Does it get the head out always

All the times we've used it, which is at least 25 on our german shepherd (he's treated with tick medication, but they still break through), and for all size deer ticks, the entire head is extracted, and easily. No need to yank, just pull straight back toward the rear of the tick (like you're plucking a hair the correct way). It's amazing.

How well does it work on the teeny tiny deer ticks (size of the head of a pin) like we have in Northeast?

The Tick Key has worked multiple times for me on teeny tiny deer ticks. You have to use it properly and put the head of the tick at the small opening of the Tick Key, press down into the skin and pull gently until the tick releases. The ticks were the size of a pin head or smaller, came out head and all. Love that it fits in my wallet too.

It works but not great, and is overpriced, paid $6+ for something that isn't worth $0.50, looked like I was getting 10 the way it was advertised. Don't waste your money. you can make one from a plastic spoon that works better.

how many come in the pack?

Some packages have 4 or more, the one I got just had one.

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Tick Key Remover, Red

Product ID: 472679264

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₹ 4013

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Tick Key Remover, Red

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