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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-2255

2. Registrant Information.

Registrant Reference Number: PROSAR case #: 1-32989634

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.

10-MAR-13

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

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. 29282      PMRA Submission No.       EPA Registration No.

Product Name: Ultraguard Pro Flea/Tick Drops for Dogs/Puppies Over 30 lbs.

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PERMETHRIN

7. b) Type of formulation.

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

Male

6. Age (provide a range if necessary )

6

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

Unknown / Inconnu

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Trembling
  • Gastrointestinal System
    • Symptom - Salivating excessively

12. How long did the symptoms last?

Unknown / Inconnu

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

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

1-32989634 - The reporter, a pet owner, indicated that her cats were exposed to a dog spot-on insecticide containing the active ingredients permethrin and methoprene. The reporter applied the dog spot-on product to her 6-year-old, 12 pound, male cat (Subform III #1) and to her 1-year-old, male cat (Subform III #2) two days prior to initial contact with the registrant. At the time of initial contact, the reporter indicated that both cats were twitching and foaming at the mouth. The report was advised that per package labeling the dog product should not be applied to cats. Bathing with a non-insecticidal shampoo was recommended and symptomatic and supportive care for any ongoing neurologic symptoms was recommended. On follow-up call, one day later the reporter indicated that her 1 year old cats symptoms improved without medical intervention. She did take her 6 year-old cat to the veterinarian for treatment and he was coming home later that day. 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

Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

1

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

Unknown / Inconnu

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Trembling
  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Muscle twitching

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

1-32989634 - The reporter, a pet owner, indicated that her cats were exposed to a dog spot-on insecticide containing the active ingredients permethrin and methoprene. The reporter applied the dog spot-on product to her 6-year-old, 12 pound, male cat (Subform III #1) and to her 1-year-old, male cat (Subform III #2) two days prior to initial contact with the registrant. At the time of initial contact, the reporter indicated that both cats were twitching and foaming at the mouth. The report was advised that per package labeling the dog product should not be applied to cats. Bathing with a non-insecticidal shampoo was recommended and symptomatic and supportive care for any ongoing neurologic symptoms was recommended. On follow-up call, one day later the reporter indicated that her 1 year old cats symptoms improved without medical intervention. She did take her 6 year-old cat to the veterinarian for treatment and he was coming home later that day. No further information is available.


To be determined by Registrant

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

Minor

19. Provide supplemental information here