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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4971
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16363602
Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation
Address: 400 Plaza Drive
City: Secaucus
Prov / State: New Jersey
Country: USA
Postal Code: 07094-3688
3. Select the appropriate subform(s) for the incident.
Domestic Animal
4. Date registrant was first informed of the incident.
05-JUL-085. Location of incident.
Country: UNITED STATES
Prov / State: PENNSYLVANIA
6. Date incident was first observed.
05-JUL-08Product 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. PMRA Submission No. EPA Registration No. 2596-140
Product Name: UltraGuard Plus Flea and Tick Spray for Cats
- Active Ingredient(s)
- (S)-METHOPRENE
- Guarantee/concentration .07 %
- TETRACHLORVINPHOS
- Guarantee/concentration 1.08 %
- (S)-METHOPRENE
7. b) Type of formulation.
Liquid
Application Information
8. Product was applied?
Yes
9. Application Rate.
Unknown
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).
The reporter applied the product to her 13 cats the evening of 7/4/08.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
Cat / Chat
3. Breed
Himalayan
4. Number of animals affected
2
5. Sex
Male
Female
6. Age (provide a range if necessary )
4.25
7. Weight (provide a range if necessary )
lbs
Unknown
8. Route(s) of exposure
Skin
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
Unknown / Inconnu
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?
Treatment / Traitement
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-16363602: The reporter called on 7/5/08 to report the death of 2 of her cats after the application of a topical flea and tick product containing the active ingredients Methoprene and Tetrachlorvinphos. According to the reporter, she had applied the product to her 13 cats the evening of 7/4. She had left home after the application and had returned the evening of 7/5. Upon her return she had found two of her cats had died and three others were recumbent and vocalizing. At the time of the call, the remaining cats seemed asymptomatic and the reporter had bathed all the cats. A recommendation was made to have the symptomatic cats seen by a veterinarian immediately. The reporter refused the recommendation as she thought it was too late. A follow up call revealed that a total of 6 of the 13 cats had died. None had been taken to a veterinarian as the reporter had financial constraints. With the help of a friend who is a veterinary assistant, the reporter had been giving fluids and liquid żżżironżżż to the remaining cats (still asymptomatic). 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
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Unknown
4. Number of animals affected
3
5. Sex
Unknown
6. Age (provide a range if necessary )
Unknown
7. Weight (provide a range if necessary )
Unknown
8. Route(s) of exposure
Skin
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
Unknown / Inconnu
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Recumbent
- General
- Symptom - Vocalizing
- 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?
Treatment / Traitement
17. Provide any additional details about the incident
(eg. description of the frequency and severity of the symptoms
1-16363602: The reporter called on 7/5/08 to report the death of 2 of her cats after the application of a topical flea and tick product containing the active ingredients Methoprene and Tetrachlorvinphos. According to the reporter, she had applied the product to her 13 cats the evening of 7/4. She had left home after the application and had returned the evening of 7/5. Upon her return she had found two of her cats had died and three others were recumbent and vocalizing. At the time of the call, the remaining cats seemed asymptomatic and the reporter had bathed all the cats. A recommendation was made to have the symptomatic cats seen by a veterinarian immediately. The reporter refused the recommendation as she thought it was too late. A follow up call revealed that a total of 6 of the 13 cats had died. None had been taken to a veterinarian as the reporter had financial constraints. With the help of a friend who is a veterinary assistant, the reporter had been giving fluids and liquid żżżironżżż to the remaining cats (still asymptomatic). No additional information is available.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
