Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-2720

2. Registrant Information.

Registrant Reference Number: Prosar 1-18890807

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.

19-JUN-09

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

19-JUN-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. 2596-151

Product Name: UltraGuard Flea/Tick Drops for Dogs/Puppies 16-30 lbs

• 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 canine product was applied to 2 cats on 06/18/2009. NOTE: This product is not labeled 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 Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

20

lbs

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
  • Symptom - Abnormal behaviour
  • Specify - "Not acting himself"

• Gastrointestinal System
  • Symptom - Anorexia

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

1-18890807: A reporter (cat owner) called on 06/19/2009 to report the accidental exposure of 2 cats to a canine flea and tick product containing the active ingredient Phenothrin. According to the reporter, the product was applied to both cats on 06/18/2009. On 06/19/2009, Cat #1 (1st Subform III) was lethargic, not eating, and not acting like himself. The reporter was advised that the use of canine products on cats can cause severe problems including hypersalivation, vomiting, drooling, muscle tremors, and hyperexcitability or depression. A recommendation was made to bathe the cat in a non-insecticidal shampoo and then have the cat evaluated by a veterinarian. A recommendation was also made to have the cat immediately evaluated by a veterinarian should it develop seizures. On follow up, the reporter stated that both cats were bathed well after the initial report. Cat #1's signs resolved shortly after bathing and did not require veterinary evaluation. Cat #2 never developed any signs. No further information was obtained. NOTE: The canine product is not labeled for use on cats.

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To be determined by Registrant

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

Minor

19. Provide supplemental information here