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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-3635
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16063308
Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation
Address: 400 Plaza Road
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.
24-APR-085. Location of incident.
Country: CANADA
Prov / State: NEWFOUNDLAND
6. Date incident was first observed.
23-APR-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. 26491 PMRA Submission No. EPA Registration No.
Product Name: Control Pet Care System One Spot Topical Treatment for Cats/Kittens
- Active Ingredient(s)
- (S)-METHOPRENE
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 applied the product to the cat on 4/23/08.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
Mixed Breed
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
0.83
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
<=30 min / <=30 min
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Fasciculations
- Respiratory System
- Symptom - Rapid breathing
- Nervous and Muscular Systems
- Symptom - Agitation
12. How long did the symptoms last?
>8 hrs <=24 hrs / > 8 h < = 24 h
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
Fully Recovered / Complètement rétabli
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
1-16063308: The reporter called on 4/24/08 to report her 10 month old female cat had developed symptoms after the reporter had applied a topical flea and tick product containing the active ingredient Methoprene the previous day (4/23). Within 20 minutes of application, the cat had become agitated, had developed tremors, and had begun breathing rapidly. The reporter brought her to a veterinarian that same day (4/23), where they bathed her and hospitalized her on IV fluids. The reporter had questions about reimbursement, which were answered. In addition, the safety profile of the product was discussed along with the cat's prognosis. A follow-up call on 4/25 revealed that the cat had been hospitalized overnight, had been discharged on 4/24, and was doing fine.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
