Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4161

2. Registrant Information.

Registrant Reference Number: PROSAR Case 1-16537695

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.

18-AUG-08

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

17-AUG-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. 2596-126

Product Name: UltraGuard Flea and Tick Cat Spray

• 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).

The reporter applied the product along with a unspecified flea and tick collar to her cat on 8/17/2008.

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

Domestic Longhair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

12

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>24 hrs <=3 days / >24 h <=3 jours

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

• Nervous and Muscular Systems
  • Symptom - Ataxia
  • Symptom - Muscle twitching

• Respiratory System
  • Symptom - Difficulty Breathing

• Gastrointestinal System
  • Symptom - Anorexia

• General
  • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

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

1-16537695: The reporter called on 08/18/2008 to report the exposure of an adult cat to a topical flea and tick spray containing the active ingredient Tetrachlorvinphos and a non-specific flea and tick collar containing an unknown active ingredient on 08/16/2008. The caller reported that the cat had been taken in as a stray one year prior, and its age was unknown. Since the caller obtained the cat, it had not seen a veterinarian but was infested with a heavy flea burden. The day following application of the products 08/17/2008, the cat was ataxic, anorexic, had increased respiratory effort and was flinching. The caller reported that she had been force-feeding the cat. The cat died suddenly on 08/17/2008. The reporter was advised that the products have a wide margin of safety and low toxicity level when used according to label directions. It was advised that the cat¿s unknown age and health status (and therefore possible misuse of products) and the existing flea infestation could have contributed to the cat¿s signs and death. It was recommended that multiple flea and tick products not be used simultaneously to avoid overdosing animals on the active ingredients. No further information was obtained.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here