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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0866

2. Registrant Information.

Registrant Reference Number: Prosar 1-21204861

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


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. 25923      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/Tick Drops for Dogs/Puppies Under 30 lbs (Canada)

  • 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 2 cats on 12/30/2009. NOTE: This product is 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

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

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


  • Nervous and Muscular Systems
    • Symptom - Shaking

12. How long did the symptoms last?

Unknown / Inconnu

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


14. a) Was the animal hospitalized?


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

1-21204861: A reporter (cat owner) called on 12/31/2009 to report the exposure of her 2 cats to a canine flea and tick product containing the active ingredient Permethrin. According to the reporter, the reporter's mother accidentally applied the product to both cats on 12/30/2009 after they were bathed with an unspecified product. An unknown time following product application, Cat #1 (1st Subform III) started shaking. Cat #2 was asymptomatic at the time of the report. The reporter was advised that the product is not intended to be used on cats and can result in toxicity when used inappropriately. A recommendation was made to decontaminate the cats by bathing them in hand dish soap and transporting them to the veterinarian for evaluation. The reporter was advised that treatment is symptomatic and supportive and includes monitoring for hyperthermia, maintaining hydration, and treating the muscle tremors. On follow up, the reporter stated that Cat #1 was evaluated by a veterinarian, treated with an unknown medication and discharged. Cat #1 was asymptomatic at the time of the follow up. Cat #2 remained asymptomatic. NOTE: This 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