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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-4943

2. Registrant Information.

Registrant Reference Number: 1-34789896

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.

30-AUG-13

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

29-AUG-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. 26490      PMRA Submission No.       EPA Registration No.

Product Name: Ultraguard Plus 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

Unknown

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

Unknown

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

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Trembling

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?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Fully Recovered / Complètement rétabli

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

1-34789896 - The reporter, a pet owner, indicated that her cat and her daughters two cats were exposed to a dog spot-on insecticide containing the active ingredient permethrin and methoprene. The reporter applied the product to her female cat (Subform III #1) and to her daughters two male cats (Subform III #2 and #3) one day prior to initial contact with the registrant and the following day all three cats were trembling. The reporter bathed her cat at home and all three cats were brought to the veterinarian for treatment. The reporter was advised that per package labeling this product is only meant for dogs and should not be applied to cats. On follow-up call, to the veterinary clinic, four days later, a veterinary staff member indicated that the cats were given a bath and treated with an antihistamine, their symptoms resolved and they were sent home. 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

Other

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 )

Unknown

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

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Trembling

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?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Fully Recovered / Complètement rétabli

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

1-34789896 - The reporter, a pet owner, indicated that her cat and her daughters two cats were exposed to a dog spot-on insecticide containing the active ingredient permethrin and methoprene. The reporter applied the product to her female cat (Subform III #1) and to her daughters two male cats (Subform III #2 and #3) one day prior to initial contact with the registrant and the following day all three cats were trembling. The reporter bathed her cat at home and all three cats were brought to the veterinarian for treatment. The reporter was advised that per package labeling this product is only meant for dogs and should not be applied to cats. On follow-up call, to the veterinary clinic, four days later, a veterinary staff member indicated that the cats were given a bath and treated with an antihistamine, their symptoms resolved and they were sent home. 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

Other

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 )

Unknown

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

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Trembling

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?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Fully Recovered / Complètement rétabli

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

1-34789896 - The reporter, a pet owner, indicated that her cat and her daughters two cats were exposed to a dog spot-on insecticide containing the active ingredient permethrin and methoprene. The reporter applied the product to her female cat (Subform III #1) and to her daughter s two male cats (Subform III #2 and #3) one day prior to initial contact with the registrant and the following day all three cats were trembling. The reporter bathed her cat at home and all three cats were brought to the veterinarian for treatment. The reporter was advised that per package labeling this product is only meant for dogs and should not be applied to cats. On follow-up call, to the veterinary clinic, four days later, a veterinary staff member indicated that the cats were given a bath and treated with an antihistamine, their symptoms resolved and they were sent home. 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