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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3929

2. Registrant Information.

Registrant Reference Number: Prosar 1-19075661

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.

06-JUL-09

5. Location of incident.

Country: UNITED STATES

Prov / State: ILLINOIS

6. Date incident was first observed.

30-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)

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-139

Product Name: UltraGuard Plus Flea/Tick Collar for Cats/Kittens Safety Release Snap

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 1.02 %
    • TETRACHLORVINPHOS
      • Guarantee/concentration 14.55 %

7. b) Type of formulation.

Other (specify)

collar

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 collar was applied to the cat on an unknown date ("a few weeks" prior to the report).

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

2

5. Sex

Unknown

6. Age (provide a range if necessary )

0.08

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Lethargy
    • Symptom - Death
  • Respiratory System
    • Symptom - Other
    • Specify - unknown respiratory signs

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?

Other / Autre

specify Unknown-possible contact with product residue on mother cat

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-19075661: A reporter (cat owner) called on 07/06/2009 to report the possible exposure of her 3 kittens to a flea and tick collar containing the active ingredients Tetrachlorvinphos and Methoprene. According to the reporter, the collar was placed on the mother cat (who was still nursing the kittens) on an unknown date "a few weeks" prior to the report. Approximately 1 week prior to the report (06/30/2009), Kitten #1 and Kitten #2 (1st Subform III) developed unknown respiratory signs and lethargy. Kitten #1 died on 07/02/2009. Kitten #2 died on 07/04/2009. Neither were evaluated by a veterinarian. Kitten #3 (2nd Subform III) started having unknown respiratory signs and lethargy on 07/05/2009 and was bathed with Softsoap. The signs were worsening at the time of the report. The mother cat was asymptomatic. The reporter was advised that the signs described are not expected with the exposure described. Incidental contact with product residue on the mother cat's coat would not be a significant source of exposure. A recommendation was made to have Kitten #3 evaluated by a veterinarian to determine the cause of the signs and to determine appropriate treatment. Multiple attempts at follow up were unsuccessful. No further information was obtained.


To be determined by Registrant

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

Death

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 Shorthair

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

0.08

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Unknown

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Lethargy
  • Respiratory System
    • Symptom - Other
    • Specify - unknown respiratory signs

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?

Other / Autre

specify Unknown-possible contact with product residue on mother cat

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-19075661: A reporter (cat owner) called on 07/06/2009 to report the possible exposure of her 3 kittens to a flea and tick collar containing the active ingredients Tetrachlorvinphos and Methoprene. According to the reporter, the collar was placed on the mother cat (who was still nursing the kittens) on an unknown date "a few weeks" prior to the report. Approximately 1 week prior to the report (06/30/2009), Kitten #1 and Kitten #2 (1st Subform III) developed unknown respiratory signs and lethargy. Kitten #1 died on 07/02/2009. Kitten #2 died on 07/04/2009. Neither were evaluated by a veterinarian. Kitten #3 (2nd Subform III) started having unknown respiratory signs and lethargy on 07/05/2009 and was bathed with Softsoap. The signs were worsening at the time of the report. The mother cat was asymptomatic. The reporter was advised that the signs described are not expected with the exposure described. Incidental contact with product residue on the mother cat's coat would not be a significant source of exposure. A recommendation was made to have Kitten #3 evaluated by a veterinarian to determine the cause of the signs and to determine appropriate treatment. Multiple attempts at follow up were unsuccessful. No further information was obtained.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here