Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2018-6934

2. Registrant Information.

Registrant Reference Number: 180156775

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.

17-SEP-18

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

17-SEP-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)

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PMRA Registration No. 21744      PMRA Submission No.       EPA Registration No.

Product Name: Zodiac Flea and Tick Spray For Dogs and Cats

• Active Ingredient(s)
  • (S)-METHOPRENE
  • N-OCTYL BICYCLOHEPTENE DICARBOXIMIDE
  • PIPERONYL BUTOXIDE
  • PYRETHRINS

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7. b) Type of formulation.

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 September 17, 2018, the owner sprayed the cat with an unknown amount of this product to treat a condition.

To be determined by Registrant

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

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

4.0

7. Weight (provide a range if necessary )

10.0

lbs

8. Route(s) of exposure

Skin

Oral

9. What was the length of exposure?

<=15 min / <=15 min

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Salivating excessively

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

After applying the product on September 17, 2018, the owner saw the cat lick himself. Immediately, the cat became symptomatic. A few minutes later, the owner bathed the cat (washed with Palmolive) and the cat's hypersalivation ended. The owner also gave the cat 1/2 a teaspoon (tsp) of butter and cat food. The owner then contacted the Animal Product Safety Service (APSS). The APSS veterinarian stated that the risk is for gastrointestinal (GI) upset, taste reaction. The APSS assistant recommended the owner monitor at home, monitor for GI signs (watch for vomiting over the next 4-6 hours, and soft stool or diarrhea over the next 12-24 hours. Call back if more than mild occurs.), manage vomiting (nothing by mouth (NPO) for 30 mins. Reintroduce water slowly. If no vomiting, reintroduce food.), monitor for CNS signs (watch for trembling for 72 hours, call back if seen), monitor for signs (watch for signs of paresthesia such as drooling or behavior changes, call back if seen), and to call back with questions.

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To be determined by Registrant

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

Minor

19. Provide supplemental information here

Signs were expected to be mild and self-limiting.