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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2013-6354

2. Registrant Information.

Registrant Reference Number: PROSAR case #: 1-35363495

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.


Prov / State: INDIANA

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

Product Name: Ultraguard One Spot Flea, Egg/Larvae Treatment for Cats/Kittens

  • Active Ingredient(s)
      • Guarantee/concentration 2.9 %

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-22

Product Name: Ultraguard Rid Flea/Tick Shampoo for Cats

  • Active Ingredient(s)
      • Guarantee/concentration .149 %
      • Guarantee/concentration .089 %
      • Guarantee/concentration .054 %

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-167

Product Name: Ultraguard Flea/Tick Prevention for Dogs/Puppies 5-14 lbs.

  • Active Ingredient(s)
      • Guarantee/concentration 55 %
      • Guarantee/concentration 1 %
      • Guarantee/concentration 10 %

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-153

Product Name: UltraGuard Rid Flea Dog Shampoo Refreshing Fresh Citrus

  • Active Ingredient(s)
      • Guarantee/concentration .27 %

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: 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?


Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed


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


  • General
    • Symptom - Malaise
    • Symptom - Lethargy
  • Eye
    • Symptom - Swollen eye
  • Skin
    • Symptom - Red skin
  • Nervous and Muscular Systems
    • Symptom - Seizure
    • Symptom - Coma
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

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?

Treatment / Traitement

17. Provide any additional details about the incident

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

1-35363495 - The reporter indicated that a cat was exposed to a cat insecticidal spot-on product containing the active ingredient methoprene and to a cat insecticidal shampoo containing the active ingredients pyrethrins, n-octyl bicycloheptene dicarboximide and piperonyl butoxide. The reporter further indicated that the cat may have also been exposed to a dog spot-on insecticide containing the active ingredients etofenprox, n-octyl bicycloheptene dicarboximide and piperonyl butoxide and to a dog insecticidal shampoo containing the active ingredient phenothrin. The reporter runs an at home rescue for dogs and cats and three days prior to initial contact with the registrant the reporter bathed 9 cats with the cat shampoo and then applied the cat spot-on product to all nine cats. On that same day she also bathed 12 dogs with the dog insecticidal shampoo and then applied the dog spot-on product to all twelve dogs. The reporter indicated that immediately after product application the dogs and cats interacted and they may have groomed each other. Shortly after product application the reporter stated that all of cats were lethargic, and they had some swelling and pinkness around their eyes. Two days later, in the earlier morning, one of the cats (Subform III #1) had multiple discrete seizures. This cat was taken to the veterinarian and kept for hospitalization but the reporter indicated that the veterinarian called and indicated that the cat continued to have seizures, went into a coma and then died on its own. The reporter was advised that simultaneous use of multiple flea and tick products on one animal is not recommended without first consulting a veterinarian. The reporter was further advised that per package labeling cats should not be exposed to a dog that has recently had a spot-on product applied until after the product is completely dry. 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