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Incident Report
Subform I: General Information
1. Report Type.
New incident report
Incident Report Number: 2009-1586
2. Registrant Information.
Registrant Reference Number: Prosar case 1-15989404
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.
08-APR-085. Location of incident.
Country: CANADA
Prov / State: ONTARIO
6. Date incident was first observed.
07-APR-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).
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
6. Age (provide a range if necessary )
3
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
>2 hrs <=8 hrs / > 2 h < = 8 h
11. List all symptoms
System
- General
- Symptom - Vocalizing
- Nervous and Muscular Systems
- Symptom - Agitation
- General
- Symptom - Malaise
- Skin
- Symptom - Burns (superficial)
- Specify - "looks like he got a burn on the area" (of application)
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
1-15988404: The reporter called on 4/8/08 to report that her 3 cats had a reaction when she applied a topical flea and tick product containing the active ingredient Methoprene. She had applied it the previous night, and sometime later all 3 of her cats became very agitated, running around vocalizing and rubbing their backs trying to remove the product. The cat in the 1st subform III also laid in the litter box looking ill, and today he seemed to have a "burn" on the area of application. She had already washed the area off by the time of the call. In addition to the initial symptoms, the cat in the 2nd subform also scratched the hair off her neck, and the cat in the 3rd subform would not let anyone touch her. The reporter stated all 3 cats were OK now. She was requesting a refund for the product, and also requested that the product's side effects be explicitly listed on the package. Her concerns were documented. The safety profile of the product was discussed, and a recommendation was made to bathe the cats. The reporter was advised to monitor the 1st cat's "burn" for infection and to seek veterinary treatment if the "burn" persisted or worsened.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Moderate
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
Domestic Longhair
4. Number of animals affected
1
5. Sex
6. Age (provide a range if necessary )
3
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
>2 hrs <=8 hrs / > 2 h < = 8 h
11. List all symptoms
System
- General
- Symptom - Vocalizing
- Nervous and Muscular Systems
- Symptom - Agitation
- Skin
- Symptom - Irritated skin
- Specify - Scratached the hair off her neck
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
1-15989404: The reporter called on 4/8/08 to report that her 3 cats had a reaction when she applied a topical flea and tick product containing the active ingredient Methoprene. She had applied it the previous night, and sometime later all 3 of her cats became very agitated, running around vocalizing and rubbing their backs trying to remove the product. The cat in the 1st subform III also laid in the litter box looking ill, and today he seemed to have a "burn" on the area of application. She had already washed the area off by the time of the call. In addition to the initial symptoms, the cat in the 2nd subform also scratched the hair off her neck, and the cat in the 3rd subform would not let anyone touch her. The reporter stated all 3 cats were OK now. She was requesting a refund for the product, and also requested that the product's side effects be explicitly listed on the package. Her concerns were documented. The safety profile of the product was discussed, and a recommendation was made to bathe the cats. The reporter was advised to monitor the 1st cat's "burn" for infection and to seek veterinary treatment if the "burn" persisted or worsened.
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
Domestic Longhair
4. Number of animals affected
1
5. Sex
Female
6. Age (provide a range if necessary )
3
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
>2 hrs <=8 hrs / > 2 h < = 8 h
11. List all symptoms
System
- General
- Symptom - Vocalizing
- Nervous and Muscular Systems
- Symptom - Agitation
- Symptom - Anxiety
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
1-15989404: The reporter called on 4/8/08 to report that her 3 cats had a reaction when she applied a topical flea and tick product containing the active ingredient Methoprene. She had applied it the previous night, and sometime later all 3 of her cats became very agitated, running around vocalizing and rubbing their backs trying to remove the product. The cat in the 1st subform III also laid in the litter box looking ill, and today he seemed to have a "burn" on the area of application. She had already washed the area off by the time of the call. In addition to the initial symptoms, the cat in the 2nd subform also scratched the hair off her neck, and the cat in the 3rd subform would not let anyone touch her. The reporter stated all 3 cats were OK now. She was requesting a refund for the product, and also requested that the product's side effects be explicitly listed on the package. Her concerns were documented. The safety profile of the product was discussed, and a recommendation was made to bathe the cats. The reporter was advised to monitor the 1st cat's "burn" for infection and to seek veterinary treatment if the "burn" persisted or worsened.
To be determined by Registrant
18. Severity classification (if there is more than 1 possible classification
Minor
