Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-2596

2. Registrant Information.

Registrant Reference Number: 3615425

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

Address: 2000 Argentia Road - Plaza 2 Suite 300

City: Mississauga

Prov / State: ON

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.

29-MAY-23

5. Location of incident.

Country: UNITED STATES

Prov / State: MISSISSIPPI

6. Date incident was first observed.

Unknown

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. 90780-10

Product Name: TOMCAT MOUSE KILLER E CHILD RESISTANT, REFILLABLE STATION

• Active Ingredient(s)
  • BROMETHALIN
    • Unknown

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7. b) Type of formulation.

Bait

Application Information

8. Product was applied?

No

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

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

Mixed Breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

7.87

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

• Gastrointestinal System
  • Symptom - Anorexia
  • Symptom - Vomiting

• General
  • Symptom - Death
  • Symptom - Lethargy

• Nervous and Muscular Systems
  • Symptom - Ataxia
  • Symptom - Muscle tremors
  • Symptom - Difficulty walking
  • Specify - Non-ambulatory
  • Symptom - Other
  • Specify - Rear proprioceptive deficit

• Gastrointestinal System
  • Symptom - Abnormal feces colour
  • Specify - Green stool

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?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

5/29/2023 The pet owner reports her dog has ingested an unknown volume of Tomcat Mouse Killer on 5/28/2023. The owner suspects it was a trace amount, not a full block, although ingestion was unwitnessed. Her dog vomited something green overnight. 5/30/2023 Callback from the treating veterinarian. The patient became non-ambulatory yesterday was still passing green stool yesterday. It is unknown if stool was diarrhea or formed. The owners did not seek emergency care before this morning. On exam his presentation was very dull, though not quite obtunded. He has no rear conscious proprioception, although his forelimb proprioception is intact. Withdrawal is present in all four limbs, and cranial nerves are intact. He has had head tremors started since arriving and is not eating. 5/31/2023 Callback attempted. A message was left requesting the owner callback. 6/1/2023 Callback to pet owner. Caller states that her dog passed away on 5/30/2023, at home. Pet was brought into the veterinarian, who informed her that there was nothing that they could do treat him. She brought him home spend time with him before he passed.

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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

The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews.