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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-2433

2. Registrant Information.

Registrant Reference Number: PROSAR case: 1-40498853

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: FLORIDA

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 %

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

Medical Professional

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 - Lethargy
  • Gastrointestinal System
    • Symptom - Anorexia
  • Nervous and Muscular Systems
    • Symptom - Abnormal gait
    • Specify - Unsteady gait
  • Blood
    • Symptom - Anemia
  • 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

1-40498853 - The reporter, a veterinarian, indicated that a cat was exposed to a spot-on insecticide containing the active ingredient methoprene and to an unidentified flea and tick collar with unknown active ingredients. The pet owner applied the collar to her 7-year-old, female cat to treat an active flea infestation one week prior to initial contact with the registrant. The collar was removed 3 days after it was applied because it had not yet helped with the fleas. The pet owner then applied the registrant spot-on product. The cat was then noted to be lethargic and anorexic which is the reason it was brought to the veterinarian. At the time of the initial call the veterinarian indicated that the cat still had a lot of fleas, her gait was unsteady and blood work showed a packed cell volume of 12%. The reporter was advised that the active ingredient in the spot-on product has little to no toxicity in mammals; it only affects immature fleas. Based on the described symptoms and blood work the cat was likely suffering from flea bite anemia. On follow-up call, one day later, the reporter indicated that the cat was bathed and sent home. The veterinary clinic had just recently called the pet owner and they were told that the cat had passed away at home. The veterinarian thought the death was due to anemia secondary to fleas. 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