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ryn  May 2016
Basslines
ryn May 2016
.

estrate the          
orc-                       opus           
ong•                                  of right        
     of s-                                            and wr-            
      gh power                                        ong•k-       ⚫️  
    tales throu-                                       eep me             
   tell me...                                           ground-      ⚫️
                                                 ­            ed throu-          
                                                ­         gh lyrics          
                                                     worded          
                                                strong•        
                                          embed  ­      
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The soundtrack to life deserves the most wicked of baselines.
.
Arcassin B Jul 2017
By Arcassin B. , Wendy R. & MyDystopiA


MD : Look to the blue of the sky,

let go and fly, follow the signs
to find the light inside.


You have the world at your feet.
It costs nothing to be free.
It's in the small things,

we find the greatest hope.

AB : In God's glory I bathe and the wicked earth just
keeps scorching,
WR : I Get lost having too much fun and not true joy
with partying friends,
AB : You give yourself to the wrong crowd and it'll
all end,
WR : Popularity , ain't "all that", some may say it
leads to sin,
AB : Answering what everyone ask in a world filled
with dying women and children.
©abpoetry2017
https://arcassin.blogspot.com/2017/07/electric-feels-ft-wendy-ronshausen.html
Michael R Burch Apr 2021
Prose Poems and Experimental Poems
by Michael R. Burch

These are prose poems (is that an oxymoron?)  and experimental poems that begin with the first non-rhyming poem I wrote as a teenager...



Something
―for the children of the Holocaust and the Nakba
by Michael R. Burch

Something inescapable is lost―lost like a pale vapor curling up into shafts of moonlight, vanishing in a gust of wind toward an expanse of stars immeasurable and void. Something uncapturable is gone―gone with the spent leaves and illuminations of autumn, scattered into a haze with the faint rustle of parched grass and remembrance. Something unforgettable is past―blown from a glimmer into nothingness, or less, which finality swept into a corner, where it lies... in dust and cobwebs and silence.

This was my first poem that didn't rhyme, written in my late teens. The poem came to me 'from blue nothing' (to borrow a phrase from my friend the Maltese poet Joe Ruggier) . Years later, I dedicated the poem to the children of the Holocaust and the Nakba.


briefling
by Michael R. Burch

manishatched, hopsintotheMix, cavorts, hassex (quick! , spawnanewBrood!) ; then, likeamayfly, he's suddenly gone: plantfood.



It's Hard Not To Be Optimistic: An Updated Sonnet to Science
by Michael R. Burch

"DNA has cured deadly diseases and allowed labs to create animals with fantastic new features." ― U.S. News & World Report

It's hard not to be optimistic when things are so wondrously futuristic: when DNA, our new Louie Pasteur, can effect an autonomous, miraculous cure, while labs churn out fluorescent monkeys who, with infinite typewriters, might soon outdo USN&WR's flunkeys. Yes, it's hard not to be optimistic when the world is so delightfully pluralistic: when Schrödinger's cat is both dead and alive, and Hawking says time can run backwards. We thrive, befuddled drones, on someone else's regurgitated nectar, while our cheers drown out poet-alarmists who might Hector the Achilles heel of pure science (common sense)  and reporters who tap out supersillyous nonsense. [Dear U.S. News & World Report Editors: I am a fan of both real science and science fiction, and I like to think I can tell the difference, at least between the two extremes. I feel confident that Schrödinger didn't think the cat in his famous experiment was both dead and alive. Rather, he was pointing out that we can't know until we open the box, scratchings and smell aside. While traveling backwards in time is great for science fiction, it seems extremely doubtful as a practical application. And as for DNA curing deadly diseases... well, it must have created them, so perhaps don't give it too much credit! While I'm usually a fan of your magazine, as a writer I must take to task the Frankensteinian logic of the excerpt I cited, and I challenge you to publish my "letter" as proof that poets do have a function in the third millennium, even if it is only to suggest that paid writers should not create such outlandish, freakish horrors of the English language.―Somewhat irked, but still a fan, Michael R. Burch]



bachelorhoodwinked
by Michael R. Burch

u are charming & disarming, but mostly! ! ! ALARMING! ! ! since all my resolve dissolved! u are chic as a sheikh's harem girl in the sheets, but now my bed's not my own and my kingdom's been overthrown!



Starting from Scratch with Ol' Scratch
by Michael R. Burch

for the Religious Right

Love, with a small, fatalistic sigh went to the ovens. Please don't bother to cry. You could have saved her, but you were all *******: complaining about the Jews to Reichmeister Grupp. Scratch that. You were born after World War II. You had something more important to do: while the children of the Nakba were perishing in Gaza with the complicity of your government, you had a noble cause (a religious tract against homosexual marriage and various things gods and evangelists disparage.)  Jesus will grok you? Ah, yes, I'm quite sure that your intentions were good and ineluctably pure. After all, what the hell does he care about Palestinians? Certainly, Christians were right about serfs, slaves and Indians. Scratch that. You're one of the Devil's minions.



Prose Poem: The Trouble with Poets
by Michael R. Burch

This morning the neighborhood girls were helping their mothers with chores, but one odd little girl was out picking roses by herself, looking very small and lonely.

Suddenly the odd one refused to pick roses anymore because she decided it might "hurt" them. Now she just sits beside the bushes, rocking gently back and forth, weeping and consoling them!

Now she's lost all interest in nature, which she finds "appalling." She dresses in black "like Rilke" and says she prefers the "roses of the imagination"! She mumbles constantly about being "pricked in conscience" and being "pricked to death." What on earth can she mean? Does she plan to have *** until she dies?

For chrissake, now she's locked herself in her room and refuses to come out until she has "conjured" the "perfect rose of the imagination"! We haven't seen her for days. Her only communications are texts punctuated liberally with dashes. They appear to be badly-rhymed poems. She signs them "starving artist" in lower-case. What on earth can she mean? Is she anorexic, or bulimic, or is this just a phase she'll outgrow?



escape!
by michael r. burch

to live among the daffodil folk... slip down the rainslickened drainpipe... suddenly pop out the GARGANTUAN SPOUT... minuscule as alice, shout yippee-yi-yee! in wee exultant glee to be leaving behind the LARGE THREE-DENALI GARAGE.

escape! !

u are too beautiful, too innocent, too inherently lovely to merely reflect the sun's splendor... too full of irresistible candor to remain silent, too delicately fawnlike for a world so violent... come, my beautiful bambi and i will protect you... but of course u have already been lured away by the dew-laden roses...



Children's Prose Poem: The Three Sisters and the Mysteries of the Magical Pond
by Michael R. Burch

Every child has a secret name, which only their guardian angel knows. Fortunately, I am able to talk to angels, so I know the secret names of the Three Sisters who are the heroines of the story I am about to tell...

The secret names of the Three Sisters are Etheria, Sunflower and Bright Eyes. Etheria, because the eldest sister's hair shines like an ethereal blonde halo. Sunflower, because the middle sister loves to plait bright flowers into her hair. Bright Eyes, because the youngest sister has flashing dark eyes that are sometimes full of mischief! This is the story of how the Three Sisters solved the Three Mysteries of the Magical Pond...

The first mystery of the Magical Pond was the mystery of the Great Heron. Why did the Great Heron seem so distant and aloof, never letting human beings or even other animals come close to it? This great mystery was solved by Etheria, who noticed that the Great Heron was so large it couldn't fly away from danger quickly. So the Heron was not being aloof at all... it was simply being cautious and protecting itself by keeping its distance from faster creatures. Things are not always as they appear!

