Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7263

2. Registrant Information.

Registrant Reference Number: 130124581

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: ONTARIO

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).

The owner bathed the dog once in the afternoon and inappropriately again on the evening of September 4, 2013. The owner also sprayed the house with a mixture of eucalyptus oil, cedar wood oil, and citronella. The owner also placed sodium chloride on the carpets in her home, although she did place booties on the dog.

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

Dog / Chien

3. Breed

Yorkshire Terrier Mix

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

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Trembling

12. How long did the symptoms last?

Unknown / Inconnu

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

On the evening of September 4, 2013 the owner noticed that the dog was symptomatic. Later that evening the owner rinsed the dog's coat and skin and bathed the dog with an oatmeal and baby shampoo; she also contacted the Animal Product Safety Service (APSS) to obtain help at that time. The APSS veterinarian stated that the risk with all of the agents the pet was exposed to would be for mild, self-limiting gastrointestinal (GI) upset; with the product, there was also a risk for mild-to-moderate, self-limiting dermal hypersensitivity/paresthesia (a "pins and needles" feeling). With larger ingestions of sodium chloride polyuria/polydipsia (PU/PD), lethargy, possible ataxia, and tremors could be seen; persistent dermal contact could result in dermatitis as well. The APSS assistant recommended that the owner bathe the dog with a liquid dish washing detergent (LDWD), provide thermoregulation by keeping the dog warm after the bath, and 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

Signs were expected to be mild and self-limiting.