New incident report
Incident Report Number: 2013-6709
Registrant Reference Number: 5160520
Registrant Name (Full Legal Name no abbreviations): Sure-Gro Inc.
Address: 150 Savannah Oaks Dr.
City: Brantford
Prov / State: Ontario
Country: Canada
Postal Code: N3V 1E7
Domestic Animal
Country: CANADA
Prov / State: ONTARIO
PMRA Registration No. 28353 PMRA Submission No. EPA Registration No.
Product Name: Wilson Predator Rat and Mouse Killer Pellets
Unknown
Unknown
Animal's Owner
Dog / Chien
unknown
1
Male
16
48
lbs
Oral
>3 days <=1 wk / >3 jours <=1 sem
Unknown / Inconnu
System
Unknown / Inconnu
Unknown
Unknown
Unknown/Inconnu
Accidental ingestion/Ingestion accident.
(eg. description of the frequency and severity of the symptoms
S. Caller states that while she was away for the weekend her dog may have ingested some Wilson Predator Rat Mouse Killer Pellets Place Packs possibly a 1/4 of the package (1 mouthful). The dog is acting drunk and hind leg weakness Caller: Jane Patient Name: Not Available Age:16 Years Weight: 48.0 Lb Gender:Male O. Symptoms: Muscle weakness Other A. Acute animal ingestion SX Exposure: Wilson Predator Rat Mouse Killer Pellets Place Packs R. Caller has decided to just take her dog to the DVM Offered to transfer to NAPCC but caller refused Therapies: No therapies recommended
Minor
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified.