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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2015-2437

2. Registrant Information.

Registrant Reference Number: PROSAR case: 1-40512355

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.

07-MAY-15

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

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. 29930      PMRA Submission No.       EPA Registration No.

Product Name: HARTZ ULTRAGUARD ONE SPOT DROPS FOR CATS AND KITTENS

  • Active Ingredient(s)
    • (S)-METHOPRENE

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?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Longhair

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

2

7. Weight (provide a range if necessary )

7

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

  • Gastrointestinal System
    • Symptom - Anorexia
    • Symptom - Vomiting
    • Symptom - Diarrhea
  • Nervous and Muscular Systems
    • Symptom - Ataxia
    • Symptom - Muscle weakness
    • Symptom - Disorientation
  • General
    • Symptom - Vocalizing
    • Symptom - Clingy

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

1-40512355 - The reporter, a pet owner, indicated that her cat was exposed to a spot-on insecticide containing the active ingredient methoprene. The reporter applied the spot-on product to her 2-year-old, 7 pound, male cat one day prior to initial contact with the registrant and the following day, when the reporter returned home, she found multiple episodes of vomit and one diarrhea episode in her home. The cat was found hiding in the closet, he seemed weak and disorientated, he walked like he was drunk and he meowed loudly. The reporter brought the cat to the emergency clinic that night where it was treated with an injectable anti-emetic, given fluids and the application site was shaved and washed. The cat was released that same night. The following day the reporter noted that the cat was clingy, tired and was not eating but he seemed more playful that evening and two days later he was eating canned food and doing a little better but still lethargic. The reporter was advised that the product has little to no toxicity in mammals but if ingested transient gastrointestinal upset is possible. The reporter was further advised that there are numerous possible causes for vomiting and diarrhea and it may be that something else affected the catżżżżżżs health. No further information is available.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here