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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4264

2. Registrant Information.

Registrant Reference Number: 1-34379786

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.

22-JUL-13

5. Location of incident.

Country: UNITED STATES

Prov / State: MICHIGAN

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.       PMRA Submission No.       EPA Registration No. 2596-147

Product Name: Ultra-guard 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?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Mixed breed

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

10

7. Weight (provide a range if necessary )

9

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

  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia
    • Specify - Not drinking
    • 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

1-34379786 - The reporter, a pet owner, indicated that her four cats were exposed to a spot-on insecticide containing the active ingredient methoprene. The reporter indicated that she applied the product to her 10 year old, female, 9 pound mixed breed cat (Subform III #1), to her 10 year old, female, 10 pound domestic shorthair (Subform III #2) and to her two other cats 19 days prior to initial contact with the registrant. One day after product application all four cats stopped eating and drinking water and then callers mixed breed cat (Subform III #1) and her domestic shorthair (Subform III #2) died suddenly. The reporter took her other two cats to a veterinarian and blood work showed they were both anemic. Vitamins were prescribed to treat the anemia. The reporter was advised that the product has little to no toxicity in mammals and the described symptoms are not consistent with exposure to the product. Per package labeling the product prevents maturation of fleas but does not kill the adult flea. A severe infestation with adult fleas may result in anemia, anorexia and sudden death. 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 )

10

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

Unknown / Inconnu

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Anorexia
  • General
    • Symptom - Adipsia
    • Specify - Not Drinking
    • 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

1-34379786 - The reporter, a pet owner, indicated that her four cats were exposed to a spot-on insecticide containing the active ingredient methoprene. The reporter indicated that she applied the product to her 10 year old, female, 9 pound mixed breed cat (Subform III #1), to her 10 year old, female, 10 pound domestic shorthair (Subform III #2) and to her two other cats 19 days prior to initial contact with the registrant. One day after product application all four cats stopped eating and drinking water and then callers mixed breed cat (Subform III #1) and her domestic shorthair (Subform III #2) died suddenly. The reporter took her other two cats to a veterinarian and blood work showed they were both anemic. Vitamins were prescribed to treat the anemia. The reporter was advised that the product has little to no toxicity in mammals and the described symptoms are not consistent with exposure to the product. Per package labeling the product prevents maturation of fleas but does not kill the adult flea. A severe infestation with adult fleas may result in anemia, anorexia and sudden death. 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