Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-3193
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16200508
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-MAY-08
5. Location of incident.
Country: CANADA
Prov / State: NOVA SCOTIA
6. Date incident was first observed.
28-MAY-08
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. 26489
PMRA Submission No.
EPA Registration No.
Product Name: Control Pet Care System One Spot for Dogs and Puppies 14 kg and Under
- Active Ingredient(s)
- (S)-METHOPRENE
- PERMETHRIN
7. b) Type of formulation.
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 had applied 1/2 tube of a topical flea and tick product (designed for dogs) to each of his 2 cats on 5/27/08.
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 Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
7
7. Weight (provide a range if necessary )
9
lbs
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 - Trembling
- Symptom - Head shaking
12. How long did the symptoms last?
Unknown / Inconnu
13. Was medical treatment provided? Provide details in question 17.
Yes
14. a) Was the animal hospitalized?
Yes
14. b) How long was the animal hospitalized?
1
Day(s) / Jour(s)
15. Outcome of the incident
Recvrd resid.effects/Rétabli séquelles
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
1-16200508: The reporter called on 5/28/08 to report the application of a canine topical flea and tick product to his 2 cats the previous evening. According to the reporter, he had used 1/2 tube on each of his cats. One cat had remained asymptomatic, but the other cat had developed tremors and head shaking the day of the call. According to the reporter, he had wiped the symptomatic cat off with a wet cloth but had not bathed her. The safety profile of the product was discussed including a cat's inability to metabolize the dog product. A recommendation was made to bathe both cats in a non-insecticidal shampoo and to immediately take them to a veterinarian for supportive treatment for up to 48-72 hours. A follow-up call on 5/29 revealed the cats had been seen by a veterinarian. They had been bathed and kept overnight. The reporter was unsure of what treatments had been given other then a "flea treatment" injection. The cats seemed restless after being discharged.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
19. Provide supplemental information here