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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-2946

2. Registrant Information.

Registrant Reference Number: PROSAR cases: 1-26517050

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. 26491      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard One Spot Treatment for Cats Kittens

  • 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).

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

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms


  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Fasciculations
    • Symptom - Agitation
  • Respiratory System
    • Symptom - Panting
  • Nervous and Muscular Systems
    • Symptom - Ataxia
    • Symptom - Abnormal posture
    • Specify - ventral neck flexion
  • Cardiovascular System
    • Symptom - Tachycardia
  • Skin
    • Symptom - Hyperesthesia

12. How long did the symptoms last?

Persisted until death

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

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

1-26517050-The reporter, a veterinarian, states an animal has presented to her following the application of an insecticidal product containing the active ingredient. The pet owner had applied the product to the nine and one half year female seven pound domestic shorthair can one day prior to the initial contact with the registrant. The pet owner had described agitation salivation hiding twitching, and panting. The pet owners had washed the animal. The veterinarian was advised the signs seen were inconsistent with the toxicity profile of the active ingredient. She was encouraged to pursue other diagnoses including asking the owner about the use of other flea and tick product in the house. On follow up the veterinarian reported the animal returned the next morning with continued signs. She also described twitching, lateral recumbency, hyperesthesia, mildly elevated HR, ataxia, and ventral flexion of the neck. The owner did not have any finances to speak of and the cat was euthanized. They took the body home for burial. There is a dog in the house which was treated with a topical insecticidal product at the same time. Feline patients are not tolerant of concentrated pyrethroids used in canine flea and tick products. The animal¿s signs are consistent with pyrethroid intoxication. No further information is available.

To be determined by Registrant

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


19. Provide supplemental information here