Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2014-6211

2. Registrant Information.

Registrant Reference Number: 140054954

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.

07-MAY-14

5. Location of incident.

Country: CANADA

Prov / State: QUEBEC

6. Date incident was first observed.

06-MAY-14

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)

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

Product Name: Zodiac Fleatrol Power Spot Flea and Tick Control For Dogs Over 14 kg

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

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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 May 6, 2014 the owner inappropriately applied the dog product to the cat.

To be determined by Registrant

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

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

3.0

7. Weight (provide a range if necessary )

3.0

kg

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Nervous and Muscular Systems
  • Symptom - Muscle tremors
  • Symptom - Seizure

12. How long did the symptoms last?

Unknown / Inconnu

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

Yes

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 May 6, 2014 the cat developed tremors. On May 7, 2014 the cat had a seizure and shortly after her tremors got worse throughout the morning. Later that day, the attending veterinarian gave the cat subcutaneous fluid therapy and wiped off the coat/skin. The attending veterinarian then called the Animal Product Safety Service (APSS). The APSS veterinarian stated the product contains permethrin, cats are very sensitive and even a drop or two can cause marked tremors in some cats. The APSS veterinarian recommended bathing the cat with liquid dish washing detergent, giving methocarbamol, hospitalizing the cat, and giving intravenous (IV) fluids. The attending veterinarian stated the owner had limited funds and was unable to hospitalize the cat or provide IV fluids. The attending veterinarian also stated they do not have access to methocarbamol and unable to get it from a local pharmacy. The APSS veterinarian recommended sending the cat to an emergency veterinarian, but the owner is unlikely to do so.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here

Extra Label Use product not labelled for use on cats.