The second mystery was the mystery of the River Monster. What was the dreaded River Monster, and did it pose a danger to the three sisters and their loved ones? This great mystery was solved by Sunflower, who found the River Monster's footprints in the mud after a spring rain. Sunflower bravely followed the footprints to a bank of the pond, looked down, and to her surprise found a giant snapping turtle gazing back at her! Thus the mystery was solved, and the River Monster was not dangerous to little girls or their family and friends, because it was far too slow to catch them. But it could be dangerous if anyone was foolish enough to try to pet it. Sometimes it is best to leave nature's larger creatures alone, and not tempt fate, even when things are not always as they appear!

The third mystery was the most perplexing of all. How was it possible that tiny little starlings kept chasing away much larger crows, hawks and eagles? What a conundrum! (A conundrum is a perplexing problem that is very difficult to solve, such as the riddle: "What walks on four legs in the morning, on two legs during the day, then on three legs at night? " Can you solve it? ... The answer is a human being, who crawls on four legs as a baby, then walks on two legs most of its life, but needs a walking cane in old age. This is the famous Riddle of the Sphinx.)  Yes, what a conundrum! But fortunately Bright Eyes was able to solve the Riddle of the Starlings, because she noticed that the tiny birds were much more agile in the air, while the much larger hawks and eagles couldn't change direction as easily. So, while it seemed the starlings were risking their lives to defend their nests, in reality they had the advantage! Once again, things are not always as they appear!

Now, these are just three adventures of the Three Sisters, and there are many others. In fact, they will have a whole lifetime of adventures, and perhaps we can share in them from time to time. But if their mother reads them this story at bedtime, by the end of the story their eyes may be getting very sleepy, and they may soon have dreams of Giant Herons, and Giant Turtles, and Tiny Starlings chasing away Crows, Hawks and Eagles! Sweet dreams, Etheria, Sunflower and Bright Eyes!



Fake News, Probably
by Michael R. Burch

The elusive Orange-Tufted Fitz-Gibbon is the rarest of creatures―rarer by far than Sasquatch and the Abominable Snowman (although they are very similar in temperament and destructive capabilities) . While the common gibbon is not all that uncommon, the orange-tufted genus has been found less frequently in the fossil record than hobbits and unicorns. The Fitz-Gibbon sub-genus is all the more remarkable because it apparently believes itself to be human, and royalty, no less! Now there are rumors―admittedly hard to believe―that an Orange-Tufted Fitz-Gibbon resides in the White House and has been spotted playing with the nuclear codes while chattering incessantly about attacking China, Mexico, Iran and North Korea. We find it very hard to credit such reports. Surely American voters would not elect an oddly-colored ape with self-destructive tendencies president!



Writing Verse for Free, Versus Programs for a Fee
by Michael R. Burch

How is writing a program like writing a poem? You start with an idea, something fresh. Almost a wish. Something effervescent, like foam flailing itself against the rocks of a lost tropical coast...

After the idea, of course, there are complications and trepidations, as with the poem or even the foam. Who will see it, appreciate it, understand it? What will it do? Is it worth the effort, all the mad dashing and crashing about, the vortex―all that? And to what effect?

Next comes the real labor, the travail, the scouring hail of things that simply don't fit or make sense. Of course, with programming you have the density of users to fix, which is never a problem with poetry, since the users have already had their fix (this we know because they are still reading and think everything makes sense) ; but this is the only difference.

Anyway, what's left is the debugging, or, if you're a poet, the hugging yourself and crying, hoping someone will hear you, so that you can shame them into reading your poem, which they will refuse, but which your mother will do if you phone, perhaps with only the tiniest little mother-of-the-poet, harried, self-righteous moan.

The biggest difference between writing a program and writing a poem is simply this: if your program works, or seems to work, or almost works, or doesn't work at all, you're set and hugely overpaid. Made-in-the-shade-have-a-pink-lemonade-and-ticker-tape-parade OVERPAID.

If your poem is about your lover and ***** up quite nicely, perhaps you'll get laid. Perhaps. Regardless, you'll probably see someone repossessing your furniture and TV to bring them posthaste to someone like me. The moral is this: write programs first, then whatever passes for poetry. DO YOUR SHARE; HELP END POVERTY TODAY!



Prose Poem: Litany
by Michael R. Burch

Will you take me with all my blemishes? I will take you with all your blemishes, and show you mine. We'll **** wine out of cardboard boxes till our teeth and lips shine red like greedily gorging foxes'. We'll swill our fill, then have *** for hours till our neglected guts at last rebel. At two in the morning, we'll eat cold Krystals out of greasy cardboard boxes, and we will be in love. And that's it? That's it! And can I go out with my friends and drink until dawn? You can go out with your friends and drink until dawn, come home lipstick-collared, pass out by the pool, or stay at the bar till the new moon sets, because we will be in love, and in love there is no room for remorse or regret. There is no right, no wrong, and no mistrust, only limb-numbing ***, hot-pistoning lust. And that's all? That's all. That's great! But wait... Wait? Why? What's wrong? I want to have your children. Children? Well, perhaps just one. And what will happen when we have children? The most incredible things will happen―you'll change, stop acting so strangely, start paying more attention to me, start paying your bills on time, grow up and get rid of your horrible friends, and never come home at a-quarter-to-three drunk from a night of swilling, smelling like a lovesick skunk, stop acting so lewdly, start working incessantly so that we can afford a new house which I will decorate lavishly and then grow tired of in a year or two or three, start growing a paunch so that no other woman would ever have you, stop acting so boorishly, start growing a beard because you're too tired to shave, or too afraid, thinking you might slit your worthless wrinkled throat...



Sweet Nothings
by Michael R. Burch

Tonight, will you whisper me a sweet enchantment? We'll take my motorcycle, blaze a trail of metallic exhaust and scorched-black sulphuric fumes to a ****** diner where I'll slip my fingers under your yellow sun dress, inside the elastic waist band of your thin white cotton *******, till your pinkling lips moisten obligingly and the corpulent pink hot dog with tangy brown mustard and sweet pickle relish comes. Tonight, can we talk about something other than ***, perhaps things we both love? What I love is to go to the beach, where the hot oil smells like baking coconuts, and lie in the sun's humidor thinking of you, while the sand worms its way inside your **** little pink bikini, your compressed ******* squishy with warm sweet milk like coconuts, the hair between your legs sleek as a wet mink's... Tonight, can we make love instead of just talking *****? Sorry, honey, I'm just not in the mood.



Sometimes the Dead
by Michael R. Burch

Sometimes we catch them out of the corners of our eyes―the pale dead. After they have fled the gourds of their bodies, like escaping fragrances they rise. Once they have become a cloud's mist, sometimes like the rain they descend; ... they appear, sometimes silver, like laughter, to gladden the hearts of men. Sometimes like a pale gray fog, they drift unencumbered, yet lumbrously, as if over the sea there was the lightest vapor even Atlas could not lift. Sometimes they haunt our dreams like forgotten melodies only half-remembered. Though they lie dismembered in black catacombs, sepulchers and dismal graves; although they have committed felonies, yet they are us. Someday soon we will meet them in the graveyard dust, blood-engorged, but never sated since Cain slew Abel. But until we become them, let us steadfastly forget them, even as we know our children must...



Fascination with Light
by Michael R. Burch

Desire glides in on calico wings, a breath of a moth seeking a companionable light... where it hovers, unsure, sullen, shy or demure, in the margins of night, a soft blur. With a frantic dry rattle of alien wings, it rises and thrums one long breathless staccato... and flutters and drifts on in dark aimless flight. And yet it returns to the flame, its delight, as long as it burns.



