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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4176
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16440303
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.
24-JUL-085. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
23-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. PMRA Submission No. EPA Registration No. 2596-147
Product Name: Control One Spot Flea and Tick Treatment for Cats (non-specific)
- 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 his cat on 7/23/08.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
Domestic Shorthair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
3
7. Weight (provide a range if necessary )
8
lbs
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 <=2 hrs / >30 min <=2 h
11. List all symptoms
System
- General
- Symptom - Hyperactivity
- Nervous and Muscular Systems
- Symptom - Agitation
12. How long did the symptoms last?
>2 hrs <=8 hrs / > 2 h < = 8 h
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
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
1-16440303: The reporter called on 7/24/08 to report the exposure of his 3 year old female cat to a topical flea and tick product containing the active ingredient Methoprene. According to the reporter, the product had been applied the previous evening. Within 1 hour of application, the cat had become agitated and hyperactive. The symptoms had resolved by the morning of 7/24. The safety profile of the product was discussed; including the fact that until the product dries it can produce a tingling or cooling sensation that can cause an irritating sensation. It was additionally discussed that as fleas die there can be a transient increase in their activity, which could also cause an irritating sensation. In both circumstances, such irritation tends to be self-limiting and resolves on its own. A recommendation was made to bathe the cat in a non-medicated shampoo and to seek veterinary care if the symptoms were to persist or worsen.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
