Application site pain

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VeDDRA Code: 22

664 adverse event reports referencing this reaction

664
Total Reports
11
Deaths
170.0%
Death Rate

Species Most Affected

Cat 307
Dog 278
Human 39
Horse 28
Cattle 10
Ferret 1
Other Deer 1

Breeds Most Affected

Domestic Shorthair 183
Unknown 43
Crossbred Canine/dog 34
Dog (unknown) 27
Domestic Longhair 26
Retriever - Labrador 24
Domestic Mediumhair 24
Domestic (unspecified) 15
Chihuahua 12
Cat (other) 12

Associated Drugs

Selamectin 139
Imidacloprid + Moxidectin 88
Selamectin;Sarolaner 65
Mirtazapine 39
Fluralaner Spot-On Solution 35
Emodepside + Praziquantel 20
Chlorhexidine + Ophytrium 18
Florfenicol/Terbinafine Hydrochloride/Mometasone Furoate 13
Ivermectin, Praziquantel 9
Ivermectin(1.55%)/Praziquantel(7.75%) Paste 9
Imidacloprid, Moxidectin 8
Maropitant Citrate 8
Fipronil 10%/S Methoprene 9% Spot On 8
Gabapentin 8
Carprofen 8
Genta/Momet/Clotrim Ear Oint 8
Florfenicol + Mometasone Furoate + Terbinafine Hydrochloride 8
Fluralaner/Moxidectin Spot-On 8
Mercaptobenzothiazole 7
Fipronil 9.8%/S-Methoprene 8.8%/Cyphenothrin 5.2% Squeeze-On 7

Data Summary

Metric Value
Total reports referencing reaction 664
Reports with fatal outcome 11
Case-fatality rate (reported events) 170.0%
Species observed 7
Breeds observed 20
Drugs associated with reaction 20

Source: FDA Center for Veterinary Medicine — Adverse Event Reporting (CVM AER); reaction term coded under VeDDRA 22.

Application site pain Reaction Insights

The FDA Center for Veterinary Medicine database currently lists 664 adverse event reports that reference Application site pain as a reaction term, including 11 reports with a death outcome — a 170.0% case-fatality figure calculated across only those events where this reaction was coded. The reaction is indexed in the openFDA system under VeDDRA code 22, the standardized veterinary dictionary used to normalize clinical signs across submitters. Because reports are voluntary and often describe multiple concurrent signs per animal, the volume here reflects reporting intensity rather than true incidence in the broader pet population.

Application site pain appears most frequently in reports for Cat (307 reports), Dog (278 reports), Human (39 reports) — with Cat dominating at 307 entries. Within those species, the breeds most often named alongside this reaction are Domestic Shorthair (183), Unknown (43), Crossbred Canine/dog (34). These distributions are influenced both by underlying breed popularity and by how veterinarians and owners code a given clinical sign, so they should be interpreted as a reporting fingerprint rather than a pure susceptibility ranking.

The drugs most commonly co-reported with Application site pain are Selamectin (139 reports), Imidacloprid + Moxidectin (88 reports), Selamectin;Sarolaner (65 reports), Mirtazapine (39 reports), with Selamectin appearing alongside this reaction in 139 submissions. Co-reporting does not establish that any specific product caused the reaction — FDA CVM data captures temporal association only. The value of these aggregates is in flagging which therapeutic classes appear repeatedly alongside a given clinical sign, so owners and veterinarians can ask targeted questions about medications currently in use.

Source: FDA Center for Veterinary Medicine — Adverse Event Reports FDA Center for Veterinary Medicine — Adverse Event Reports Data reflects voluntary submissions and may not represent actual incidence rates

Related

Data sourced from official AKC, AVMA, ACVO, and breed-club veterinary references. See our methodology for details. Retrieved and formatted by PlainBreed Editorial