Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-1587

2. Registrant Information.

Registrant Reference Number: Prosar case 1-15994051

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-APR-08

5. Location of incident.

Country: UNITED STATES

Prov / State: TEXAS

6. Date incident was first observed.

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

Product Name: UltraGuard Flea and Tick Drops for Dogs and Puppies

• Active Ingredient(s)
  • D-PHENOTHRIN
    • Guarantee/concentration 85.7 %

---

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 used the product against label directions and applied 1 drop of the product to his 1 month old pet rat.

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

Other / Autre

specify Rodent (Rat)

3. Breed

Rat

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.08

7. Weight (provide a range if necessary )

1.1

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

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 - Seizure

• General
  • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

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

1-15994051: The reporter called on 4/9/08 to report his 1 month old female rat had experienced a seizure about 1.5 hours after he applied 1 drop of a topical flea and tick product containing the active ingredient Phenothrin. The reporter had questions regarding the toxic profile of the product. It was recommended he bath the rat with tepid water and hand dish detergent for 10 minutes, keep her warm, and take her to a veterinarian ASAP. The reporter was also informed that the active ingredient is not approved for use on rodents. A follow-up call on 4/10/08 revealed that the rat had died before he could finish bathing her. Necropsy was discussed but declined.

---

To be determined by Registrant

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

Death

19. Provide supplemental information here