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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4242

2. Registrant Information.

Registrant Reference Number: x

Registrant Name (Full Legal Name no abbreviations): x

Address: x

City: x

Prov / State: x

Country: x

Postal Code: X

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

Domestic Animal

4. Date registrant was first informed of the incident.

5. Location of incident.

Country: CANADA


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. 28743      PMRA Submission No.       EPA Registration No.


  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


Units: mL

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).

It was applied on the back of neck down between shoulder blades - Spot-on treatment. Amount applied - 1 tube = 1 ml, product. Cat was treated with pesticide (spot-on treatment). 1ml on the back of the neck and between shoulder blades. was applied once (first time).

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


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?

<=15 min / <=15 min

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Seizure
  • Gastrointestinal System
    • Symptom - Foaming at mouth
  • Nervous and Muscular Systems
    • Symptom - Head shaking
  • General
    • Symptom - Lethargy
    • Symptom - Abnormal behaviour
    • Specify - very frightened
    • Symptom - Hiding
  • Respiratory System
    • Symptom - Difficulty Breathing
  • General
    • Symptom - Other
    • Specify - nose was very hot and dry
    • Symptom - Lethargy
    • Specify - difficult to wake him up
  • Nervous and Muscular Systems
    • Symptom - Other
    • Specify - was very limp
  • General
    • Symptom - Chemical taste in mouth
    • Specify - spitting

12. How long did the symptoms last?

>24 hrs <=3 days / >24 h <=3 jours

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

At 6:30pm, I applied this product as instructed. Within 2-3 mins the cat started foaming at the mouth, shaking his head, and spitting. Then he began jumping, running, screaming, and behaving as if he was having a seizure. This lasted for about 20min. Once he calmed down some he appeared very frightened of everything including me. Crawled into his litter box to hide. We brought out his carrier and he was happy to hide it there, somewhere he doesnt like to be usually. When I was finally able to pick him up, about 2hrs. he was very limp. He was very lethargic and not responding to us. We gave him a bath to try and remove product. Barely reacted to the bath, something he would normally fight. He fell asleep after bath. At 2am I noticed he was barely breathing, nose was very hot and dry. Very difficult to wake him, he could not get up. 6am still the same. After 2hrs of being awake he started to move about. We took him to the vet and were told that we were lucky he made it through the night.When I saw what was happening to our cat I looked up on the internet what others had to say about this product. I couldnt believe what I read. There were other cats that had very frightening experiences. These are just from people who think to share, what about all those that we never hear about. The vet had said that this is a very dangerous product to be using and should be avoided. He told us, `Animals are known to die from it. And that still 30% of animals that have the flush treatment from a vet, still die. I am very worried that there could be some lasting neurological after affects that he/we will have to live with because of the seizure this product had brought on. Products like this should not be on the market. I do hope that something can be done about it.

To be determined by Registrant

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

Not Applicable

19. Provide supplemental information here