Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3948

2. Registrant Information.

Registrant Reference Number: Prosar 1-19242974

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.

21-JUL-09

5. Location of incident.

Country: UNITED STATES

Prov / State: OHIO

6. Date incident was first observed.

19-JUL-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 Over 60 lbs

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

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PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-147

Product Name: UltraGuard One Spot Flea Egg/Larvae Treatment for Cats/Kittens

• Active Ingredient(s)
  • (S)-METHOPRENE
    • Guarantee/concentration 2.9 %

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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 canine product was applied to the dog and the feline product was applied to the cat on 07/19/2009.

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

Female

6. Age (provide a range if necessary )

0.25

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 - Lethargy

• Gastrointestinal System
  • Symptom - Anorexia

• General
  • Symptom - Adipsia
  • 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

1-19242974: A reporter (pet owner) called on 07/21/2009 to report the exposure of her cat to a flea egg and larvae product containing the active ingredient Methoprene and her dog to a flea and tick product containing the active ingredient Phenothrin. According to the reporter, the feline product was applied to the cat (1st Subform III) and the canine product was applied to the dog (2nd Subform III) on 07/19/2009. The reporter stated that the cat and dog are not friendly with each other, so no contact between the two pets would have occurred following product application. Three hours after the products were applied, the cat developed lethargy, anorexia and was not drinking. The dog developed vomiting, diarrhea, lethargy, and anorexia. The signs were persistent at the time of the report. The reporter was advised that the active ingredient in the feline product has little to no mammalian toxicity and would not be expected to result in the signs described. The canine product would also not be expected to result in adverse signs as described. The reporter was advised to bathe both animals in hand dish soap and have them evaluated by a veterinarian to determine what is causing the signs. On follow up, the reporter stated that the cat never improved and died before she took her to a veterinarian. The dog continued to have signs of diarrhea and anorexia. The reporter was encouraged to have the dog evaluated by a veterinarian. On follow up on 07/27/2009, the reporter stated that she did take the dog to the veterinarian but elected euthanasia as the dog started to lose weight and the signs persisted. Blood work results were pending. No further information was obtained.

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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

Dog / Chien

3. Breed

Mixed Breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

75

lbs

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

• Gastrointestinal System
  • Symptom - Anorexia
  • Symptom - Vomiting
  • Symptom - Diarrhea
  • Symptom - Weight loss

• General
  • Symptom - Lethargy

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Euthanised / Euthanasie

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

1-19242974: A reporter (pet owner) called on 07/21/2009 to report the exposure of her cat to a flea egg and larvae product containing the active ingredient Methoprene and her dog to a flea and tick product containing the active ingredient Phenothrin. According to the reporter, the feline product was applied to the cat (1st Subform III) and the canine product was applied to the dog (2nd Subform III) on 07/19/2009. The reporter stated that the cat and dog are not friendly with each other, so no contact between the two pets would have occurred following product application. Three hours after the products were applied, the cat developed lethargy, anorexia and was not drinking. The dog developed vomiting, diarrhea, lethargy, and anorexia. The signs were persistent at the time of the report. The reporter was advised that the active ingredient in the feline product has little to no mammalian toxicity and would not be expected to result in the signs described. The canine product would also not be expected to result in adverse signs as described. The reporter was advised to bathe both animals in hand dish soap and have them evaluated by a veterinarian to determine what is causing the signs. On follow up, the reporter stated that the cat never improved and died before she took her to a veterinarian. The dog continued to have signs of diarrhea and anorexia. The reporter was encouraged to have the dog evaluated by a veterinarian. On follow up on 07/27/2009, the reporter stated that she did take the dog to the veterinarian but elected euthanasia as the dog started to lose weight and the signs persisted. Blood work results were pending. No further information was obtained.

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To be determined by Registrant

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

Death

19. Provide supplemental information here