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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2019-0768

2. Registrant Information.

Registrant Reference Number: 180179467

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.

26-OCT-18

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

11-OCT-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. 2724-803-270

Product Name: Adams Flea And Tick Spray For Cats

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration .1 %
    • ETOFENPROX
      • Guarantee/concentration .25 %
    • PIPERONYL BUTOXIDE
      • Guarantee/concentration .75 %

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 October 10, 2018, the owner applied an unknown amount of the spray to the cat 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

Siamese

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

5.0

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Lameness
  • Gastrointestinal System
    • Symptom - Vomiting
  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Recumbent
    • Specify - Inability to Stand

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?

Yes

14. b) How long was the animal hospitalized?

10

Hour(s) / Heure(s)

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

On the morning of October 11, 2018, the cat developed lameness (significantly limp and could only move her legs a little bit) and an inability to stand. Soon after, the owner bathed the cat with shampoo. In the afternoon on October 11, 2018, the owner took the cat to the regular veterinarian who provided fluid therapy and supportive care (owner stated that the pet was given unknown medications and was placed in an incubator). A few hours later, the cat was discharged from the veterinary clinic. Soon after at home, the owner provided the cat with thermoregulation (owner had pet on a heating pad to stay warm) and the cat developed vomiting. The next morning on October 12, 2018, the owner took the cat back to the regular veterinarian who provided additional supportive care and fluid therapy. That evening, the cat was discharged from the clinic. In the early morning on October 13, 2018, the cat passed away. On October 26, 2018, the owner contacted the Animal Product Safety Service (APSS) to report the death. The APSS veterinarian stated if a large amount of this spray was applied, alcohol toxicity could be seen. The APSS veterinarian also stated that alcohols are absorbed quickly from the gastrointestinal (GI) tract, and clinical signs may develop within 30-60 minutes (min) of exposure. Finally, the APSS veterinarian stated that aspiration pneumonia may also be a risk if vomiting occurs and that clinical signs may last for up to 24 hours, longer with significant overdoses. The APSS technician recommended the owner call back with questions.


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. At the time of this report, a necropsy is not pending.