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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-6333

2. Registrant Information.

Registrant Reference Number: 25922

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.

04-OCT-13

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

04-OCT-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. 25922      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/Tick Drops for Dogs/Puppies Over 30 lbs

  • Active Ingredient(s)
    • 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

Dog / Chien

3. Breed

Mixed Breed

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

1

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

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

11. List all symptoms

System

  • General
    • Symptom - Malaise
    • Symptom - Vocalizing

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

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

1-35151135 - The reporter, a pet owner, indicated that his dog was exposed to an insecticidal spot-on product containing the active ingredient permethrin. The reporter indicated that he applied the product to his 1- year-old, 12 pound, female mixed breed dog (Subform III #1) and to his 4-year-old, 12 pound, male mixed breed dog (Subform III #2) one day prior to initial contact with the registrant. The product used was for dogs that weigh over 30 pounds but the reporter indicated that he divided the tube in 3rds and only applied one third of the tube to each of his dogs. One day after product application the reporter noted that both of his dogs were crying and sitting down like they were uncomfortable. The reporter was advised that he should only apply products to his dogs that match the designated weight range. Application of products that are meant for larger dogs may result in an overdose and bathing with a non-insecticidal soap was recommended. On follow-up call, two days later, the reporter indicated that after bathing the dogs seemed better for a few hours but then their symptoms returned. Veterinary care was recommended for the persistent symptoms. On follow-up call, four days later, the reporter indicated that he did go to the veterinarian and a medication that the reporter described as a combination of anti-histamine and an anti-inflammatory had been prescribed for a period of ten days. The reporter indicated that his dogs symptoms were improving. 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

Dog / Chien

3. Breed

Mixed breed

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

4

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

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

11. List all symptoms

System

  • General
    • Symptom - Malaise
    • Symptom - Vocalizing

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

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

1-35151135 - The reporter, a pet owner, indicated that his dog was exposed to an insecticidal spot-on product containing the active ingredient permethrin. The reporter indicated that he applied the product to his 1- year-old, 12 pound, female mixed breed dog (Subform III #1) and to his 4-year-old, 12 pound, male mixed breed dog (Subform III #2) one day prior to initial contact with the registrant. The product used was for dogs that weigh over 30 pounds but the reporter indicated that he divided the tube in 3rds and only applied one third of the tube to each of his dogs. One day after product application the reporter noted that both of his dogs were crying and sitting down like they were uncomfortable. The reporter was advised that he should only apply products to his dogs that match the designated weight range. Application of products that are meant for larger dogs may result in an overdose and bathing with a non-insecticidal soap was recommended. On follow-up call, two days later, the reporter indicated that after bathing the dogs seemed better for a few hours but then their symptoms returned. Veterinary care was recommended for the persistent symptoms. On follow-up call, four days later, the reporter indicated that he did go to the veterinarian and a medication that the reporter described as a combination of anti-histamine and an anti-inflammatory had been prescribed for a period of ten days. The reporter indicated that his dogs symptoms were improving. 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