Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2023-3893

2. Registrant Information.

Registrant Reference Number: 3644229

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.

28-JUN-23

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

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. 33359      PMRA Submission No.       EPA Registration No.

Product Name: SCOTTS WEED B GON MAX CONC

• Active Ingredient(s)
  • IRON (PRESENT AS FEHEDTA)

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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: 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).

Please refer to field 13 on Subform II or field 17 of subform III for a detailed description regarding application.

To be determined by Registrant

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

Yes

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Dog / Chien

3. Breed

Norwegian Elkhound

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

11

7. Weight (provide a range if necessary )

44.09

lbs

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

• Gastrointestinal System
  • Symptom - Vomiting

• General
  • Symptom - Other
  • Specify - Normal or slightly higher than normal body temperature
  • Symptom - Malaise
  • Symptom - Polydipsia
  • Symptom - Other
  • Specify - High thyroid values

• Blood
  • Symptom - Leukopenia
  • Specify - Low lymphocytes

• Renal System
  • Symptom - Polyuria

12. How long did the symptoms last?

Unknown / Inconnu

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

Not recovered / Non rétabli

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

6/14/23 Consumer emailed to say he may have inadvertently poisoned his dog. After discussion with the consumer it was revealed that he waited until the lawn was dry to let the dog out on the lawn, but dog started feeling bad, "poop little runny etc". Advised of the poison control number and he declined stating he would have to pay 85 American dollars to talk with them also advised that if the lawn was dry the product should not have affected the dog. 6/27/23 The consumer's email was forwarded to the medical line and a response sent to him requesting follow-up. 6/28/23 Call back from consumer. Caller reports that on June 14th, 2023, his dog might have been exposed to treated area before the completion of the 3-hour waiting period after application, and might have ingested some treated grass. The dog developed malaise while outside by that evening and vomited when came inside for supper. He has since developed increased water consumption since the one vomiting episode (5-6 cups daily), but is urinating appropriately considering increased consumption of water. Increased water consumption and urine output continues. The vomiting resolved after the first episode, and caller denies diarrhea ever occurring. The dog has received outpatient lab tests and all results were within normal limits except for a low lymphocyte percentage and a high thyroid value. Radiographs were recommended by the veterinarian. The dog's appetite is currently normal, and her body temperature has been normal or slightly higher than normal. It is unknown when tests and evaluation were completed in relation to the dog's potential ingestion of the treated grass. The dog has further veterinary evaluation scheduled for July 18th, 2023.

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To be determined by Registrant

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

Moderate

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.