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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2020-1502

2. Registrant Information.

Registrant Reference Number: 2020-US-000255

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.

06-JAN-20

5. Location of incident.

Country: UNITED STATES

Prov / State: UNKNOWN

6. Date incident was first observed.

03-JAN-20

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. 2596-139

Product Name: Hartz UltraGuard Plus Flea and Tick Collar for Cats and Kittens

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 1.02 %
    • TETRACHLORVINPHOS
      • Guarantee/concentration 14.55 %

7. b) Type of formulation.

Other (specify)

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).

Please refer to field 13 on Subform II or field 17 of Subform III for a detailed description regarding application.

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

Male

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

12

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

<=30 min / <=30 min

11. List all symptoms

System

  • Skin
    • Symptom - Pruritus
  • General
    • Symptom - Abnormal behaviour
  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Renal System
    • Symptom - Inappropriate urination
  • Gastrointestinal System
    • Symptom - Inappropriate defecation
  • General
    • Symptom - Death

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?

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

On 03-Jan-2020, a 3 year old, 12 pound, neutered, male, Domestic Shorthair cat, in unknown condition, with no known concomitant medical conditions, was administered 1 collar of Hartz UltraGuard Plus Flea and Tick Collar for Cats and Kittens (Tetrachlorvinphos (Rabon) / S Methoprene) via the topical route by the animal owner. At an unspecified time post product application, the cat attempted to remove the collar by scratching and biting at it. Approximately four hours post product application the collar was removed and the symptoms resolved at an unspecified time that same day. On 06-Jan-2020, the cat developed hypersalivation, inappropriate urination, inappropriate defecation and was brought to an emergency veterinary facility. The cat died while receiving unspecified treatment. It is unknown if a necropsy was performed. No further information was received.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Assessment: This product is considered to have a wide margin of safety in cats. The initial signs of scratching and biting at the collar are not uncommon and may occur if the cat does not like having a collar on in general. If a small amount of product was ingested, only minor oral irritation or gastrointestinal upset resulting in drooling or vomiting would be expected. However, delayed onset hypersalivation, inappropriate urination and defecation are not expected. No conversation with the treating veterinarian occurred so it is unknown what treatments were performed and if other symptoms were observed. Other causes including GI foreign body obstruction, urinary obstruction, underlying metabolic and infectious disease should be considered in this case. The information contained in this report is based on self-reported statements provided to the registrant during telephone interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and cannot form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews.