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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2021-0393

2. Registrant Information.

Registrant Reference Number: 2020-US-039218

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.

30-OCT-20

5. Location of incident.

Country: UNITED STATES

Prov / State: MASSACHUSETTS

6. Date incident was first observed.

29-OCT-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. 2596-83

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

  • Active Ingredient(s)
    • 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

Ragdoll

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

3

7. Weight (provide a range if necessary )

10

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>24 hrs <=3 days / >24 h <=3 jours

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Agitation
  • Skin
    • Symptom - Pruritus
  • General
    • Symptom - Abnormal behaviour
    • Specify - rolling
  • Gastrointestinal System
    • Symptom - Anorexia
  • Nervous and Muscular Systems
    • Symptom - Seizure
  • General
    • Symptom - Death

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

On 28-Oct-2020, a 3 year old, 10 pound, neutered, female, Ragdoll cat, in unknown condition, with no known concomitant medical condition, had 1 Hartz UltraGuard Flea and Tick Collar for Cats and Kittens - White (Tetrachlorvinphos) placed around the neck by the animal owner. On 27-Oct-2020 the cat was also administered 1 tube of an Unspecified Hartz Flea and Tick Topical (unknown ingredient) via the topical route by the animal owner. On 29-Oct-2020 the cat exhibited agitation, pruritus, and rolling (abnormal behaviour). On 30-Oct-2020 the collar was removed and the cat was bathed with unspecified dish soap by the animal owner. On 31-Oct-2020 the cat exhibited anorexia and multiple seizures. The cat was not evaluated by a veterinarian and the signs continued. On 10-Nov-2020 the cat died. No further information was received in this case.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Assessment: Tetrachlorvinphos is an organophosphate insecticide with a good margin of safety in cats following topical use. The initial signs of agitation and rolling were likely related to application of a collar in general if the cat was not used to wearing one. Anorexia and seizures began after the collar was removed and the cat was bathed. Prolonged anorexia and seizures progressing to death is not anticipated. Other causes including other exposures, infectious disease, underlying neurological or metabolic disease should be considered. Without veterinary evaluation and diagnostics, including necropsy, this case cannot be evaluated further. 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.