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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-0617

2. Registrant Information.

Registrant Reference Number: Prosar 1-17058618

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.

09-DEC-08

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

09-DEC-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. 26489      PMRA Submission No.       EPA Registration No.

Product Name: Control Pet Care System One Spot for Dogs/Puppies 14 kg and Under

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PERMETHRIN

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 product was applied to the 6 week old puppy on 12/08/2008. NOTE: This product in not labeled for use in puppies younger than 12 weeks of age.

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

Dog / Chien

3. Breed

Unknown Breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

0.12

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

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

11. List all symptoms

System

  • General
    • Symptom - Lethargy

12. How long did the symptoms last?

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

1-17058618: A reporter called on 12/09/2008 to report the exposure of a 6 week old puppy to a topical flea and tick product containing the active ingredients Permethrin and Methoprene. According to the reporter, she applied the product to the puppy on 12/08/2008. Later in the day, the reporter noticed that the product is not labeled for use in puppies younger than 12 weeks of age. The reporter bathed the puppy with Dawn hand dish soap on 12/08/2008. On the day of the report, the reporter noticed that the puppy seemed lethargic and was concerned that the sign may be from the product. The reporter was advised that the product is not intended for use on puppies this age. The reporter was informed that bathing the dog in a hand dish soap was appropriate to remove the product from the puppy's coat and skin. The reporter was advised that lethargy may be due to many other causes. A recommendation was made to monitor the puppy and have it evaluated by a veterinarian should any other signs develop. On follow up on 12/10/2008, the reporter stated that she thinks the lethargy she called about initially was just normal puppy behavior. The puppy never developed any other signs and was doing well at the time of the follow up report. 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