Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2024-1818
2. Registrant Information.
Registrant Reference Number: CAN-ZZELANCO-CA2024_000339
Registrant Name (Full Legal Name no abbreviations): Elanco
Address: 1919 Minnesota Court, Suite 401
City: Mississauga
Prov / State: ON
Country: Canada
Postal Code: L5N 0C9
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
16-FEB-24
5. Location of incident.
Country: CANADA
Prov / State: BRITISH COLUMBIA
6. Date incident was first observed.
31-JAN-24
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. 29780
PMRA Submission No.
EPA Registration No.
Product Name: K9 Advantix II Large Dog
- Active Ingredient(s)
- IMIDACLOPRID
- PERMETHRIN
- PYRIPROXYFEN
7. b) Type of formulation.
Application Information
8. Product was applied?
Yes
9. Application Rate.
2.5
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 16-Feb-2024, a veterinary clinic staff member contacted Elanco regarding a possible adverse reaction to K9 advantix II Large Dog (Permethrin, Imidacloprid, Pyriproxyfen). On 31-Jan-2024 the pet owner applied the product to the dog.
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
Medical Professional
2. Type of animal affected
Dog / Chien
3. Breed
Bulldog - French Crossbred
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
6.7
7. Weight (provide a range if necessary )
13.3
kg
8. Route(s) of exposure
Skin
9. What was the length of exposure?
>1 wk <=1 mo / > 1 sem < = 1 mois
10. Time between exposure and onset of symptoms
Unknown / Inconnu
11. List all symptoms
System
- Skin
- Symptom - Itchy skin
- Symptom - Red skin
- Nervous and Muscular Systems
- Symptom - Other
- Specify - Ear twitch
- Skin
- Symptom - Pruritus
- Symptom - Irritated skin
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 31-Jan-2024, an unknown time after application, the 6.7-year-old, 13.3 kg, neutered, male, crossbred French Bulldog, developed facial pruritus (pruritus) and itchy ears (itchy skin). On 07-Feb-2024 the dog was seen by the veterinarian who found the dog had an itchy, red, and irritated face, and itchy and twitchy ears (ear twitching). No treatments were performed.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
19. Provide supplemental information here