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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2012-1953

2. Registrant Information.

Registrant Reference Number: PROSAR Case#:1-29720648

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.

09-APR-12

5. Location of incident.

Country: UNITED STATES

Prov / State: KENTUCKY

6. Date incident was first observed.

05-APR-12

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. 2596-140

Product Name: UltraGuard Plus Flea Tick Spray for Cats

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration .07 %
    • 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

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

7

7. Weight (provide a range if necessary )

10

lbs

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
  • Nervous and Muscular Systems
    • Symptom - Muscle weakness
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

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

1-29720648- The reporter, a pet owner, indicated her animals were exposed to an insecticide containing the active ingredients tetrachlorvinphos and methoprene. The pet owner indicated she had applied the product to five cats four days prior to her initial contact. The pet owner reported she had applied the product to an eight year eight pound female domestic shorthair cat (Subform III, #3) and noted balance problems and a slowing heart rate the same day. She washed the animal with a hand dishwashing liquid but the animal died later the same day. The pet was not taken to the veterinarian. She noted her six year male twenty pound domestic shorthair cat (Subform III, #2)demonstrated lethargy the day after application. She similarly bathed that animal. It died two days after application. It was not taken to the veterinarian. The pet owner indicated the three remaining animals had been bathed but not taken to the veterinarian. Her seven year female ten pound domestic shorthair cat (Subform III, #1) was demonstrating lethargy and weakness. Her four year female twelve pound female domestic shorthair cat (Subform III, #4) was refusing food and vocalizing. Her sixteen year female eight pound Maine coon cat (Subform III, #5) was breathing heavy and twitching. The pet owner was advised to seek immediate veterinary care for the ill animals. Use per the label would not be anticipated to yield the signs or outcome seen. On follow up one day later the pet owner indicated the seven year old animal had died at the veterinary office. On follow up three days later the pet owner indicated the four year animal had died at the veterinary office. No further follow up was obtained from the reporter. 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 )

6

7. Weight (provide a range if necessary )

20

lbs

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 - Death
    • Symptom - Lethargy

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

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

1-29720648- The reporter, a pet owner, indicated her animals were exposed to an insecticide containing the active ingredients tetrachlorvinphos and methoprene. The pet owner indicated she had applied the product to five cats four days prior to her initial contact. The pet owner reported she had applied the product to an eight year eight pound female domestic shorthair cat (Subform III, #3) and noted balance problems and a slowing heart rate the same day. She washed the animal with a hand dishwashing liquid but the animal died later the same day. The pet was not taken to the veterinarian. She noted her six year male twenty pound domestic shorthair cat (Subform III, #2)demonstrated lethargy the day after application. She similarly bathed that animal. It died two days after application. It was not taken to the veterinarian. The pet owner indicated the three remaining animals had been bathed but not taken to the veterinarian. Her seven year female ten pound domestic shorthair cat (Subform III, #1) was demonstrating lethargy and weakness. Her four year female twelve pound female domestic shorthair cat (Subform III, #4) was refusing food and vocalizing. Her sixteen year female eight pound Maine coon cat (Subform III, #5) was breathing heavy and twitching. The pet owner was advised to seek immediate veterinary care for the ill animals. Use per the label would not be anticipated to yield the signs or outcome seen. On follow up one day later the pet owner indicated the seven year old animal had died at the veterinary office. On follow up three days later the pet owner indicated the four year animal had died at the veterinary office. No further follow up was obtained from the reporter. 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

Female

6. Age (provide a range if necessary )

8

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 - Death
  • Nervous and Muscular Systems
    • Symptom - Ataxia
  • Cardiovascular System
    • Symptom - Bradycardia
  • General
    • Symptom - Loss of balance
    • Specify - balance problems

