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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2024-3050
2. Registrant Information.
Registrant Reference Number: ProPharma Group case #: 2024SCPU00079355
Registrant Name (Full Legal Name no abbreviations): Syngenta Canada Inc.
Address: 140 Research Lane, Research Park
City: Guelph
Prov / State: Ontario
Country: Canada
Postal Code: N1G4Z3
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
01-MAY-245. Location of incident.
Country: UNITED STATES
Prov / State: WISCONSIN
6. Date incident was first observed.
30-APR-24Product 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. 27045 PMRA Submission No. EPA Registration No. Unknown
Product Name: CRUISER 5FS INSECTICIDE
- Active Ingredient(s)
- THIAMETHOXAM
- Guarantee/concentration 47.6 %
- THIAMETHOXAM
PMRA Registration No. 29871 PMRA Submission No. EPA Registration No. Unknown
Product Name: MAXIM QUATTRO
- Active Ingredient(s)
- AZOXYSTROBIN
- Guarantee/concentration 1.33 %
- FLUDIOXONIL
- Guarantee/concentration 3.32 %
- METALAXYL-M AND S-ISOMER
- Guarantee/concentration 2.65 %
- THIABENDAZOLE
- Guarantee/concentration 26.5 %
- AZOXYSTROBIN
7. b) Type of formulation.
Application Information
8. Product was applied?
Unknown
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
Medical Professional
2. Type of animal affected
Cow / Vache
3. Breed
Unknown
4. Number of animals affected
2
5. Sex
Unknown
6. Age (provide a range if necessary )
0.25
7. Weight (provide a range if necessary )
200
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
- General
- Symptom - Death
12. How long did the symptoms last?
Persisted until death
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
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
2024SCPU00079355 - The reporter, a veterinarian, indicates an exposure to pesticides containing the active ingredients thiamethoxam, azoxystrobin, fludioxonil, metalaxyl-M, and thiabendazole. One day before the day of initial contact with the registrant, two 200 pound, 3 month old calves of unknown breed and sex ingested a small amount of corn that had been treated with the pesticides. The calves died before medical attention could be provided. The reporter was advised this was not consistent with exposure to the pesticide as described. No additional information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here
Subform III: Domestic Animal Incident Report
1. Source of Report
Medical Professional
2. Type of animal affected
Cow / Vache
3. Breed
Unknown
4. Number of animals affected
2
5. Sex
Unknown
6. Age (provide a range if necessary )
0.25
7. Weight (provide a range if necessary )
200
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
- General
- Symptom - Abnormal behaviour
- Specify - Circling
- Symptom - Lethargy
- Nervous and Muscular Systems
- Symptom - Recumbent
- Specify - Difficulty standing
- General
- Symptom - Death
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
2024SCPU00079355 - The reporter, a veterinarian, indicates an exposure to pesticides containing the active ingredients thiamethoxam, azoxystrobin, fludioxonil, metalaxyl-M, and thiabendazole. One day before the day of initial contact with the registrant, two 200 pound, 3 month old calves of unknown breed and sex ingested a small amount of corn that had been treated with the pesticides. On the day of initial contact the calves were circling, lethargic, and having difficulty standing. The reporter was advised the clinical signs were not consistent with exposure to the pesticide as described and was advised to provide symptomatic and supportive care. Seven days after the day of initial contact, the reporter contacted the registrant and reported the calves had died on the day of initial contact. No additional information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