Burn, Ovid
by Michael R. Burch

"Burn Ovid"―Austin Clarke

Sunday School, Faith Free Will Baptist,1973: I sat imaging watery folds of pale silk encircling her waist. Explicit *** was the day's "hot" topic (how breathlessly I imagined hers)  as she taught us the perils of lust fraught with inhibition. I found her unaccountably beautiful, as she rolled implausible nouns off the edge of her tongue: adultery, fornication, *******, ******. Acts made suddenly plausible by the faint blush of her unrouged cheeks, by her pale lips accented only by a slight quiver, a trepidation. What did those lustrous folds foretell of our uncommon desire? Why did she cross and uncross her legs lovely and long in their taupe sheaths? Why did her ******* rise pointedly, as if indicating a direction?

"Come unto me,
(unto me) , "
together, we sang,

cheek to breast,
lips on lips,
devout, afire,

my hands
up her skirt,
her pants at her knees:

all night long,
all night long,
in the heavenly choir.



*** 101
by Michael R. Burch

That day the late spring heat steamed through the windows of a Crayola-yellow schoolbus crawling its way up the backwards slopes of Nowheresville, North Carolina... Where we sat exhausted from the day's skulldrudgery and the unexpected waves of muggy, summer-like humidity... Giggly first graders sat two abreast behind senior high students sprouting their first sparse beards, their implausible bosoms, their stranger affections... The most unlikely coupling―Lambert,18, the only college prospect on the varsity basketball team, the proverbial talldarkhandsome swashbuckling cocksman, grinning... Beside him, Wanda,13, bespectacled, in her primproper attire and pigtails, staring up at him, fawneyed, disbelieving... And as the bus filled with the improbable musk of her, as she twitched impaled on his finger like a dead frog jarred to life by electrodes, I knew... that love is a forlorn enterprise, that I would never understand it.



Veiled
by Michael R. Burch

She has belief without comprehension, and in her crutchwork shack she is much like us... Tamping the bread into edible forms, regarding her children at play with something akin to relief... Ignoring the towers ablaze in the distance because they are not revelations but things of glass, easily shattered... Aand if you were to ask her, she might say―sometimes God visits his wrath upon an impious nation for its leaders' sins... And we might agree: seeing her mutilations.



Lucifer, to the Enola Gay
by Michael R. Burch

Go then, and give them my meaning, so that their teeming streets become my city. Bring back a pretty flower―a chrysanthemum, perhaps, to bloom, if but an hour, within a certain room of mine where the sun does not rise or fall, and the moon, although it is content to shine, helps nothing at all. There, if I hear the wistful call of their voices regretting choices made, or perhaps not made in time, I can look back upon it and recall―in all its pale forms sublime, still, Death will never be holy again.



The Evolution of Love
by Michael R. Burch

Love among the infinitesimal flotillas of amoebas is a dance of transient appendages, wild sails that gather in warm brine and then express one headstream as two small, divergent wakes. Minuscule voyage―love! Upon false feet, the pseudopods of uprightness, we creep toward self-immolation: two nee one. We cannot photosynthesize the sun, and so we love in darkness, till we come at last to understand: man's spineless heart is alien to any land. We part to single cells; we rise on buoyant tears, amoeba-light, to breathe new atmospheres... and still we sink. The night is full of stars we cannot grasp, though all the World is ours. Have we such cells within us, bent on love to ever-changingness, so that to part is not to be the same, or even one? Is love our evolution, or a scream against the thought of separateness―a cry of strangled recognition? Love, or die, or love and die a little. Hopeful death! Come scale these cliffs, lie changing, share this breath.



Longing
by Michael R. Burch

We stare out at the cold gray sea, overcome with such sudden and intense longing... our eyes meet, inviolate... and we are not of this earth, this strange, inert mass. Before we crept out of the shoals of the inchoate sea... before we grew the quaint appendages and orifices of love... before our jellylike nuclei, struggling to be hearts, leapt at the sight of that first bright, oracular sun, then watched it plummet, the birth and death of our illumination... before we wept... before we knew... before our unformed hearts grew numb, again, in the depths of the sea's indecipherable darkness... when we were only a swirling profusion of recombinant things wafting loose silt from the sea's soft floor, writhing and ******* in convulsive beds of mucousy foliage,

flowering,
flowering,
flowering...

what jolted us to life?



Memento Mori
by Michael R. Burch

I found among the elms
something like the sound of your voice,
something like the aftermath of love itself
after the lightning strikes,
when the startled wind shrieks...

a gored-out wound in wood,
love's pale memento mori―
that white scar
in that first heart,
forever unhealed...

and a burled, thick knot incised
with six initials pledged
against all possible futures,
and penknife-notched below,
six edged, chipped words
that once cut deep and said...

WILL U B MINE
4 EVER?

... which now, so disconsolately answer...

----------------N
-- EVER.



Nucleotidings
by Michael R. Burch

"We will walk taller! " said Gupta,
sorta abrupta,
hand-in-hand with his mom,
eyeing the A-bomb.

"Who needs a mahatma
in the aftermath of NAFTA?
Now, that was a disaster, "
cried glib Punjab.

"After Y2k,
time will spin out of control anyway, "
flamed Vijay.

"My family is relatively heavy,
too big even for a pig-barn Chevy;
we need more space, "
spat What's His Face.

"What does it matter,
dirge or mantra, "
sighed Serge.

"The world will wobble
in Hubble's lens
till the tempest ends, "
wailed Mercedes.

"The world is going to hell in a bucket.
So **** it and get outta my face!
We own this place!
Me and my friends got more guns than ISIS,
so what's the crisis? "
cried Bubba Billy Joe Bob Puckett.



They Take Their Shape
by Michael R. Burch

"We will not forget moments of silence and days of mourning..."―George W. Bush

We will not forget...
the moments of silence and the days of mourning,
the bells that swung from leaden-shadowed vents
to copper bursts above "hush! "-chastened children
who saw the sun break free (abandonment
to run and laugh forsaken for the moment) ,
still flashing grins they could not quite repent...
Nor should they―anguish triumphs just an instant;

this every child accepts; the nymphet weaves;
transformed, the grotesque adult-thing emerges:
damp-winged, huge-eyed, to find the sun deceives...
But children know; they spin limpwinged in darkness
cocooned in hope―the shriveled chrysalis

that paralyzes time. Suspended, dreaming,
they do not fall, but grow toward what is,
then ***** about to find which transformation
might best endure the light or dark. "Survive"
becomes the whispered mantra of a pupa's
awakening... till What takes shape and flies
shrieks, parroting Our own shrill, restive cries.



chrysalis
by Michael R. Burch

these are the days of doom
u seldom leave ur room
u live in perpetual gloom

yet also the days of hope
how to cope?
u pray and u *****

toward self illumination...
becoming an angel
(pure love)

and yet You must love Your Self

If you know someone who is very caring and loving, but struggles with self worth, this may be a poem to consider.

Keywords/Tags: prose poem, experimental, free verse, freedom, expression, silence, void, modern, modern psalm, Holocaust


To Have Loved
by Michael R. Burch

"The face that launched a thousand ships ..."

Helen, bright accompaniment,
accouterment of war as sure as all
the polished swords of princes groomed to lie
in mausoleums all eternity ...

