Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2020-2209
2. Registrant Information.
Registrant Reference Number: 33908
Registrant Name (Full Legal Name no abbreviations): Bayer Inc
Address: 2920 matheson BLVD
City: Mississaugua
Prov / State: ON
Country: Canada
Postal Code: L4W 5R6
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
29-JUN-20
5. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
29-JUN-20
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. 27586
PMRA Submission No.
EPA Registration No.
Product Name: advantage II large cat
- Active Ingredient(s)
- IMIDACLOPRID
- PYRIPROXYFEN
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
.8
Units: mL
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 28-Jun-2020, a 4 year old, 5.38 kg, male neutered in good condition with no concomitant medical conditions was administered one ADVANTAGE II 6 X 0.8 ML LARGE CAT, (-), by Animal owner. The product was used according to label (No). The product was applied between the shoulder blades, instead of at the base of the skull. Please note, the product was not purchased from this veterinary clinic, and the packaging has not been seen directly by the veterinarian. The cat went outside for the night.
To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
No
Subform III: Domestic Animal Incident Report
1. Source of Report
Medical Professional
2. Type of animal affected
Cat / Chat
3. Breed
not provided
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
4
7. Weight (provide a range if necessary )
5.38
kg
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
- Respiratory System
- Symptom - Heavy breathing
- Symptom - Tachypnea
12. How long did the symptoms last?
Unknown / Inconnu
13. Was medical treatment provided? Provide details in question 17.
No
14. a) Was the animal hospitalized?
No
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 29-June-2020, the cat was found by the owners to be experiencing generalized tremors with heavy breathing. The owners brought the cat into the clinic. Upon physical examination, the cat was found to have generalized tremors, tachypnea, mildly dilated pupils. The cat is not eating or drinking. Blood work was done, and no abnormalities were found. The outcome is unknown at this time.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
19. Provide supplemental information here