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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2016-0020

2. Registrant Information.

Registrant Reference Number: 150081997

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. 26413      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Double Action Flea And Tick Shampoo For Dogs And Cats

  • Active Ingredient(s)

PMRA Registration No. 19211      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Integral Buckle Flea And Tick Collar For Dogs

  • 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).

On June 18, 2015 the owner bathed the dog with the shampoo to treat a flea infestation and then, after the bath, applied the collar.

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


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


  • Gastrointestinal System
    • Symptom - Vomiting
  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Bloody stool
    • Symptom - Diarrhea
    • Symptom - Weight loss
  • General
    • Symptom - Parasitism

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 June 19, 2015 the dog became symptomatic. Later that day, the owner removed the collar. Shortly after the collar was removed, the owner contacted the Animal Product Safety Service (APSS). The APSS veterinarian stated with ingestion of the shampoo, gastrointestinal (gi) upset is possible. The APSS veterinarian stated that with the collar, the concern is for dermal irritation. The APSS technician recommended monitor the dog at home (for continued/worsening GI signs), call back with questions (if vomiting or diarrhea persists/worsens), bathe the dog in liquid dishwashing detergent (LDWD), discontinue product (collar) usage.

To be determined by Registrant

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


19. Provide supplemental information here

On June 21, 2015 the owner called the APSS with an update. The owner noted that the loose stools are continuing but no more blood has been seen and also noted the dog appears to be losing weight. The APSS technician recommended a bland diet (boiled chicken and white rice for the next 3 days), take the dog to the veterinarian (when possible for exam), and have the veterinarian call for information. On June 30, 2015 an APSS technician called the owner to follow up the case. The owner stated the dog was taken to the veterinarian and was treated for fleas. The owner also noted the dog has parasites and she is planning on taking the dog back to the veterinarian for treatment of this soon. The owner finally stated that the signs the dog was showing at the time of the call ended a couple days after the APSS spoke with her.