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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2008-4977
2. Registrant Information.
Registrant Reference Number: Prosar case 1-16414050
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.
17-JUL-085. Location of incident.
Country: UNITED STATES
Prov / State: NEW YORK
6. Date incident was first observed.
17-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. 2596-150
Product Name: UltraGuard Plus Flea and Tick Drops Plus for Dogs and Puppies 4-15 lbs
- Active Ingredient(s)
- (S)-METHOPRENE
- Guarantee/concentration 2.3 %
- D-PHENOTHRIN
- Guarantee/concentration 85.7 %
- (S)-METHOPRENE
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 a canine flea and tick product to her 2 cats on 7/17/08. Her store "was out of the cat product". Both cats were also geriatric. All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.To be determined by Registrant
12. In your opinion, was the product used according to the label instructions?
No
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 )
12
7. Weight (provide a range if necessary )
7
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
- Nervous and Muscular Systems
- Symptom - Convulsions
- General
- Symptom - Death
12. How long did the symptoms last?
Persisted until death
13. Was medical treatment provided? Provide details in question 17.
Yes
14. a) Was the animal hospitalized?
No
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
1-16414050: The reporter called on 7/17/08 to report the application of a canine topical flea and tick product containing the active ingredients Phenothrin and Methoprene to her 2 geriatric cats. According to the reporter, her ¿¿¿store was out of the cat product¿¿¿ so she had purchased and applied the canine product about 2 hours prior to the call. By the time of the call, her female cat (1st subform III) had hidden under the bed and had begun convulsing. A recommendation was made to bathe the cats with a non-insecticidal shampoo and lukewarm water, and to then immediately take the cats to an emergency veterinarian for supportive treatment. A follow-up call on 7/18 revealed the reporter had taken both cats to a veterinary clinic where they had been bathed. The female cat had passed away at the clinic. The heavier male cat (2nd subform III) had developed a slight twitch/jerk after product application, which had resolved. Note: All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Death
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 )
12
7. Weight (provide a range if necessary )
13
lbs
8. Route(s) of exposure
Skin
9. What was the length of exposure?
Unknown / Inconnu
10. Time between exposure and onset of symptoms
Unknown / Inconnu
11. List all symptoms
System
- Nervous and Muscular Systems
- Symptom - Muscle twitching
12. How long did the symptoms last?
Unknown / Inconnu
13. Was medical treatment provided? Provide details in question 17.
Yes
14. a) Was the animal hospitalized?
Unknown
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
1-16414050: The reporter called on 7/17/08 to report the application of a canine topical flea and tick product containing the active ingredients Phenothrin and Methoprene to her 2 geriatric cats. According to the reporter, her ¿¿¿store was out of the cat product¿¿¿ so she had purchased and applied the canine product about 2 hours prior to the call. By the time of the call, her female cat (1st subform III) had hidden under the bed and had begun convulsing. A recommendation was made to bathe the cats with a non-insecticidal shampoo and lukewarm water, and to then immediately take the cats to an emergency veterinarian for supportive treatment. A follow-up call on 7/18 revealed the reporter had taken both cats to a veterinary clinic where they had been bathed. The female cat had passed away at the clinic. The heavier male cat (2nd subform III) had developed a slight twitch/jerk after product application, which had resolved. Note: All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