The price of love is not so high
as never to have loved once in the dark
beyond foreseeing. Now, as dawn gleams pale
upon small wind-fanned waves, amid white sails, ...

now all that war entails becomes as small,
as though receding. Paris in your arms
was never yours, nor were you his at all.
And should gods call

in numberless strange voices, should you hear,
still what would be the difference? Men must die
to be remembered. Fame, the shrillest cry,
leaves all the world dismembered.

Hold him, lie,
tell many pleasant tales of lips and thighs;
enthrall him with your sweetness, till the pall
and ash lie cold upon him.

Is this all? You saw fear in his eyes, and now they dim
with fear’s remembrance. Love, the fiercest cry,
becomes gasped sighs in his once-gallant hymn
of dreamed “salvation.” Still, you do not care

because you have this moment, and no man
can touch you as he can ... and when he’s gone
there will be other men to look upon
your beauty, and have done.

Smile―woebegone, pale, haggard. Will the tales
paint this―your final portrait? Can the stars
find any strange alignments, Zodiacs,
to spell, or unspell, what held beauty lacks?

Published by The Raintown Review, Triplopia, The Electic Muse, The Chained Muse, The Pennsylvania Review, and in a YouTube recital by David B. Gosselin. This is, of course, a poem about the famous Helen of Troy, whose face "launched a thousand ships."
Keywords/Tags: Helen, Troy, Paris, love, war, gods, fate, destiny, portrait, fame, famous, stars, Zodiac, Zodiacs, star-crossed, spell, charm, potion, enchantment, Greece, Greek, mythology, legend, Homer, Odyssey, accompaniment, accouterment, eternal, eternity, immortal



EPIGRAM TRANSLATIONS BY MICHAEL R. BURCH



NOVELTIES
by Thomas Campion
loose translation/interpretation by Michael R. Burch

Booksellers laud authors for novel editions
as pimps praise their ****** for exotic positions.



Nod to the Master
by Michael R. Burch

for the Divine Oscar Wilde

If every witty thing that’s said were true,
Oscar Wilde, the world would worship You!



A question that sometimes drives me hazy:
am I or are the others crazy?
—Albert Einstein, loose translation/interpretation by Michael R. Burch



This is love: to fly toward a mysterious sky,
to cause ten thousand veils to fall.
First, to stop clinging to life,
then to step out, without feet ...
—Rumi, loose translation/interpretation by Michael R. Burch



To live without philosophizing is to close one's eyes and never attempt to open them. – Rene Descartes, loose translation by Michael R. Burch



Stage Fright
by Michael R. Burch

To be or not to be?
In the end Hamlet
opted for naught.



I test the tightrope
balancing a child
in each arm.
—Vera Pavlova, loose translation/interpretation by Michael R. Burch



Brief Fling
by Michael R. Burch

“Epigram”
means cram,
then scram!



*******
by Michael R. Burch

You came to me as rain breaks on the desert
when every flower springs to life at once.
But joys are wan illusions to the expert:
the Bedouin has learned how not to want.



Love is either wholly folly,
or fully holy.
—Michael R. Burch



Intimations
by Michael R. Burch

Let mercy surround us
with a sweet persistence.

Let love propound to us
that life is infinitely more than existence.



Less Heroic Couplets: Marketing 101
by Michael R. Burch

Building her brand, she disrobes,
naked, except for her earlobes.



Villanelle of an Opportunist
by Michael R. Burch

I’m not looking for someone to save.
A gal has to do what a gal has to do:
I’m looking for a man with one foot in the grave.

How many highways to hell must I pave
with intentions imagined, not true?
I’m not looking for someone to save.

Fools praise compassion while weaklings rave,
but a gal has to do what a gal has to do.
I’m looking for a man with one foot in the grave.

Some praise the Lord but the Devil’s my fave
because he has led me to you!
I’m not looking for someone to save.

In the land of the free and the home of the brave,
a gal has to do what a gal has to do.
I’m looking for a man with one foot in the grave.

Every day without meds becomes a close shave
and the razor keeps tempting me too.
I’m not looking for someone to save:
I’m looking for a man with one foot in the grave.



She is brighter than dawn
by Michael R. Burch

for Beth

There’s a light about her
like the moon through a mist:
a bright incandescence
with which she is blessed

and my heart to her light
like the tide now is pulled . . .
she is fair, O, and bright
like the moon silver-veiled.

There’s a fire within her
like the sun’s leaping forth
to lap up the darkness
of night from earth's hearth

and my eyes to her flame
like twin moths now are drawn
till my heart is consumed.
She is brighter than dawn.




Teddy Roosevelt spoke softly and carried a big stick; Donald Trump speaks loudly and carries a big shtick.—Michael R. Burch



Viral Donald (I)
by Michael R. Burch aka "The Loyal Opposition"

Donald Trump is coronaviral:
his brain's in a downward spiral.
His pale nimbus of hair
proves there's nothing up there
but an empty skull, fluff and denial.



Viral Donald (II)
by Michael R. Burch aka "The Loyal Opposition"

Why didn't Herr Trump, the POTUS,
protect us from the Coronavirus?
That weird orange corona of hair's an alarm:
Trump is the Virus in Human Form!
Arcassin B Jun 2016
By Arcassin , Chloe , Wolf, SE , soul , zeal , Brando , icy , irie , soulful , strange , and wendy

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
AB

Not Even I,
a mere human being with limitations and
Wants and needs to stay away from the business
suits that only want the greed and the finer things
Distributing cigarettes to these young kids is what
Nobody else needs,
To live in this wickedness , you'll see,
Where does the tax payers money go?
Learning all of the secrets that rely on history to
Keep us up and about with drugs that we use on
Our day to day schedules for whatever contingency
planned for,
No sign of a Grail to be explored,

Remembering those who have lost their lives in
The wars that gave us the hope and chance we
Needed to make America great proceeding to give
The freedom of speech a new motive behind it,
That's why I write everyday to keep the demons inside,
Senseless killing in America makes my stomach turn in
Ways that I could not fathom dreaming that I could believe
What lies ahead won't be pretty for us,
I guess that I'm delirious,
Pray for Orlando
When judgment day comes , I hope he cares for us.


CZ (Chorus)

Every struggle in life we are built to fight
we know that in the end there will be that light

WS

i'm appalled with the world the way it is
our politicians carry on with the same old biz
protecting the rich, taking from the poor
usurping the world , like our cheap little *****

our city streets are in disrepair
the infrastructure is in a terrible tear
no education, no social equality
and the bill is payed by you and me.......

we're gonna need a bigger boat
to keep this broken thing afloat
don't preach me your democracy
your lies, you vain hypocrisy

give the people back their right
we're mad and ready for a fight
to take away all of your riches
and shitcan all you sons of *******.


SE R

we need an epiphany
a salvation re-orientation,
for will our judgement be
only what we thought?
or is hell what we perpetuate
on soil, on man, in greed, in hate?
we live as if to win is gain,
while poor lay dying,
shows our shame;
we live as if ‘tis loss to weep,
yet this the joy we each should seek…
in loving well the least of these,
to show in smallest ways,
a lighted path to those who’ve strayed
offer hope to any castaway;
might we in doing bring
heaven to this earthly scene?
for is not earth our heaven’s womb,
a battlefield, a testing place?
is not our call to light the dark,
and take our place among the stars?


CZ (Chorus)

Every struggle in life we are built to fight
we know that in the end there will be that light


SS

Who is there minding the store?
We can't keep up anymore
All the news that we now see
Internet and our TV
Tell tales off horror
Tales of woe
How much farther will it go?
Let's be real! Can we talk?
'Bout a thing called
FUTURE SHOCK
Cause this is true... and it is hairy
What's down the pike
Is downright SCARY!
Politicians deal & flirt
Don't matter if they wear a skirt!
Go to Georgia and you'll see
What is set up for you and me
There's some stones
upon that land
Telling all that they have planned

THEY SMILE AS THEY TELL A LIE
THE ELITE WANT US TO DIE.

