Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-2685

2. Registrant Information.

Registrant Reference Number: Prosar 1-18431403

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.

12-MAY-09

5. Location of incident.

Country: CANADA

Prov / State: ALBERTA

6. Date incident was first observed.

11-MAY-09

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)

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-137

Product Name: (discontinued) Control Once A Month 3 in 1 Flea/Tick Treatment 31-60

• Active Ingredient(s)
  • D-PHENOTHRIN

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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 accidentally applied to the cat on 05/11/2009. NOTE: This product is not labelled for use on cats.

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 )

0.42

7. Weight (provide a range if necessary )

4

lbs

8. Route(s) of exposure

Skin

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

System

• General
  • Symptom - Vocalizing
  • Symptom - Hyperactivity

• Skin
  • Symptom - Irritated skin

12. How long did the symptoms last?

Unknown / Inconnu

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

1-18431403: A reporter (cat owner) called on 05/12/2009 to report the accidental exposure of a cat to a canine flea and tick product containing the active ingredient Phenothrin. According to the reporter, the product had been mistakenly applied to the cat on 05/11/2009. At an unknown time following product application, the cat became hyper, started vocalizing, and had irritation at the application site. The reporter realized the mistake the morning of the report and bathed the cat 3 times in dish soap. At the time of the report, the cat was eating, drinking, urinating, and defecating normally. The cat was taken to the veterinarian, but the veterinarian was unfamiliar with the product. The reporter was advised that the product is not intended for use on cats. Severe signs can begin within 30 minutes of product application but may be delayed for up to 12 hours. Signs of toxicity were discussed. The reporter was advised that decontamination is a good first step. If the cat develops any more signs, it should be evaluated by a veterinarian. The reporter was advised that the veterinarian can call for treatment recommendations if needed. The cat should be monitored closely for 48-72 hours as signs may re-develop in under-treated cats. On follow up, the reporter stated that the cat was bathed several times, examined by a veterinarian (no treatment was needed), and was doing well at the time of the follow up report. NOTE: This product is not labelled for use on cats.

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To be determined by Registrant

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

Moderate

19. Provide supplemental information here