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: 2016-0062

2. Registrant Information.

Registrant Reference Number: 150070190

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.

28-MAY-15

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

28-MAY-15

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. 23852      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Flea Egg Collar For Cats

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

7. b) Type of formulation.

Application Information

8. Product was applied?

Yes

9. Application Rate.

1

Other Units: collar

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 28, 2015 the owner applied the collar onto the cat as directed and cut off the excess.

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

Cat / Chat

3. Breed

Burmese

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.875

7. Weight (provide a range if necessary )

9.0

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Disorientation
    • Symptom - Trembling
  • Eye
    • Symptom - Glazed eye
  • General
    • Symptom - Hiding
    • Symptom - Biting

12. How long did the symptoms last?

<=30 min / <=30 min

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 May 28, 2015 the owner found the cat in his carrier experiencing symptoms and when she tried to remove cat bit the owner. The owner then removed the collar and all signs resolved. The owner then contacted the Animal Product Safety Service (APSS). The APSS technician stated s-methoprene has a wide margin of safety and we would not expect any signs other than dermal hypersensitivity. The APSS technician also stated the physical collar or the smell of the collar could cause the cat to be agitated or have a taste reaction. The APSS technician recommended bathing the cat (with mild dish soap and luke warm water or wipe off the area with a damp wash cloth), call the veterinarian (to discuss alternate flea prevention), and calling back questions.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

Signs were expected to be mild and self-limiting.