New incident report
Incident Report Number: 2011-5613
Registrant Reference Number: PROSAR Case # 1-27666499
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
Domestic Animal
Country: UNITED STATES
Prov / State: ARKANSAS
PMRA Registration No. PMRA Submission No. EPA Registration No. 2596-140
Product Name: UltraGuard Plus Flea Tick Spray for Dogs
Liquid
Yes
Unknown
Site: Animal / Usage sur un animal domestique
Unknown
Animal's Owner
Dog / Chien
Shih Tzu
1
Male
3
25
lbs
Skin
Oral
Unknown / Inconnu
>8 hrs <=24 hrs / > 8 h < = 24 h
System
Persisted until death
Yes
Unknown
Died
Treatment / Traitement
(eg. description of the frequency and severity of the symptoms
1-27666499- The reporter, a pet owner, stated her animal had bee exposed to an insecticidal product containing the active ingredient tetrachlorvinphos and methoprene. The reporter indicated the product was applied to her three year male twenty five pound Shih Tzu dog five days prior to her initial contact with the registrant. the pet owner indicated she had observed the animal licking the application site the following day and then it refused food and developed diarrhea and vomiting. The pet owner was advised to bathe the animal with a noninsecticidal shampoo and seek veterinary care. On follow up one day later the pet owner indicated the animal had been brought to the veterinary office where it died. She was unsure of the diagnosis. The reporter was advised of registrant supported necropsy through the University of (name) to assist in determining the animals cause of death. Use of the product as labeled and potential small scale ingestion would not be expected to elicit the out come seen. No further information is available.
Death