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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-0824

2. Registrant Information.

Registrant Reference Number: 140151339

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.


Prov / State: UNKNOWN

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. 2724-803-270

Product Name: Adams Flea and Tick Spray for Cats

  • Active Ingredient(s)
      • Guarantee/concentration .1 %
      • Guarantee/concentration .25 %
      • Guarantee/concentration .75 %

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 November 24, 2014 the owner was told by her daughter that she had sprayed the cat very lightly due to a very heavy flea burden.

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?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms


  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Weakness
  • Gastrointestinal System
    • Symptom - Diarrhea
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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 November 25, 2014 the cat became lethargic and anorexic. On November 26, 2014 the owner began giving the cat oral electrolyte solution. On November 27, 2014 the cat became weak (does not want to stand, falls over if owner tries to get her to stand). On November 28, 2014 the owner contacted the Animal Product Safety Service (APSS). The APSS veterinarian stated adverse signs can be seen with therapeutic doses of etofenprox; hypersalivation, agitation, and lethargy are most commonly seen. The APSS veterinarian also stated it is possible to see trembling hyperesthesia, dermal irritation at application site, rarely tremors, vomiting, ataxia, and anorexia may be seen in cats. The APSS assistant recommended taking the cat to the veterinarian as soon as possible for an exam and treatment (suspect flea bite anemia as one rule out); and have a veterinarian call for information. The APSS assistant recommended looking into low cost care in her area as the owner is reluctant to seek care due to funds.

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. On December 1, 2014 an APSS technician called the owner to follow up the case. The owner stated the cat died on November 29, 2014. While speaking with the APSS veterinarian the owner stated between November 27 and 29, 2014 the cat had diarrhea. The owner stated the cat's body was at the clinic and she declined a necropsy.