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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4194
2. Registrant Information.
Registrant Reference Number: PROSAR Case 1-16510662
Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Company
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.
11-AUG-085. Location of incident.
Country: CANADA
Prov / State: BRITISH COLUMBIA
6. Date incident was first observed.
08-AUG-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 and Kitten
- 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 her three cats on 8/8/2008To 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
Unknown
4. Number of animals affected
2
5. Sex
Female
6. Age (provide a range if necessary )
7
7. Weight (provide a range if necessary )
9
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
- Gastrointestinal System
- Symptom - Vomiting
- Eye
- Symptom - Glazed eye
- Specify - Glossy eyes
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
CASE# 1-16510662 HARTZ 1-16510662: The reporter called on 08/11/2008 to report the exposure of three cats) to a flea egg and larvae product containing the active ingredient Methoprene. According to the reporter, the product was applied to all three cats on 08/08/2008. Two cats (subform III #1) each vomited one time 45 minutes after exposure and had ¿¿¿glossy eyes¿¿¿ beginning on 8/11/2008. The third cat (subform III #2) was reported to have ¿¿¿glossy¿¿¿ eyes beginning on 08/11/2008. The caller was advised that ingestion of the product during grooming could lead to vomiting, but the reason for the ¿¿¿glossy¿¿¿ eyes is unknown. A recommendation was made to have the cats evaluated by a veterinarian and to call back as needed. Attempts at follow-up were unsuccessful and no further information was obtained.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
19. Provide supplemental information here
Subform III: Domestic Animal Incident Report
1. Source of Report
Animal's Owner
2. Type of animal affected
Cat / Chat
3. Breed
Unknown
4. Number of animals affected
1
5. Sex
Male
6. Age (provide a range if necessary )
7
7. Weight (provide a range if necessary )
15
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
- Eye
- Symptom - Glazed eye
- Specify - Glossy eyes
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
CASE# 1-16510662 HARTZ 1-16510662: The reporter called on 08/11/2008 to report the exposure of three cats) to a flea egg and larvae product containing the active ingredient Methoprene. According to the reporter, the product was applied to all three cats on 08/08/2008. Two cats (subform III #1) each vomited one time 45 minutes after exposure and had ¿¿¿glossy eyes¿¿¿ beginning on 8/11/2008. The third cat (subform III #2) was reported to have ¿¿¿glossy¿¿¿ eyes beginning on 08/11/2008. The caller was advised that ingestion of the product during grooming could lead to vomiting, but the reason for the ¿¿¿glossy¿¿¿ eyes is unknown. A recommendation was made to have the cats evaluated by a veterinarian and to call back as needed. Attempts at follow-up were unsuccessful and no further information was obtained.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
