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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4274

2. Registrant Information.

Registrant Reference Number: 1-34455982

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-JUL-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

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. 29930      PMRA Submission No.       EPA Registration No.

Product Name: Ultraguard One Spot Flea, Egg/Larvae 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

Female

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

  • Skin
    • Symptom - Lesion
  • General
    • Symptom - Swelling
  • Gastrointestinal System
    • Symptom - Anorexia
  • Skin
    • Symptom - Red skin

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

1-34455982 - The reporter, a pet owner, indicated that her cat was exposed to a spot-on insecticide containing the active ingredient methoprene. The reporter indicated that she had applied the product to her female, 1-year-old cat for the past two to three months prior to initial contact with the registrant but symptoms from the exposure were not seen until just before the initial call. At the time of the initial call, the reporter indicated that her cat had red and swollen ears, open sores on the neck and a loss of appetite. The reporter was advised that the product has a wide margin of safety but some animals can be sensitive to the product. It was recommended that she discontinue using the product, that she bath her cat with a hand dishwashing soap and that she take her cat to the veterinarian for symptomatic and supportive care. On follow-up call, four days later, the reporter indicated that she wiped the cat with a wash cloth and some soap and covered the cat with a sock to prevent scratching. Per the reporter at the time of the follow-up call the cat was doing better. The reporter did not take her cat to the veterinarian due to financial constraints. 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