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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-7312

2. Registrant Information.

Registrant Reference Number: 130151150

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.

30-OCT-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

28-OCT-13

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.

Active(s)

PMRA Registration No. 26493      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Powerspot Flea And Tick Control For Dogs Over 14 kg

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PERMETHRIN

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

2

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 October 28, 2013 the owner applied the product to the dog to prevent fleas.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Parson Russell Terrier Mix

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

5.0

7. Weight (provide a range if necessary )

32.0

lbs

8. Route(s) of exposure

Skin

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

System

  • General
    • Symptom - Clingy
    • Symptom - Hesitancy to move
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Loss of appetite
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

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 October 28, 2013 the owner noticed that the dog was clingy, hesitant to move, lethargic, and inappetent. On October 29, 2013 the owner bathed the dog with a human shampoo product. On the morning of October 30, 2013 the owner noticed that the dog was anorexic and adipsic. Later that morning the owner contacted the Animal Product Safety Service (APSS) to obtain help. The APSS veterinarian stated that Permethrins and Pyrethroids can cause a tingling sensation to the skin. The APSS veterinarian also stated that some animals are more sensitive to the product than others, and may experience rolling, hiding, vocalization, clingy behavior, lethargy, reluctance to move, or have an abnormal gait (for example, taking a few steps, stopping, sitting down, and then turning quickly toward their tail). The APSS veterinarian said that signs often resolve after bathing and with topical applications of vitamin E and cool compresses, but it may take up to 24 to 72 hours for signs to resolve fully. The APSS veterinarian stated that oral exposures could lead to hypersalivation, vomiting, and diarrhea. The APSS assistant recommended that the owner bath the dog twice with a liquid dish washing detergent (LDWD), apply a cold compress, apply vitamin E topically at the application site once or twice a day as needed, monitor the dog for dermatological signs, call back if no improvement was seen, discontinue product usage, call back with questions, and call her regular veterinarian.


To be determined by Registrant

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

Minor

19. Provide supplemental information here