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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-2758

2. Registrant Information.

Registrant Reference Number: PROSAR case #: 1-33494535

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.

29-APR-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

29-APR-13

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. 29930      PMRA Submission No.       EPA Registration No.

Product Name: Ultraguard One Spot Flea Egg/Larvea Treatment for Cats/Kittens

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

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?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

4

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

<=30 min / <=30 min

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Shaking
  • Skin
    • Symptom - Hair loss

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

1-33494535 - The reporter, a pet owner, indicated that her two cats were exposed to an insecticidal product containing the active ingredient methoprene. The reporter indicated that she applied the product to her 4 year old male cat (Subform III #1) and to her 2 year old female cat (Subform III #2) one day prior to initial contact with the registrant. Twenty minutes after product application both cats were salivating and shaking. The shaking lasted for a period of about 5 minutes. On the day of initial contact caller states that both cats have hair loss at the application site. The reporter was advised that the product has little to no toxicity in mammals. Because of the unpleasant taste transient salivation is possible after ingestion of the product. Also, the sensation of the product on the skin may cause the animal to twitch or shake. Hair loss is not expected but some animals may be sensitive to the product. The reporter was advised to bath her cats with a non-insecticidal shampoo. 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

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

2

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

<=30 min / <=30 min

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Shakiness
  • Skin
    • Symptom - Hair loss

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

1-33494535 - The reporter, a pet owner, indicated that her two cats were exposed to an insecticidal product containing the active ingredient methoprene. The reporter indicated that she applied the product to her 4 year old male cat (Subform III #1) and to her 2 year old female cat (Subform III #2) one day prior to initial contact with the registrant. Twenty minutes after product application both cats were salivating and shaking. The shaking lasted for a period of about 5 minutes. On the day of initial contact caller states that both cats have hair loss at the application site. The reporter was advised that the product has little to no toxicity in mammals. Because of the unpleasant taste transient salivation is possible after ingestion of the product. Also, the sensation of the product on the skin may cause the animal to twitch or shake. Hair loss is not expected but some animals may be sensitive to the product. The reporter was advised to bath her cats with a non-insecticidal shampoo. 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