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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4235

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16245070

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.


5. Location of incident.


Prov / State: TEXAS

6. Date incident was first observed.


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.


PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-151

Product Name: UltraGuard Flea and Tick Drops for Dogs and Puppies 4-15 lbs.

  • Active Ingredient(s)
      • Guarantee/concentration 85.7 %

7. b) Type of formulation.


Application Information

8. Product was applied?


9. Application Rate.


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 product had been applied to an 8 week old puppy within 24 hrs of the call. The product was applied against label directions (designed for puppies 12 weeks and under and designed for pets of larger weight).

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Dog / Chien

3. Breed


4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure


9. What was the length of exposure?

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

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms


  • General
    • Symptom - Lethargy
  • Respiratory System
    • Symptom - Difficulty Breathing
  • Gastrointestinal System
    • Symptom - Vomiting
    • Symptom - Diarrhea
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident


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

1-16245070: The reporter, a veterinarian, called on 6/6/08 to report a topical flea and tick product containing the active ingredient Phenothrin had been applied within the last 24 hours to a puppy that was both too small and too young for the product. According to the reporter, the puppy had presented to his veterinary clinic with vomiting, lethargy, diarrhea, and depressed respirations. The safety profile of the product was discussed, including the fact that some symptoms were inconsistent with the exposure. A recommendation was made to bathe the puppy and to provide symptomatic and supportive care. A follow-up call on 6/9 revealed the puppy belonged to a truck driver who had been passing through town and who had declined hospitalization. The puppy had been bathed several times, had been de-wormed for tapeworms, and had been given injections of an anti-emetic and an antibiotic. She had been discharged on antibiotics and anti-emetics. According to the owner, the puppy had passed away 3 hours after leaving the clinic.

To be determined by Registrant

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


19. Provide supplemental information here