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

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

1-29720648- The reporter, a pet owner, indicated her animals were exposed to an insecticide containing the active ingredients tetrachlorvinphos and methoprene. The pet owner indicated she had applied the product to five cats four days prior to her initial contact. The pet owner reported she had applied the product to an eight year eight pound female domestic shorthair cat (Subform III, #3) and noted balance problems and a slowing heart rate the same day. She washed the animal with a hand dishwashing liquid but the animal died later the same day. The pet was not taken to the veterinarian. She noted her six year male twenty pound domestic shorthair cat (Subform III, #2)demonstrated lethargy the day after application. She similarly bathed that animal. It died two days after application. It was not taken to the veterinarian. The pet owner indicated the three remaining animals had been bathed but not taken to the veterinarian. Her seven year female ten pound domestic shorthair cat (Subform III, #1) was demonstrating lethargy and weakness. Her four year female twelve pound female domestic shorthair cat (Subform III, #4) was refusing food and vocalizing. Her sixteen year female eight pound Maine coon cat (Subform III, #5) was breathing heavy and twitching. The pet owner was advised to seek immediate veterinary care for the ill animals. Use per the label would not be anticipated to yield the signs or outcome seen. On follow up one day later the pet owner indicated the seven year old animal had died at the veterinary office. On follow up three days later the pet owner indicated the four year animal had died at the veterinary office. No further follow up was obtained from the reporter. 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

Female

6. Age (provide a range if necessary )

4

7. Weight (provide a range if necessary )

12

lbs

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

  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Vocalizing
  • Blood
    • Symptom - Anemia
    • Specify - "low hemoglobin"
  • General
    • Symptom - Lethargy
  • Respiratory System
    • Symptom - Heavy breathing
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-29720648- The reporter, a pet owner, indicated her animals were exposed to an insecticide containing the active ingredients tetrachlorvinphos and methoprene. The pet owner indicated she had applied the product to five cats four days prior to her initial contact. The pet owner reported she had applied the product to an eight year eight pound female domestic shorthair cat (Subform III, #3) and noted balance problems and a slowing heart rate the same day. She washed the animal with a hand dishwashing liquid but the animal died later the same day. The pet was not taken to the veterinarian. She noted her six year male twenty pound domestic shorthair cat (Subform III, #2)demonstrated lethargy the day after application. She similarly bathed that animal. It died two days after application. It was not taken to the veterinarian. The pet owner indicated the three remaining animals had been bathed but not taken to the veterinarian. Her seven year female ten pound domestic shorthair cat (Subform III, #1) was demonstrating lethargy and weakness. Her four year female twelve pound female domestic shorthair cat (Subform III, #4) was refusing food and vocalizing. Her sixteen year female eight pound Maine coon cat (Subform III, #5) was breathing heavy and twitching. The pet owner was advised to seek immediate veterinary care for the ill animals. Use per the label would not be anticipated to yield the signs or outcome seen. On follow up one day later the pet owner indicated the seven year old animal had died at the veterinary office. On follow up three days later the pet owner indicated the four year animal had died at the veterinary office. No further follow up was obtained from the reporter. 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

Maine Coon

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

16

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

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Fasciculations
  • Respiratory System
    • Symptom - Heavy breathing
  • Nervous and Muscular Systems
    • Symptom - Muscle tremors
    • Symptom - Muscle twitching

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Unknown

14. a) Was the animal hospitalized?

Unknown

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

1-29720648- The reporter, a pet owner, indicated her animals were exposed to an insecticide containing the active ingredients tetrachlorvinphos and methoprene. The pet owner indicated she had applied the product to five cats four days prior to her initial contact. The pet owner reported she had applied the product to an eight year eight pound female domestic shorthair cat (Subform III, #3) and noted balance problems and a slowing heart rate the same day. She washed the animal with a hand dishwashing liquid but the animal died later the same day. The pet was not taken to the veterinarian. She noted her six year male twenty pound domestic shorthair cat (Subform III, #2)demonstrated lethargy the day after application. She similarly bathed that animal. It died two days after application. It was not taken to the veterinarian. The pet owner indicated the three remaining animals had been bathed but not taken to the veterinarian. Her seven year female ten pound domestic shorthair cat (Subform III, #1) was demonstrating lethargy and weakness. Her four year female twelve pound female domestic shorthair cat (Subform III, #4) was refusing food and vocalizing. Her sixteen year female eight pound Maine coon cat (Subform III, #5) was breathing heavy and twitching. The pet owner was advised to seek immediate veterinary care for the ill animals. Use per the label would not be anticipated to yield the signs or outcome seen. On follow up one day later the pet owner indicated the seven year old animal had died at the veterinary office. On follow up three days later the pet owner indicated the four year animal had died at the veterinary office. No further follow up was obtained from the reporter. 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