New incident report
Incident Report Number: 2024-3425
Registrant Reference Number: 2024-CA-000272
Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation
Address: 200 Plaza Drive, Suite 402
City: Secaucus
Prov / State: New Jersey
Country: USA
Postal Code: 07094
Human
Country: CANADA
Prov / State: MANITOBA
PMRA Registration No. 30735 PMRA Submission No. EPA Registration No.
Product Name: Hartz UltraGuard Flea and Tick Drops for Dogs Over 28 kg
Yes
Unknown
Site: Personal use / Usage personnel
No
Data Subject
Sex: Male
Age: >19 <=64 yrs / >19 <=64 ans
System
Unknown / Inconnu
No
No
Non-occupational
Application
None
Skin
>15 min <=2 hrs / >15 min <=2 h
<=30 min / <=30 min
On 28-May-2024, a 42 year old, 117.9 kilogram, male human, with concomitant medical conditions of unspecified heart problems, hypertension, and fluid retention, intentionally applied an unknown amount of Hartz UltraGuard Flea and Tick Drops for Dogs Over 28 kg (Phenothrin (Sumithrin)) topically to their arm. This was an extra label use due to intentional misuse on a human. Approximately 30 minutes later, the patient experienced eye irritation, burning sensation on their hand, stomach pain, diarrhea, and tiredness, and then rinsed the application site. The patient takes the following concomitant medications at unknown dose and frequency: Spironolactone, Sildenafil, Furosemide, Carvedilol, Clonazepam. The patient was advised to continue rinsing the application site for 15-20 minutes. Medical intervention had not been sought. No further information was received.
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.