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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7163

2. Registrant Information.

Registrant Reference Number: 130009574

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.


5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

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. 26413      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Double Action Flea And Tick Shampoo For Dogs And Cats

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


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 December 15, 2012 and again on January 22, 2013 the owner bathed the cat with the flea and tick shampoo product to treat for fleas.

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

Domestic Mediumhair

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?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms


  • General
    • Symptom - Lethargy
  • Nervous and Muscular Systems
    • Symptom - Abnormal gait
  • Eye
    • Symptom - Edema
    • Specify - Eyelid Edema
    • Symptom - Bloodshot eye

12. How long did the symptoms last?

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

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

Fully Recovered / Complètement rétabli

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 January 22, 2013 the owner noticed that the cat was symptomatic. Later that evening, the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that the risk was for dermal sensitivity. The APSS technician recommended that the owner give the cat a small meal and call back in 1 hour if the pet had not improved after eating a small meal.

To be determined by Registrant

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


19. Provide supplemental information here

The APSS veterinarian stated that the substance was considered to have a doubtful likelihood of causing the clinical situation. Later on the evening of January 22, 2013 the owner called the APSS to update the case. The owner stated that she did give the cat a small meal earlier that evening and that the cat was still symptomatic. The APSS veterinarian recommended that the owner bathe the cat with a liquid dish washing detergent (LDWD), keep the cat warm in a towel after the bath, monitor the cat at home for dermatological signs, take the cat to the veterinarian if signs continued or were more than mild, and have the veterinarian call for information. On January 29, 2013 the owner's mother called the APSS to update the case. The owner's mother stated that at an unknown time she bathed the cat and monitored the cat at home for dermatological signs. The owner's mother also stated that the cat had experienced eyelid edema and injected sclera on the evening of January 22, 2013. The owner's mother said that the cat had fully recovered on January 26, 2013. The APSS technician recommended that the owner continue to monitor the cat at home for abnormal eye discharge, swelling, etc., and that if those signs occurred to take the cat to the veterinarian for an ophthalmic examination.