Specify - Lateral Recumbency
    • Symptom - Muscle tremors
  • General
    • Symptom - Parasitism
    • Specify - Heartworm Disease
    • 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?

Yes

14. b) How long was the animal hospitalized?

1

Day(s) / Jour(s)

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 May 14, 2013, the owner topically applied Farnam Bronco Gold Equine Fly Spray on the dog. On May 15, 2013 the owner noticed that the dog had erythema and was red all over. On May 16, 2013 the owner took the dog to the veterinarian, where he was observed to be laterally recumbent and having tremors. The dog was given methocarbamol at the clinic. Later that day the owner's regular veterinarian contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that the product contains pyrethrins, and in order for neurologic signs to develop, the dog would need to be exposed to a large amount of the product; the APSS veterinarian thought it might be best to rule out other possibilities for the dog's illness. The APSS veterinarian recommended that the regular veterinarian provide symptomatic and supportive care, provide fluid therapy, give diazepam and methocarbamol, obtain additional information about the history of the exposure and how often the product had been used, call back with questions, perform a diagnostic evaluation, and do a chemistry profile and complete blood count (CBC).


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 substance was considered to have a doubtful likelihood of causing the clinical situation. On May 21, 2013 an APSS veterinarian called the owner's regular veterinarian to update the case. The vet staff stated that the dog died on May 17, 2013 and that the dog tested positive for heartworms. The APSS veterinarian recommended that the owner's regular veterinarian call back if he wanted to discuss the case further. A necropsy was not available.