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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2014-1606

2. Registrant Information.

Registrant Reference Number: PROSAR case: 1-36694751

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.

08-APR-14

5. Location of incident.

Country: UNITED STATES

Prov / State: ILLINOIS

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

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

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 2.9 %

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

Product Name: Hartz unspecified flea and tick collar

  • Active Ingredient(s)

7. b) Type of formulation.

Liquid

Other (specify)

Impregnated collar

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

Male

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

14

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>3 days <=1 wk / >3 jours <=1 sem

11. List all symptoms

System

  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Tail twitching
  • Skin
    • Symptom - Hair loss
  • Gastrointestinal System
    • Symptom - Gagging
    • Symptom - Vomiting

12. How long did the symptoms last?

Persisted until death

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

Yes

14. a) Was the animal hospitalized?

Yes

14. b) How long was the animal hospitalized?

6

Day(s) / Jour(s)

15. Outcome of the incident

Died

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

1-36694751 - The reporter, a pet owner, indicated that her cats were exposed to a spot-on insecticide containing the active ingredient methoprene and to a registrant flea and tick collar. The reporter no longer had the collar package and was unable to provide the name, active ingredients, EPA registration number or the bar code number for the collar that she had used. The reporter applied the spot-on insecticide to her 2-year-old, 14 pound, male cat five months prior to initial contact with the company. About a week and a half after the spot-on product was applied the reporter noticed hair loss at the application site and then the cat developed a tail twitch that resolved within a month. About two months prior to initial contact with the registrant the reporter applied a registrant flea and tick collar to this same cat. The reporter no longer had the package or the collar and could not provide any information on the collar. About one week after the collar was applied the cat began to gag and became anorexic. Eleven days after the collar had been applied the cat was brought to the hospital where it stayed for six days and was treated with supportive care (no specific treatment information was provided). Blood work was run during the stay but the results of the blood work were not provided. The cat passed away at the clinic on the sixth day. A necropsy was not performed to help determine the cause of death. The reporter also states that she has eleven outdoor cats which she has also been treating with the spot on insecticide once monthly for the past five months. Caller states every few weeks she would find another outdoor cat dead. Eventually she saw two of the outdoor cats pass away. She states that the cats were fine, and then became unable to walk or get up, they had a seizure and then died. The reporter did not indicate how many of the outdoor cats passed away. None of the outdoor cats were evaluated by a veterinarian nor was a necropsy performed on any of the cats. No further information is available.


To be determined by Registrant

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

Death

19. Provide supplemental information here

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

11

5. Sex

Unknown

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

Unknown / Inconnu

11. List all symptoms

System

  • General
    • Symptom - Death
  • Nervous and Muscular Systems
    • Symptom - Difficulty getting up
    • Symptom - Difficulty walking
    • Symptom - Seizure

12. How long did the symptoms last?

Persisted until death

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

Died

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

1-36694751 - The reporter, a pet owner, indicated that her cats were exposed to a spot-on insecticide containing the active ingredient methoprene and to a registrant flea and tick collar. The reporter no longer had the collar package and was unable to provide the name, active ingredients, EPA registration number or the bar code number for the collar that she had used. The reporter applied the spot-on insecticide to her 2-year-old, 14 pound, male cat five months prior to initial contact with the company. About a week and a half after the spot-on product was applied the reporter noticed hair loss at the application site and then the cat developed a tail twitch that resolved within a month. About two months prior to initial contact with the registrant the reporter applied a registrant flea and tick collar to this same cat. The reporter no longer had the package or the collar and could not provide any information on the collar. About one week after the collar was applied the cat began to gag and became anorexic. Eleven days after the collar had been applied the cat was brought to the hospital where it stayed for six days and was treated with supportive care (no specific treatment information was provided). Blood work was run during the stay but the results of the blood work were not provided. The cat passed away at the clinic on the sixth day. A necropsy was not performed to help determine the cause of death. The reporter also states that she has eleven outdoor cats which she has also been treating with the spot on insecticide once monthly for the past five months. Caller states every few weeks she would find another outdoor cat dead. Eventually she saw two of the outdoor cats pass away. She states that the cats were fine, and then became unable to walk or get up, they had a seizure and then died. The reporter did not indicate how many of the outdoor cats passed away. None of the outdoor cats were evaluated by a veterinarian nor was a necropsy performed on any of the cats. No further information is available.


To be determined by Registrant

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

Death

19. Provide supplemental information here