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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2018-4027

2. Registrant Information.

Registrant Reference Number: 180133528

Registrant Name (Full Legal Name no abbreviations): Farnam Companies, Inc.

Address: 301 W. Osborn Road

City: Phoenix

Prov / State: Arizona

Country: USA

Postal Code: 85013

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

07-AUG-18

5. Location of incident.

Country: UNITED STATES

Prov / State: NEW MEXICO

6. Date incident was first observed.

25-JUL-18

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.       PMRA Submission No.       EPA Registration No. 270-329

Product Name: Farnam Bronco E Equine Fly Spray Plus Citronella Scent

  • Active Ingredient(s)
    • PERMETHRIN
      • Guarantee/concentration .1 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration .5 %
    • PRALLETHRIN
      • Guarantee/concentration .033 %

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

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 July 25, 2018, the owner applied this product to the dog as prevention.

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

German Shepherd

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

12.0

7. Weight (provide a range if necessary )

40.0

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

  • Nervous and Muscular Systems
    • Symptom - Recumbent
    • Specify - Inability to Stand
  • General
    • Symptom - Vocalizing
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Yes

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

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

Five minutes after the product was applied, the owner saw the dog running toward her due to a swarm of bees chasing and stinging him. Another five minutes later, the owner's son found that the dog had developed an inability to stand and vocalization. The owner then took the dog to the emergency veterinarian who gave a corticosteroid and antihistamine shot. Soon after, the owner took the dog home, bathed him with pet shampoo (Tropiclean Oatmeal shampoo), and monitored at home. The next morning on July 26, 2018, the owner's son found that the dog had passed away. On August 7, 2018, the owner contacted the Animal Product Safety Service (APSS) to report the death. The owner declined to speak with an APSS veterinarian. The APSS assistant recommended the owner call back with questions. After the call, the APSS veterinarian stated that mild dermal irritation can be seen with exposure to this product. The APSS veterinarian also stated that bee sting toxic reactions occur as a result of multiple stings when cumulative doses of toxins cause systemic poisoning and that manifestations include edema, weakness, vomiting, diarrhea, hypotension, seizures, unconsciousness, rhabdomyolysis, and renal failure. The APSS veterinarian continued by stating that delayed toxic reactions are rare, but do occur and such patients are asymptomatic after a massive bee envenomation, but later develop laboratory evidence of hemolysis, coagulopathy, thrombocytopenia, rhabdomyolysis, liver dysfunction, and disseminated intravascular coagulation.


To be determined by Registrant

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

Death

19. Provide supplemental information here

The APSS veterinarian stated that the substance was not considered to be related to causing the clinical situation. The APSS veterinarian stated that the bees were considered to have a medium likelihood of causing the clinical situation. A follow up was not performed, because additional information was not expected. A necropsy was unavailable, as the dog had already been buried.