While they put on a great show
Underground is where they'll go
Let 'em go and live like trolls
Jesus Christ is in CONTROL.

Please consider this my friends
Everything will have to END.
Forget your prejudice and pride
You don't want to be on
THE WRONG SIDE!
Make a turn. Make a start.
Ask the Savior in your HEART!
Then I'll tell you what's in store

YOU'LL HAVE LIFE FOREVERMORE!


MZ

Something fishy in the air what happen to the black one?
I didn't see the fall until I saw Washington..
Women starting to vote and monkeys are still in the zoo?
In the 1950s they called black people apes but now I'm seeing that it's you..
Sense when did money made you feel like going for president?
"We the People" naa more like the congress are voting for you.
I think it's scam so I turn it to the kardashians,
There I find a better democratic presidential view ...why...cause she looks better lying about Mexicans,


BM

There is no one at the other end of your string and paper cup telephone prayers There is no monumental, unconditional love awaiting you between or beyond the stars There is no concern for you in the imagined patterns of the stars, Nor do they carry a plan or reason for the crashing of waves, torrent funnel winds or the malice of men There is no promised land, no reward, no heaven when you take that final step.

But you do have the power of whispers in your fellow mankind’s ear It IS YOU that carry the ability for immeasurable, inconceivable love It is us who write the plan, who give our lives reason and meaning through it all THIS life, this gift of witness IS your reward, your heaven as you wish.

The tragedies have NEVER stopped. The killing, the senseless violence, the hunger of insatiable wrath………. But nor has birth of life in many forms. In dawn, in spring, in hope. We aware, true to ourselves in dismissing of ego stand strong and confident as the Ying, the light, the counter balance........


IS

Sorrow fills this world to it's rim,
Fathers abusing mothers,
abandoning children,
Mother's cry out in pain,
little ones run in fear....
why is this world in such despair?
Born to love, born to hate, to judge, to accept...
though this concept is hard for some,
we live in this world, just hoping to survive,
Coming to the point where you never know
where love and hate draw the line.

Why do parents fight, and the kids are the ones who suffer?
Why do we make war, to find peace?
Innocent people cut down in their prime,
by those who find happiness in other's misery.
From mothers and fathers whose sons and daughter were
wrongly taken from them,
To those who are punished for being human...
Life as we know it, is going to hell.

Trust, hope, security, love, and respect for humanity
is quickly dying... The future, no longer ours to control.
From bullying to ****, to ****** and suicide, Society is no more.... We pray for things to change... for it's now out of our hands,


IRIE

Movement of time collides
with tear drop melody
darkened angel
to final day symphony:

gun blasts in homeland
enter familiar flesh-
different tongues conceal
common threads that makes us

wounded souls call for God
in bomb dimpled lands-
far from American eyed reach
and inside

amidst spiritual sands

Treading with foot print patterns
around rock’s pure holiness
meditating in temples
laden in gold tributes

seeking truth’s distant comfort

guns blast in homelands
families wonder why-

pain embraces consciousness
dripping hints of salvation
into thick Iron pools
of Christ’s calling

red horse not so distant
seven seals awakening
run back to one
it’s time to find love
...

CZ (Chorus)

Every struggle in life we are built to fight
we know that in the end there will be that light


Soulful

How old is the world?
Old enough to ruin the existance of 1000 suns
Old enough to show you what society is made of
Old enough to had withstood the apocalypse and blood shed of the technology, oil , and war on terrorism...
The world is now ruin
Perhaps I should start fron the beginning
When it was human, animalistic, with plants that existed
To understand this..
We use all the resources and save none for the next generation
We contemplate the singularity of humanism
Only using electricity to say we are wealthy
**** animals so harshly
Murdering outselves to show the superiority of the race of humans
Killing the world in which we live...
Getting deeper in to our stupidity
We solidify a type of money
Paper...
Useless, smelly, germy, filled with hate
The money most people need and yet only few gave
The mentality is simple honestly
Don't give but take
No empathy just fake
Because thats how you make it
The tragedy in "third world country"
The ignorance in those who dont update their ios 7
The forgiveness in African mutiny
And the showing of ******* economy
The people had rights they told you
The people had freedom they told you
The people had justice they told you
Until the the world went to shambles when they actually figured out they had a right to seek and destroy a government....they had the right to seek and destroy a crippled foundation for it was seeking to destroy them,


Strange

They came in guns blazing
With no warning
Just the sound of hell raging in ones ears
So many screams then there was nothing
As the first soul was vanquished from its flesh and bones
Painting a blood mural upon the once white walls
Bodies floated down the crimson river as they cried their final tears
One girl prayed to her gods hoping to deliver one final message to her son
He was two and was soon to be motherless
Another young lad was seventeen
So prideful yet so scared as he curled in a ball screaming for his mommy
"I don't want to die" was their last comment,


WR

Tragedy in life arises at birth Does not cease until Life comes to an end We cannot teach peace With one another Mostly because we do not Agree on religion It seems a bit simple And quite concise All we need to do for peace Is love one another And treat each other right
Tragedy always starts out In a human mind beautifully Equivalent to Eve's Desire for the fruit of Truth upon the tree.


CZ (Chorus)

Every struggle in life we are built to fight
we know that in the end there will be that light.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
©ABPoetry2016

