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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-1432

2. Registrant Information.

Registrant Reference Number: PROSAR 1-21779219

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. 25922      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/TIck Drops for Dogs/Puppies Over 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 canine product was applied to the cat on 02/25/2010. NOTE: This product is not labeled 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 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


  • Nervous and Muscular Systems
    • Symptom - Agitation
  • General
    • Symptom - Vocalizing
  • Skin
    • Symptom - Itchy skin
    • Specify - "Tearing hair out from around his neck"
  • Gastrointestinal System
    • Symptom - Anorexia

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

1-21779219: A reporter (cat owner) called on 02/26/2010 to report the exposure of her cat to a canine topical flea and tick product containing the active ingredient Permethrin. According to the reporter, the product was applied to the cat on 02/25/2010. On 02/26/2010, the cat was agitated, vocalizing, tearing the hair out around his neck, and not eating. The reporter called the veterinarian and was instructed to bathe the cat. The cat had been bathed with dish soap, but the signs persisted. The reporter was advised that concentrated canine pyrethrin products may result in severe problems if used inappropriately on cats. The signs typically begin within 30 minutes to 3 hours of exposure, but may be delayed for up to 12-24 hours. A recommendation was made to bathe the cat thoroughly in hand dish soap and lukewarm water and then taken immediately to a veterinarian for treatment. Treatment is symptomatic and supportive including maintenance of hydration and regulation of body temperature. On follow up on 03/01/2010, the reporter stated that the cat had been taken to the veterinarian and treated with Robaxin. At the time of the report, the cat was doing well except for scratching at the application site. The reporter was advised to speak with the veterinarian regarding this. No further information was obtained. NOTE: This product is not labeled 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