Health Canada
Symbol of the Government of Canada
Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2007-7759

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-15157501

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.

28-JUL-07

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

28-JUL-07

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.       PMRA Submission No.       EPA Registration No.

Product Name: Advanced Care 2 in 1 Flea + Tick Cat Spray - EPA 2596-126

  • Active Ingredient(s)
    • TETRACHLORVINPHOS
      • Guarantee/concentration 1.08 %

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).

To be determined by Registrant

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

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

1.44

7. Weight (provide a range if necessary )

.5

lbs

8. Route(s) of exposure

Skin

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

  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Diarrhea
    • Symptom - Bloody vomit
  • General
    • Symptom - Lethargy
  • Nervous and Muscular Systems
    • Symptom - Muscle weakness
  • 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

Unknown Flea + Tick Collar Also Applied History: Caller found this kitten less than 8 wks old about 0.5# and covered in fleas on his doorstep yesterday afternoon. The kitten had a cut above her eye, the eye was mattered shut, and she was weak. He bathed her with a people shampoo and then had to leave for about 1 hr. He came home and found that his girlfriend had "doused" the kitten with the flea spray for cats/kittens and he did not realize this and had applied a flea collar to the kitten. This morning when he woke up the kitten was weak/lethargic, vomiting, diarrhea, eye mattered shut still, and looking like she was going to die. Caller is asking what to do? NOTE: His girlfriend did not read the directions before applying the spray to the kitten. Assessment: Discussed with the caller the 2 products contain an OP and discussed with the caller the symptoms of SLUDGE. Explained to the caller that due to the kitten's stray unknown background, heavy flea infestation, eye matted shut, weakness, etc the kitten was more than likely sick before she was sprayed with the product and the flea collar applied. The spray applied is not labeled for use on kittens less than 12 wks of age. Rec. to bathe the kitten again with a hand dishwashing liquid with no "oxy" or bleach in it and rinse well with water. Recommend to give the kitten diluted gatorade or powerade in via an eye dropper. Do not give too much. Recommend there is not anything more for you to do for the kitten at home. Recommend to take the kitten to your Veterinarian for treatment as soon as possible. CB prn. Owner called back and stated he gave the kitten some diluted powerade to drink. She did drink the liquid. He did give her another bath as instructed with the hand dish washing liquid as directed, but when he was bathing her the kitten vomited up blood, is very weak and "looks like she is going to die." He is going to take her to his local Vet. 08/01/07 Follow-up The cat started to vomit blood then died shortly after talking to (name). He did not have a chance to get it to the vet. The cat was buried that same day.


To be determined by Registrant

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

Death

19. Provide supplemental information here