http://arcassin.blogspot.com/2016/06/live-die-repeat-ft-chloe-zafonte-wolf.html
HIGHLIGHTS OF PRESCRIBING INFORMATION
These highlights do not include all the information needed to us e
M-M-R II safely and effectively. See full prescribing information
for M-M-R II.
M-M-R® II (Measles, Mumps, and Rubella Virus Vaccine Live)
Suspension for subcutaneous injection
Initial U.S. Approv al: 1978
-------------------------------INDICATIONS AND USAGE-------------------------------
M-M-R II is a vaccine indicated for active immunization for the
prevention of measles, mumps, and rubella in individuals 12 months of
age and older. (1)
-------------------------- DOSAGE AND ADMINISTRATION--------------------------
Administer a 0.5-mL dose of M-M-R II subcutaneously. (2.1)
• The first dose is administered at 12 to 15 months of age. (2.1)
• The second dose is administered at 4 to 6 years of age. (2.1)
------------------------DOSAGE FORMS AND STRENGTHS -----------------------
Suspension for injection (0.5-mL dose) supplied as a lyophilized
vaccine to be reconstituted using accompanying sterile diluent. (3)
---------------------------------- CONTRAINDICATIONS ----------------------------------
• Hypersensitivity to any componentof the vaccine. (4.1)
• Immunosuppression. (4.2)
• Moderate or severe febrile illness. (4.3)
• Active untreated tuberculosis. (4.4)
• Pregnancy. (4.5, 8.1)
-------------------------- WARNINGS AND PRECAUTIONS --------------------------
• Use caution when administering M-M-R II to individuals with a
history of febrile seizures. (5.1)
• Use caution when administering M-M-R II to individuals with
anaphylaxis or immediate hypersensitivity following egg ingestion.
(5.2)
• Use caution when administering M-M-R II to individuals with a
history of thrombocytopenia. (5.3)
• Immune Globulins (IG) and other blood products should not be
given concurrently with M-M-R II. (5.4, 7.2)
----------------------------------ADVERSE REACTIONS----------------------------------
See full prescribing information for adverse reactions occurring duri ng
clinical trialsor the post-marketing period. (6)
To report SUSPECTED ADVERSE REACTIONS, contact Merck
Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., at 1-8 7 7 -
888-4231 or VAERS at 1-800-822-7967 or www.vaers.hhs.gov.
-----------------------------------DRUG INTERACTIONS----------------------------------
• Administration of immune globulins and other blood products
concurrently with M-M-R II vaccine may interfere with the
expected immune response. (7.2)
• M-M-R II vaccination may result in a temporary depression of
purified protein derivative (PPD) tuberculin skin sensitivity. (7.3)
-------------------------- USE IN SPECIFIC POPULATIONS--------------------------
• Pregnancy: Do not administer M-M-R II to females who are
pregnant. Pregnancy should be avoided for 1 month following
vaccination with M-M-R II. (4.5, 8.1, 17)
See 17 for PATIENT COUNSELING INFORMATION and FDA
approv ed patient labeling.
Rev ised: 06/2020
FULL PRESCRIBING INFORMATION: CONTENTS
1 INDICATIONS AND USAGE
2 DOSAGE AND ADMINISTRATION
2.1 Dose and Schedule
2.2 Preparation andAdministration
3 DOSAGE FORMS AND STRENGTHS
4 CONTRAINDICATIONS
4.1 Hypersensitivity
4.2 Immunosuppression
4.3 Moderate or Severe Febrile Illness
4.4 Active Untreated Tuberculosis
4.5 Pregnancy
5 WARNINGS AND PRECAUTIONS
5.1 Febrile Seizure
5.2 Hypersensitivity to Eggs
5.3 Thrombocytopenia
5.4 Immune Globulins and Transfusions
6 ADVERSE REACTIONS
7 DRUG INTERACTIONS
7.1 Corticosteroids and Immunosuppressive Drugs
7.2 Immune Globulinsand Transfusions
7.3 Tuberculin Skin Testing
7.4 Use with Other Live Viral Vaccines
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
8.2 Lactation
8.4 Pediatric Use
8.5 Geriatric Use
11 DESCRIPTION
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
12.6 Persistence of Antibody Responses After Vaccination
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
14 CLINICAL STUDIES
14.1 Clinical Efficacy
14.2 Immunogenicity
15 REFERENCES
16 HOW SUPPLIED/STORAGE AND HANDLING
17 PATIENT COUNSELING INFORMATION
Sections or subsections omitted from the full prescribing info rma tion
are not listed.
2
FULL PRESCRIBING INFORMATION
1 INDICATIONS AND USAGE
M-M-R® II is a vaccine indicated for active immunization for the prevention of measles, mumps, and
rubella in individuals 12 months of age and older.
2 DOSAGE AND ADMINISTRATION
For subcutaneous use only.
2.1 Dose and Schedule
Each 0.5 mL dose is administered subcutaneously.
The first dose is administered at 12 to 15 months of age. A second dose is administered at 4 to 6
years of age.
The second dose may be administered prior to 4 years of age, provided that there is a minimum
interval of one month between the doses of measles, mumps and rubella virus vaccine, live {1-2}.
Children who received an initial dose of measles, mumps and rubella vaccine prior to their first
birthday should receive additional doses of vaccine at 12-15 months of age and at 4-6 years of age to
complete the vaccination series [see Clinical Studies (14.2)].
For post-exposure prophylaxis for measles, administer a dose of M-M-R II vaccine within 72 hours
after exposure.
2.2 Preparation and Administration
Use a sterile syringe free of preservatives, antiseptics, and detergents for each injection and/or
reconstitution of the vaccine because these substances may inactivate the live virus vaccine. To
reconstitute, use only the diluent supplied with the vaccine since it is free of preservatives or other
antiviral substances which might inactivate the vaccine.
Withdraw the entire volume of the supplied diluent from its vial and inject into lyophilized vaccine vial.
Agitate to dissolve completely. Discard if the lyophilized vaccine cannot be dissolved.
Withdraw the entire volume of the reconstituted vaccine and inject subcutaneously into the outer
aspect of the upper arm (deltoid region) or into the higher anterolateral area of the thigh.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to
administration, whenever solution and container permit. Visually inspect the vaccine before and after
reconstitution prior to administration. Before reconstitution, the lyophilized vaccine is a light yellow
compact crystalline plug, when reconstituted, is a clear yellow liquid. Discard if particulate matter or
discoloration are observed in the reconstituted vaccine.
To minimize loss of potency, administer M-M-R II as soon as possible after reconstitution. If not used
immediately, the reconstituted vaccine may be stored between 36°F to 46°F (2°C to 8°C), protected from
light, for up to 8 hours. Discard reconstituted vaccine if it is not used within 8 hours.
3 DOSAGE FORMS AND STRENGTHS
M-M-R II vaccine is a suspension for injection supplied as a single dose vial of lyophilized vaccine to
be reconstituted using the accompanying sterile diluent [see Dosage and Administration (2.2) and How
Supplied/Storage and Handling (16)]. A single dose after reconstitution is 0.5 mL.
4 CONTRAINDICATIONS
4.1 Hypersensitivity
Do not administer M-M-R II vaccine to individuals with a history of hypersensitivity to any component
of the vaccine (including gelatin) {3} or who have experienced a hypersensitivity reaction following
administration of a previous dose of M-M-R II vaccine or any other measles, mumps and rubellacontaining vaccine. Do not administer M-M-R II vaccine to individuals with a history of anaphylaxis to
neomycin [see Description (11)].
4.2 Immunosuppression
Do not administer M-M-R II vaccine to individuals who are immunodeficient or immunosuppressed due
to disease or medical therapy. Measles inclusion body encephalitis {4} (MIBE), pneumonitis {5} and death
as a direct consequence of disseminated measles vaccine virus infection have been reported in
3
immunocompromised individuals inadvertently vaccinated with measles-containing vaccine. In this
population, disseminated mumps and rubella vaccine virus infection have also been reported.
Do not administer M-M-R II to individuals with a family history of congenital or hereditary
immunodeficiency, until the immune competence of the potential vaccine recipient is demonstrated.
