Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-3206
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16225000
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.
02-JUN-08
5. Location of incident.
Country: UNITED STATES
Prov / State: TEXAS
6. Date incident was first observed.
01-JUN-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.
PMRA Submission No.
EPA Registration No. 2596-140
Product Name: UltraGuard Plus Flea and Tick Spray for Cats 8 fl . oz.
- Active Ingredient(s)
- (S)-METHOPRENE
- Guarantee/concentration .07 %
- 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).
The reporter accidentally applied the product to her pregnant 1 year old female cat on 6/1/08. The cat gave birth to 7 kittens a few hours later. The product is not indicated for use in pregnant animals.
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
3
5. Sex
Unknown
6. Age (provide a range if necessary )
.001
7. Weight (provide a range if necessary )
Unknown
8. Route(s) of exposure
Unknown
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
Unknown / Inconnu
11. List all symptoms
System
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
1-16225000: The reporter called on 6/2/08 to report she had accidentally applied a topical flea and tick product containing the active ingredients Methoprene and Tetrachlorvinphos to her pregnant cat the previous day (6/1). Several hours later the cat had given birth to 7 kittens. According to the reporter, one kitten had been born dead. She had bathed the mother with a shampoo designed for humans as soon as she had realized her error. She also had bathed the 6 kittens. The reporter then stated 2 other kittens had died on 6/1 and a 4th kitten seemed to be dying during the conversation. The mother cat and 3 of the kittens had not developed any symptoms. The safety profile of the product was discussed, and a recommendation was made to have the kittens evaluated by a veterinarian ASAP. A follow-up call was placed on 6/4/08. The reporter revealed the 4th kitten had passed away and the remaining 3 kittens were fine. She refused to given any additional information.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
19. Provide supplemental information here