Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-6252

2. Registrant Information.

Registrant Reference Number: ProPharma Group case #: 2021SCUS00026701

Registrant Name (Full Legal Name no abbreviations): Scotts Canada Ltd.

Address: 2000 Argentia Road, Plaza 2, Suite 300

City: Mississauga

Prov / State: Ontario

Country: Canada

Postal Code: L5N1V8

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

Domestic Animal

4. Date registrant was first informed of the incident.

01-OCT-21

5. Location of incident.

Country: UNITED STATES

Prov / State: NEW YORK

6. Date incident was first observed.

01-OCT-21

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.       PMRA Submission No.       EPA Registration No. 67702-15-239

Product Name: ORTHO INSECT, MITE & DISEASE 3-IN-1 READY TO USE

• Active Ingredient(s)
  • PYRETHRINS
    • Guarantee/concentration .01 %
  • SULPHUR
    • Guarantee/concentration .2 %

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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: Res. - Out Home / Rés - à l'ext.maison

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

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

Dog / Chien

3. Breed

Yorkshire Terrier

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

• General
  • Symptom - Death

• Respiratory System
  • Symptom - Heavy breathing

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?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

2021SCUS00026701 - The reporter, a pet owner, indicates an exposure to a pesticide containing the active ingredients pyrethrins and sulfur. An unknown number of days before the day of initial contact with the registrant, the reporter indicated they applied the pesticide to trees around their home and did not allow their female Yorkshire Terrier of unknown age and weight around the trees until the pesticide had dried. On the day of initial contact, the reporter indicated the dog started breathing heavily so was brought to a veterinarian where she died. The reporter stated the dog had previously been diagnosed with pulmonary hypertension and collapsing trachea. No additional information was available.

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To be determined by Registrant

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

Death

19. Provide supplemental information here

Please note that this submission in no way implies that Scotts Canada Ltd. agrees with the allegations contained within this incident report.