4.3 Moderate or Severe Febrile Illness
Do not administer M-M-R II vaccine to individuals with an active febrile illness with fever >101.3F
(>38.5C).
4.4 Active Untreated Tuberculosis
Do not administer M-M-R II vaccine to individuals with active untreated tuberculosis (TB).
4.5 Pregnancy
Do not administer M-M-R II to individuals who are pregnant or who are planning on becoming
pregnant within the next month [see Use in Specific Populations (8.1) and Patient Counseling Information
(17)].
5 WARNINGS AND PRECAUTIONS
5.1 Febrile Seizure
There is a risk of fever and associated febrile seizure in the first 2 weeks following immunization with
M-M-R II vaccine. For children who have experienced a previous febrile seizure (from any cause) and
those with a family history of febrile seizures there is a small increase in risk of febrile seizure following
receipt of M-M-R II vaccine [see Adverse Reactions (6)].
5.2 Hypersensitivity to Eggs
Individuals with a history of anaphylactic, anaphylactoid, or other immediate reactions (e.g., hives,
swelling of the mouth and throat, difficulty breathing, hypotension, or shock) subsequent to egg ingestion
may be at an enhanced risk of immediate-type hypersensitivity reactions after receiving M-M-R II vaccine
.The potential risks and known benefits should be evaluated before considering vaccination in these
individuals.
5.3 Thrombocytopenia
Transient thrombocytopenia has been reported within 4-6 weeks following vaccination with measles,
mumps and rubella vaccine. Carefully evaluate the potential risk and benefit of vaccination in children
with thrombocytopenia or in those who experienced thrombocytopenia after vaccination with a previous
dose of measles, mumps, and rubella vaccine {6-8} [see Adverse Reactions (6)].
5.4 Immune Globulins and Transfusions
Immune Globulins (IG) and other blood products should not be given concurrently with M-M-R II [see
Drug Interactions (7.2)]. These products may contain antibodies that interfere with vaccine virus
replication and decrease the expected immune response.
The ACIP has specific recommendations for intervals between administration of antibody containing
products and live virus vaccines.
6 ADVERSE REACTIONS
The following adverse reactions include those identified during clinical trials or reported during postapproval use of M-M-R II vaccine or its individual components.
Body as a Whole
Panniculitis; atypical measles; fever; syncope; headache; dizziness; malaise; irritability.
Cardiovascular System
Vasculitis.
Digestive System
Pancreatitis; diarrhea; vomiting; parotitis; nausea.
Hematologic and Lymphatic Systems
Thrombocytopenia; purpura; regional lymphadenopathy; leukocytosis.
Immune System
Anaphylaxis, anaphylactoid reactions, angioedema (including peripheral or ****** edema) and
bronchial spasm.
Musculoskeletal System
Arthritis; arthralgia; myalgia.
4
Nervous System
Encephalitis; encephalopathy; measles inclusion body encephalitis (MIBE) subacute sclerosing
panencephalitis (SSPE); Guillain-Barré Syndrome (GBS); acute disseminated encephalomyelitis (ADEM);
transverse myelitis; febrile convulsions; afebrile convulsions or seizures; ataxia; polyneuritis;
polyneuropathy; ocular palsies; paresthesia.
Respiratory System
Pneumonia; pneumonitis; sore throat; cough; rhinitis.
Skin
Stevens-Johnson syndrome; acute hemorrhagic edema of infancy; Henoch-Schönlein purpura;
erythema multiforme; urticaria; rash; measles-like rash; pruritus; injection site reactions (pain, erythema,
swelling and vesiculation).
Special Senses — Ear
Nerve deafness; otitis media.
Special Senses — Eye
Retinitis; optic neuritis; papillitis; conjunctivitis.
Urogenital System
Epididymitis; orchitis.
7 DRUG INTERACTIONS
7.1 Corticosteroids and Immunosuppressive Drugs
M-M-R II vaccine should not be administered to individuals receiving immunosuppressive therapy,
including high dose corticosteroids. Vaccination with M-M-R II vaccine can result in disseminated disease
due to measles vaccine in individuals on immunosuppressive drugs [see Contraindications (4.2)].
7.2 Immune Globulinsand Transfusions
Administration of immune globulins and other blood products concurrently with M-M-R II vaccine may
interfere with the expected immune response {9-11} [see Warnings and Precautions (5.4)]. The ACIP has
specific recommendations for intervals between administration of antibody containing products and live
virus vaccines.
7.3 Tuberculin Skin Testing
It has been reported that live attenuated measles, mumps and rubella virus vaccines given individually
may result in a temporary depression of tuberculin skin sensitivity. Therefore, if a tuberculin skin test with
tuberculin purified protein derivative (PPD) is to be done, it should be administered before, simultaneously
with, or at least 4 to 6 weeks after vaccination with M-M-R II vaccine.
7.4 Use with Other Live Viral Vaccines
M-M-R II vaccine can be administered concurrently with other live viral vaccines. If not given
concurrently, M-M-R II vaccine should be given one month before or one month after administration of
other live viral vaccines to avoid potential for immune interference.
8 USE IN SPECIFIC POPULATIONS
8.1 Pregnancy
Risk Summary
M-M-R II vaccine is contraindicated for use in pregnant women because infection during pregnancy
with the wild-type viruses has been associated with maternal and fetal adverse outcomes.
Increased rates of spontaneous abortion, stillbirth, premature delivery and congenital defects have
been observed following infection with wild-type measles during pregnancy. {12,13} Wild-type mumps
infection during the first trimester of pregnancy may increase the rate of spontaneous abortion.
Infection with wild-type rubella during pregnancy can lead to miscarriage or stillbirth. If rubella infection
occurs during the first trimester of pregnancy, it can result in severe congenital defects, Congenital
Rubella Syndrome (CRS). Congenital rubella syndrome in the infant includes but is not limited to eye
manifestations (cataracts, glaucoma, retinitis), congenital heart defects, hearing loss, microcephaly, and
intellectual disabilities. M-M-R II vaccine contains live attenuated measles, mumps and rubella viruses. It
is not known whether M-M-R II vaccine can cause fetal harm when administered to pregnant woman.
There are no adequate and well-controlled studies of M-M-R II vaccine administration to pregnant
women.
5
All pregnancies have a risk of birth defect, loss or other adverse outcomes. In the US general
population, the estimated background risk of major birth defects and miscarriage in clinically recognized
pregnancies is 2% to 4% and 15% to 20%, respectively.
Available data suggest the rates of major birth defects and miscarriage in women who received
M-M-R II vaccine within 30 days prior to pregnancy or during pregnancy are consistent with estimated
background rates (see Data).
Data
Human Data
A cumulative assessment of post-marketing reports for M-M-R II vaccine from licensure 01 April 1978
through 31 December 2018, identified 796 reports of inadvertent administration of M-M-R II vaccine
occurring 30 days before or at any time during pregnancy with known pregnancy outcomes. Of the
prospectively followed pregnancies for whom the timing of M-M-R II vaccination was known, 425 women
received M-M-R II vaccine during the 30 days prior to conception through the second trimester. The
outcomes for these 425 prospectively followed pregnancies included 16 infants with major birth defects, 4
cases of fetal death and 50 cases of miscarriage. No abnormalities compatible with congenital rubella
syndrome have been identified in patients who received M-M-R II vaccine. Rubella vaccine viruses can
cross the placenta, leading to asymptomatic infection of the fetus. Mumps vaccine virus has also been
shown to infect the placenta {14}, but there is no evidence that it causes congenital malformations or
disease in the fetus or infant .
The CDC established the Vaccine in Pregnancy registry (1971-1989) of women who had received
rubella vaccines within 3 months before or after conception. Data on 1221 inadvertently vaccinated
pregnant women demonstrated no evidence of an increase in fetal abnormalities or cases of Congenital
