Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-5427

2. Registrant Information.

Registrant Reference Number: Prosar 1-20653415

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.

05-NOV-09

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

05-NOV-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. 26491      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard One Spot Treatment for Cats/Kittens (Canada)

• Active Ingredient(s)
  • (S)-METHOPRENE

---

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 applied to 2 cats on 11/05/2009.

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 )

1.08

7. Weight (provide a range if necessary )

9

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>15 min <=2 hrs / >15 min <=2 h

10. Time between exposure and onset of symptoms

>30 min <=2 hrs / >30 min <=2 h

11. List all symptoms

System

• Skin
  • Symptom - Itchy skin

• Nervous and Muscular Systems
  • Symptom - Agitation

• Respiratory System
  • Symptom - Panting

• Nervous and Muscular Systems
  • Symptom - Muscle twitching

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

1-20653415: A reporter (cat owner) called on 11/05/2009 to report the exposure of his 2 cats to a flea egg and larvae product containing the active ingredient Methoprene. According to the reporter, the product was applied to 2 cats on 11/05/2009. Within 2 hours following product application, Cat #1 (1st Subform III) became agitated, was scratching at herself, and panting. Cat #2 was asymptomatic. The reporter bathed both cats in human shampoo and water prior to the report. The reporter was advised that the product has a low level of toxicity and a wide margin of safety. If the product is ingested via grooming, salivation or minor upset stomach may result. Increased flea activity following product application may also result in dermal irritation and lead to scratching and agitation. A recommendation was made to bathe Cat #1 with hand dish soap to fully decontaminate her. The reporter was advised to have Cat #1 evaluated by a veterinarian if her signs do not resolve following the bath. On follow up on 11/06/2009, the reporter stated that Cat #1 was re-bathed. She was still scratching for about an hour after the bath and developed muscle twitching by her shoulder blades that lasted about 10 minutes. She was not evaluated by a veterinarian and was fine by 11/06/2009. 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