New incident report
Incident Report Number: 2021-3254
Registrant Reference Number: 2021-CA-000045
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
Domestic Animal
Country: CANADA
Prov / State: NEW BRUNSWICK
PMRA Registration No. 30734 PMRA Submission No. EPA Registration No.
Product Name: Hartz UltraGuard Flea and Tick Drops for Dogs 14 - 28 kg Spot-on
Yes
Unknown
Site: Animal / Usage sur un animal domestique
Animal's Owner
Dog / Chien
Mixed
1
Male
4
15
kg
Skin
Unknown / Inconnu
>30 min <=2 hrs / >30 min <=2 h
System
>1 wk <=1 mo / > 1 sem < = 1 mois
No
No
Fully Recovered / Complètement rétabli
Treatment / Traitement
(eg. description of the frequency and severity of the symptoms
On 26-Feb-2021, a 4 year old, approximately 15 kilogram, neutered, male, mixed breed dog, in unknown condition, with no known concomitant medical conditions, was administered 1 tube of Hartz UltraGuard Flea and Tick Drops for Dogs 14 - 28 kg (Phenothrin (Sumithrin)) via the topical route by the animal owner. This was a first time use of the product and it was applied between the shoulder blades. Approximately 35 minutes after application, the dog developed application site hair loss and the animal owner rinsed the application site with water. On a unspecified date post onset, the clinical sign resolved and the dog recovered. The dog was not evaluated by a veterinarian and no treatment was performed.
Minor
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.