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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-3975

2. Registrant Information.

Registrant Reference Number: Prosar 1-19408715

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.


5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.


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.


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)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


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 applied to the cat on 08/03/2009. NOTE: This product is a canine product only, not labelled for use on cats.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure


9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms


  • General
    • Symptom - Lethargy
  • Nervous and Muscular Systems
    • Symptom - Muscle tremors

12. How long did the symptoms last?

>24 hrs <=3 days / >24 h <=3 jours

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


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?


Week(s) / Semaine(s)

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

1-19408715: A reporter (veterinarian) called on 08/05/2009 to report the exposure of a cat to a canine flea and tick product containing the active ingredient Phenothrin. According to the reporter, the product was applied to the cat on 08/03/2009. At an unknown time following product application, the cat became lethargic. At the time of the report, the cat was receiving subcutaneous fluids and had not yet been bathed. The reporter was advised that concentrated pyrethroid products may result in severe signs if used inappropriately on cats. The signs that may occur were reviewed. A recommendation was made to bathe the cat in a non-insecticidal shampoo. A recommendation was made to provide symptomatic and supportive care including Methocarbamol for tremors and Phenobarbital for seizures. The reporter was advised to monitor the cat for 48-72 hours as signs may recur if treatment is discontinued too soon. On follow up on 08/05/2009, the reporter stated that the cat had been bathed on 08/04/2009 and received subcutaneous fluids. At the time of the follow up, the cat was having tremors. The reporter was advised that Methocarbamol may be used for tremors and doses were discussed. On follow up on 08/10/2009, the reporter stated that the cat's tremors had improved on 08/06/2009 and were resolved by 08/07/2009. The cat was going to be discharged on 08/10/2009. No further information was obtained. NOTE: The canine product is not labelled for use on cats.

To be determined by Registrant

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


19. Provide supplemental information here