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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7250

2. Registrant Information.

Registrant Reference Number: 130118213

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


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.       PMRA Submission No.       EPA Registration No. 2724-814

Product Name: Kirkland Signature Flea And Tick Control For Cats 5lbs and over

  • 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).

On July 24, 2013 the owner applied the product to the geriatric cat to prevent fleas. Unknown if owner contacted veterinarian prior to use.

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 Shorthair

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?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms


  • Gastrointestinal System
    • Symptom - Loss of appetite
  • General
    • Symptom - Abnormal behaviour
    • Specify - Behavior Change
    • Symptom - Hiding
  • Nervous and Muscular Systems
    • Symptom - Agitation
  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia
  • Skin
    • Symptom - Hair loss
    • Specify - Excessive Shedding

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

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 August 8, 2013 the owner noticed that the cat was agitated. On August 9, 2013 the owner noticed that the cat was anorexic and adipsic. On August 10, 2013 the owner noticed that the cat was hiding and had alopecia. On August 20, 2013 the owner contacted the company to obtain help. The companys veterinarian stated that some animals are more sensitive to these products and may develop hair loss at the application site or dermal irritation. The companys call center staff recommended that the owner call back with questions.

To be determined by Registrant

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


19. Provide supplemental information here

On August 23, 2013 the owner contacted the Animal Product Safety Service (APSS) to obtain help. Some of the details the owner gave differed from what was recorded during the initial consultation with the company. The owner stated that on July 25, 2013 the cat was inappetent and not wanting to cuddle as much as normal. On July 26, 2013 the owner noticed that the cat was hiding and shedding excessively, losing large clumps of hair at a time. Later that evening the owner bathed the cat with a cat/dog shampoo. The owner stated that the cat had fully recovered on July 27, 2013. The APSS veterinarian stated that the risk was for mild dermal sensitivity. This product is not registered for use in Canada.