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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-4607

2. Registrant Information.

Registrant Reference Number: PROSAR Case #: 1-27210865

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.

22-AUG-11

5. Location of incident.

Country: UNITED STATES

Prov / State: WEST VIRGINIA

6. Date incident was first observed.

Unknown

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.       PMRA Submission No.       EPA Registration No. 2596-125

Product Name: Advanced Care 2 in 1 Flea Tick Dog Spray

  • Active Ingredient(s)
    • TETRACHLORVINPHOS
      • Guarantee/concentration 1.08 %

7. b) Type of formulation.

Liquid

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).

To be determined by Registrant

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

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Siamese

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

13

7. Weight (provide a range if necessary )

8

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • Nervous and Muscular Systems
    • Symptom - Confusion
    • Specify - incoherent

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

1-27210865- The reporter, a pet owner, indicated her animals had been exposed to an insecticidal product containing the active ingredient tetrachlorvinphos. The reporter indicated she had applied the product to her three cats three days prior to her initial contact with the registrant. The reporter indicated that evening the animals all refused food The next morning she reported her thirteen year male eight pound Siamese cat (Subform III, #1) was incoherent and difficult to rouse from sleep. She reports the animal seemed improved since that point. She reports her two month male three pound domestic shorthair cat (Subform III, #2) and her two year male three pound domestic shorthair cat (Subform III, #3) had developed bloody urine and loss of appetite. The reporter indicated she had contacted her veterinarian by phone and was told there was no hope for the animals. The caller was advised to seek immediate veterinary care. On follow up the pet owner indicated the animals were not brought to the veterinarian she did not have the financial means to compensate the veterinarian. The youngest animal had died the two remaining animals had recovered. Product misuse was described here. This was a product labeled only for use on dogs and the label discourages use on animal younger than 12 weeks. Regardless the signs described are inconsistent with the toxicity profile of the active ingredient. It is likely something else was affecting the health of these animals. No further information is available.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here

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

1

5. Sex

Male

6. Age (provide a range if necessary )

0.16

7. Weight (provide a range if necessary )

3

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • Renal System
    • Symptom - Blood in urine
  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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

Died

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

1-27210865- The reporter, a pet owner, indicated her animals had been exposed to an insecticidal product containing the active ingredient tetrachlorvinphos. The reporter indicated she had applied the product to her three cats three days prior to her initial contact with the registrant. The reporter indicated that evening the animals all refused food The next morning she reported her thirteen year male eight pound Siamese cat (Subform III, #1) was incoherent and difficult to rouse from sleep. She reports the animal seemed improved since that point. She reports her two month male three pound domestic shorthair cat (Subform III, #2) and her two year male three pound domestic shorthair cat (Subform III, #3) had developed bloody urine and loss of appetite. The reporter indicated she had contacted her veterinarian by phone and was told there was no hope for the animals. The caller was advised to seek immediate veterinary care. On follow up the pet owner indicated the animals were not brought to the veterinarian she did not have the financial means to compensate the veterinarian. The youngest animal had died the two remaining animals had recovered. Product misuse was described here. This was a product labeled only for use on dogs and the label discourages use on animal younger than 12 weeks. Regardless the signs described are inconsistent with the toxicity profile of the active ingredient. It is likely something else was affecting the health of these animals. No further information is available.


To be determined by Registrant

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

Death

19. Provide supplemental information here

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

Male

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

3

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • Renal System
    • Symptom - Blood in urine
  • Gastrointestinal System
    • Symptom - Anorexia

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

1-27210865- The reporter, a pet owner, indicated her animals had been exposed to an insecticidal product containing the active ingredient tetrachlorvinphos. The reporter indicated she had applied the product to her three cats three days prior to her initial contact with the registrant. The reporter indicated that evening the animals all refused food The next morning she reported her thirteen year male eight pound Siamese cat (Subform III, #1) was incoherent and difficult to rouse from sleep. She reports the animal seemed improved since that point. She reports her two month male three pound domestic shorthair cat (Subform III, #2) and her two year male three pound domestic shorthair cat (Subform III, #3) had developed bloody urine and loss of appetite. The reporter indicated she had contacted her veterinarian by phone and was told there was no hope for the animals. The caller was advised to seek immediate veterinary care. On follow up the pet owner indicated the animals were not brought to the veterinarian she did not have the financial means to compensate the veterinarian. The youngest animal had died the two remaining animals had recovered. Product misuse was described here. This was a product labeled only for use on dogs and the label discourages use on animal younger than 12 weeks. Regardless the signs described are inconsistent with the toxicity profile of the active ingredient. It is likely something else was affecting the health of these animals. No further information is available.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here