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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2017-0304

2. Registrant Information.

Registrant Reference Number: ProPharma Group case:# 1-46617641

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.

21-DEC-16

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. 26491      PMRA Submission No.       EPA Registration No.

Product Name: HARTZ ULTRAGUARD ONE SPOT TREATMENT FOR CATS & 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 Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

9

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

  • Skin
    • Symptom - Lesion
    • Specify - Scabs
    • Symptom - Hair loss
  • Nervous and Muscular Systems
    • Symptom - Bizarre behaviour

12. How long did the symptoms last?

Unknown / Inconnu

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

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

1-46617641 - The reporter, a pet owner, indicated her cat was exposed to an insecticidal spot-on product containing the active ingredient (S)-methoprene. Ten days before the day of initial contact with the registrant, the reporter applied the product on her 9-year-old, female, domestic shorthair cat of unknown weight. After application the reporter indicated the cat hid for three days. Seven days before the day of initial contact, the reporter found the cat and noticed she had hair loss and scabbing on her neck and back. The reporter admitted she didnt know if some of the scabs were present before the product was applied. Four days before the day of initial contact, the reporter bathed the cat. On the day of initial contact, the scabs and hair loss was still present. The reporter indicated the cat had a similar reaction to the product when it was applied approximately one month before the day of initial contact. The reporter was advised this is not an expected effect of routine product use and to discontinue use of the product if she suspects it is the cause of the symptoms. The reporter was also advised to bring the cat to a veterinarian if the symptoms do not resolve. On follow-up call 7 days later, the reporter indicated the cat still had scabs and the cat had not received veterinary care. No additional information is available.


To be determined by Registrant

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

Minor

19. Provide supplemental information here