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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-6334

2. Registrant Information.

Registrant Reference Number: 1-35150066

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.


5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.


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.


PMRA Registration No. 25226      PMRA Submission No.       EPA Registration No.

Product Name: Carpet Flea Powder

  • Active Ingredient(s)

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2724-504-2596

Product Name: Ultra Guard Plus Drops for Cats

  • Active Ingredient(s)

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: registrant flea and tick shampoo for animals

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Res. - In Home / Rés. - à l'int. maison

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?


Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected


5. Sex


6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )



8. Route(s) of exposure



9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms


  • Nervous and Muscular Systems
    • Symptom - Seizure
  • Renal System
    • Symptom - Inappropriate urination
  • Eye
    • Symptom - Nystagmus
  • Nervous and Muscular Systems
    • Symptom - Ataxia
    • Symptom - Aggressive behaviour
  • General
    • Symptom - Edema
  • Skin
    • Symptom - Other
    • Specify - Lost front claws
    • Symptom - Other
    • Specify - Lump

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident


16. How was the animal exposed?

Contact treat.area/Contact surf. traitée

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-35150066 - The reporter, a veterinarian, indicated that a cat was exposed to numerous insecticidal products including a registrant carpet powder containing the active ingredient phenothrin, a registrant spot-on product named Ultra Guard Plus Drops for Cats with EPA registration number of 2724-504-2596 and active ingredients of etofenprox and methoprene, a registrant flea and tick shampoo for animals with unknown active ingredients and a registrant home spray with unknown active ingredients. The reporter indicated that the spot-on product and the registrant flea and tick home spray were last applied about one month prior to initial contact with the registrant, the flea and tick shampoo had been used about one week prior to initial contact and the carpet powder had been applied weekly in the home. The reporter indicated that one day prior to presenting to his clinic the 6 year old, male, 14.5 pound domestic short-haired cat had a seizure and while the cat was seizing the pet owner noted nystagmus. At the time of initial contact the reporter indicated that the cat was ataxic and had positional nystagmus. The reporter indicated that the cat did not have the classic tremoring that he typically sees with pyrethroid toxicity. The reporter stated that he had not seen this particular cat for a period of 4 years so he was not sure of the cats vaccine status. The reporter was advised that the described symptoms and the time frame in which they occurred are not consistent with exposure to a pyrethroid insecticide. Additional diagnostics were recommended to rule out other causes such as infectious diseases, etc. On follow-up call, six days later, the reporter indicated that the cat was now also experiencing intermittent episodes of aggressive behavior and the other day it ran straight into a wall. At other times the cat acts completely normal. The reporter also indicated that the cat still has positional nystagmus, it has been urinating throughout the house, a lump has formed on the back of its neck, it has lost all of its front claws and its feet are edematous. The reporter had recommended an MRI but the owners have declined this test due to limited finances. Given the unknown vaccination status of the animal the reporter was advised to consider rabies as a possible differential. No further information is available.

To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification


19. Provide supplemental information here