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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4134
2. Registrant Information.
Registrant Reference Number: PROSAR Case 1-16449153
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.
25-JUL-085. Location of incident.
Country: CANADA
Prov / State: QUEBEC
6. Date incident was first observed.
16-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. 26491 PMRA Submission No. EPA Registration No.
Product Name: Control Pet Care System One Spot Treatment for Cats and 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).
Owner applied product to cat on 7/14/2008To 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
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
2
7. Weight (provide a range if necessary )
11
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
>24 hrs <=3 days / >24 h <=3 jours
11. List all symptoms
System
- Skin
- Symptom - Erythema
- Symptom - Rash
- Symptom - Hair loss
12. How long did the symptoms last?
Unknown / Inconnu
13. Was medical treatment provided? Provide details in question 17.
Unknown
14. a) Was the animal hospitalized?
Unknown
14. b) How long was the animal hospitalized?
15. Outcome of the incident
Unknown/Inconnu
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
1-16449153: The reporter called on 7/25/2008, to report the exposure of her 2 year old female cat to a flea and tick product containing the active ingredient Methoprene. According to the reporter, the product had been applied one week prior to the call. Two days after the product was applied, the cat started to lose hair at the application site. At the time of the call, the cat had hairloss, redness and a rash - all at the product application site. It was conveyed to the reporter that this would be an unexpected reaction with use per label directions. A recommendation was made to bathe the cat in hand dishwashing soap to remove any remaining product from the skin and to use of a spray hydrocortisone cream to help soothe irritation on the back of the cat¿s neck. The caller was advised to seek veterinary care if the symptoms persisted or worsened. Several follow-up attempts were made but were unsuccessful.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
