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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2011-5617

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-27669809

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.

11-OCT-11

5. Location of incident.

Country: UNITED STATES

Prov / State: PENNSYLVANIA

6. Date incident was first observed.

11-OCT-11

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. 2596-147

Product Name: UltraGuard One Spot Flea Egg Larvae Treatment for Cats Kittens

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 2.9 %

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

mixed

4. Number of animals affected

4

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

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

System

  • General
    • Symptom - Lethargy
  • Blood
    • Symptom - Bleeding

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

Unknown/Inconnu

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

1-27669809- The reporter, a pet owner, indicated his animal had been exposed to an insecticidal product containing the active ingredient methoprene. The caller reported he applied the product to fifteen mixed breed cats ranging in age from three weeks to nine years one day prior to his initial contact with the registrant. He reports within twelve hours all animals developed signs. Four of the animals (Subform III, #1) developed lethargy and when he bathed them he noted their skin bleeding or the bathing water turning red. Nine animals (Subform III, #2) developed the same signs but also refused to eat. Lastly two (Subform III, #3) animals developed all the same signs as the latter group but also died the same day. The pet owner was advised the signs seen were inconsistent with the toxicity profile of the active ingredient and the finished product. He was advised to seek veterinary care. On follow up three days later the pet owner indicated all but two animals had fully resolved, but he did not clarify which group these cats were in. He had not sought a veterinary care. The pet owner was advised the sign of water turning red or skin bleeding described prior was likely due to large amounts of flea dirt or fecal material on the animals coat. This material is essentially dried blood as that is the primary meal of fleas seen on domestic animals. He was advised flea infestation this heavy can result in life threatening anemia and he should seek veterinary care despite the animals improvement. No further follow u was obtained. This product is not labeled for animal less than twelve weeks of age. 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

mixed

4. Number of animals affected

9

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

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

System

  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • Blood
    • Symptom - Bleeding

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

Unknown/Inconnu

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

1-27669809- The reporter, a pet owner, indicated his animal had been exposed to an insecticidal product containing the active ingredient methoprene. The caller reported he applied the product to fifteen mixed breed cats ranging in age from three weeks to nine years one day prior to his initial contact with the registrant. He reports within twelve hours all animals developed signs. Four of the animals (Subform III, #1) developed lethargy and when he bathed them he noted their skin bleeding or the bathing water turning red. Nine animals (Subform III, #2) developed the same signs but also refused to eat. Lastly two (Subform III, #3) animals developed all the same signs as the latter group but also died the same day. The pet owner was advised the signs seen were inconsistent with the toxicity profile of the active ingredient and the finished product. He was advised to seek veterinary care. On follow up three days later the pet owner indicated all but two animals had fully resolved, but he did not clarify which group these cats were in. He had not sought a veterinary care. The pet owner was advised the sign of water turning red or skin bleeding described prior was likely due to large amounts of flea dirt or fecal material on the animals coat. This material is essentially dried blood as that is the primary meal of fleas seen on domestic animals. He was advised flea infestation this heavy can result in life threatening anemia and he should seek veterinary care despite the animals improvement. No further follow u was obtained. This product is not labeled for animal less than twelve weeks of age. 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

mixed

4. Number of animals affected

2

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

Unknown

8. Route(s) of exposure

Skin

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

System

  • General
    • Symptom - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • Blood
    • Symptom - Bleeding
  • 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

1-27669809- The reporter, a pet owner, indicated his animal had been exposed to an insecticidal product containing the active ingredient methoprene. The caller reported he applied the product to fifteen mixed breed cats ranging in age from three weeks to nine years one day prior to his initial contact with the registrant. He reports within twelve hours all animals developed signs. Four of the animals (Subform III, #1) developed lethargy and when he bathed them he noted their skin bleeding or the bathing water turning red. Nine animals (Subform III, #2) developed the same signs but also refused to eat. Lastly two (Subform III, #3) animals developed all the same signs as the latter group but also died the same day. The pet owner was advised the signs seen were inconsistent with the toxicity profile of the active ingredient and the finished product. He was advised to seek veterinary care. On follow up three days later the pet owner indicated all but two animals had fully resolved, but he did not clarify which group these cats were in. He had not sought a veterinary care. The pet owner was advised the sign of water turning red or skin bleeding described prior was likely due to large amounts of flea dirt or fecal material on the animals coat. This material is essentially dried blood as that is the primary meal of fleas seen on domestic animals. He was advised flea infestation this heavy can result in life threatening anemia and he should seek veterinary care despite the animals improvement. No further follow u was obtained. This product is not labeled for animal less than twelve weeks of age. 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