Rubella Syndrome (CRS) in the enrolled women {15}.
8.2 Lactation
Risk Summary
It is not known whether measles or mumps vaccine virus is secreted in human milk. Studies have
shown that lactatingpostpartum women vaccinated with live attenuated rubella vaccine may secrete the
virus in breast milk and transmit it to breast-fed infants.{16,17} In the breast-fed infants with serological
evidence of rubella virus vaccine strain antibodies, none exhibited severe disease; however, one
exhibited mild clinical illness typical of acquired rubella.{18,19}
The developmental and health benefits of breastfeeding should be considered along with the mother’s
clinical need for M-M-R II, and any potential adverse effects on the breastfed child from M-M-R II or from
the underlying maternal condition. For preventive vaccines, the underlying maternal condition is
susceptibility to disease prevented by the vaccine.
8.4 Pediatric Use
M-M-R II vaccine is not approved for individuals less than 12 months of age. Safety and effectiveness
of measles vaccine in infants below the age of 6 months have not been established [see Clinical Studies
(14)]. Safety and effectiveness of mumps and rubella vaccine in infants less than 12 months of age have
not been established.
8.5 Geriatric Use
Clinical studies of M-M-R II did not include sufficient numbers of seronegative subjects aged 65 and
over to determine whether they respond differently from younger subjects.
11 Description
M-M-R II vaccine is a sterile lyophilized preparation of (1) Measles Virus Vaccine Live, an attenuated
line of measles virus, derived from Enders' attenuated Edmonston strain and propagated in chick embryo
cell culture; (2) Mumps Virus Vaccine Live, the Jeryl Lynn™ (B level) strain of mumps virus propagated in
chick embryo cell culture; and (3) Rubella Virus Vaccine Live, the Wistar RA 27/3 strain of live attenuated
rubella virus propagated in WI-38 human diploid lung fibroblasts. {20,21} The cells, virus pools,
recombinant human serum albumin and fetal bovine serum used in manufacturing are tested and
determined to be free of adventitious agents.
After reconstitution, each 0.5 mL dose contains not less than 3.0 log10 TCID50 (tissue culture infectious
doses) of measles virus; 4.1 log10 TCID50 of mumps virus; and 3.0 log10 TCID50 of rubella virus.
Each dose is calculated to contain sorbitol (14.5 mg), sucrose(1.9 mg), hydrolyzed gelatin (14.5 mg),
recombinant human albumin (≤0.3 mg), fetal bovine serum (<1 ppm), approximately 25 mcg of neomycin
and other buffer and media ingredients. The product contains no preservative.
6
12 CLINICAL PHARMACOLOGY
12.1 Mechanism of Action
M-M-R II vaccination induces antibodies to measles, mumps, and rubella associated with protection
which can be measured by neutralization assays, hemagglutination-inhibition (HI) assays, or enzyme
linked immunosorbent assay (ELISA) tests. Results from efficacy studies or effectivenes s studies that
were previously conducted for the component vaccines of M-M-R II were used to define levels of serum
antibodies that correlated with protection against measles, mumps, and rubella [see Clinical Studies (14)].
12.6 Persistence of Antibody Responses After Vaccination
Neutralizing and ELISA antibodies to measles, mumps, and rubella viruses are still detectable in 95-
100%, 74-91%, and 90-100% of individuals respectively, 11 to 13 years after primary vaccination. {22-28}
13 NONCLINICAL TOXICOLOGY
13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility
M-M-R II vaccine has not been evaluated for carcinogenic or mutagenic potential or impairment of
fertility.
14 CLINICAL STUDIES
14.1 Clinical Efficacy
Efficacy of measles, mumps, and rubella vaccines was established in a series of double-blind
controlled trials. {29-34} These studies also established that seroconversion in response to vaccination
against measles, mumps and rubella paralleled protection. {35-38}
14.2 Immunogenicity
Clinical studies enrolling 284 triple seronegative children, 11 months to 7 years of age, demonstrated
that M-M-R II vaccine is immunogenic. In these studies, a single injection of the vaccine induced measles
HI antibodies in 95%, mumps neutralizing antibodies in 96%, and rubella HI antibodies in 99% of
susceptible individuals.
A study of 6-month-old and 15-month-old infants born to mothers vaccinated with a measles vaccine in
childhood, demonstrated that, following infant and toddler vaccination with Measles Virus Vaccine, Live
(previously US-licensed, manufactured by Merck), 74% of the 6-month-old infants developed detectable
neutralizing antibody titers while 100% of the 15-month-old infants vaccinated with Measles Virus
Vaccine, Live or M-M-R II vaccine developed neutralizing antibodies {39}. When the 6-month-old infants
of immunized mothers were revaccinated at 15 months with M-M-R II vaccine, they developed antibody
titers similar to those of toddlers who were vaccinated previously at 15-months of age.
15 REFERENCES
1. General Recommendations on Immunization, Recommendations of the Advisory Committee on Immunization Practices, MMWR
43(RR-1): 1-38, January 28, 1994.
2. Measles, Mumps, and Rubella — Vaccine Use and Strategies for Elimination of Measles, Rubella, a n d Co n g e nita l Ru b e lla
Syndrome and Control of Mumps: Recommendations of the Advisory Committee on Immunization Practice s (ACIP), M M WR
47(RR-8): May 22, 1998.
3. Kelso, J.M.; Jones, R.T.; Yunginger, J.W.: Anaphylaxis to measles, mumps, and rubella vaccine mediated by IgE to gel atin , J.
Allergy Clin. Immunol. 91: 867-872, 1993.
4. Bitnum, A.; et al: Measles Inclusion Body Encephalitis Caused by the Vaccine Strain of Measles Virus. Cl i n . In fect. Di s. 2 9 :
855-861, 1999.
5. Angel, J.B.; et al: Vaccine Associated Measles Pneumonitis in an Adult with AIDS. Annals of Internal Medicine, 129: 1 0 4 -1 06 ,
1998.
6. Cecinati V, et al. Vaccine administration and the development of immune thrombocyto pe ni c p urp u ra i n ch i ld re n. Hu m an
Vaccines & Immunotherapeutics 9:5, 2013.
7. Mantadakis E, Farmaki E, Buchanan GR. Thrombocytopenic Purpura after Measles-Mumps-Rubella Vaccination: A Systematic
Review of the Literature and Guidance for Management. J Ped 156(4): 2010.
8. Andrews N, Stowe J, Miller E, Svanstrom H, Johansen K, Bonhoeffer J, et al. A collaborative approach to investigating th e ri sk
of thrombocytopenic purpura after measles-mumps-rubella vaccination in England and Denmark. Vaccine. 2012;30:3042‐6.
9. Rubella Prevention: Recommendation of the Immunization Practices Advisory Committee (ACIP), MM WR 3 9 (RR-1 5 ): 1 -1 8 ,
November 23, 1990.
7
10. Peter, G.; et al (eds): Report of the Committee on Infectious Diseases, Twenty-fourth Edition, American Academy of Pediatri cs,
344-357, 1997.
11. Measles Prevention: Recommendations of the Immunization Practices Advisory Committee (ACIP), MMWR 38(S-9): 5-22,
December 29, 1989.
12. Eberhart-Phillips, J.E.; et al: Measles in pregnancy: a descriptive study of 58 cases. Obstetrics and Gynecology, 82(5): 797-801,
November 1993.
13. Jespersen, C.S.; et al: Measles as a cause of fetal defects: A retrospective study of ten measles epidemics in Greenland. Acta
Paediatr Scand. 66: 367-372, May 1977.
14. Yamauchi T, Wilson C, Geme JW Jr. Transmission of live, attenuated mumps virus to the hu m a n p l ace n ta . N En g l J M e d .
1974;290(13):710‐712.
15. Rubella Vaccination during Pregnancy —United States, 1971-1988. JAMA. 1989;261(23):3374–3383.
16. Losonsky, G.A.; Fishaut, J.M.; Strussenber, J.; Ogra, P.L.: Effect of immunization against rubella on lactation products. II.
Maternal-neonatal interactions, J. Infect. Dis. 145: 661-666,1982.
17. Losonsky, G.A.; Fishaut, J.M.; Strussenber, J.; Ogra, P.L.: Effect of immunization against rubella on lactation products. I.
Development and characterization of specific immunologic reactivity in breast milk, J. Infect. Dis. 145: 654-660, 1982.
18. Landes, R.D.; Bass, J.W.; Millunchick, E.W.; Oetgen, W.J.: Neonatal rubella following postpartum maternal i mm un izatio n , J.
Pediatr. 97: 465-467, 1980.
19. Lerman, S.J.: Neonatal rubella following postpartum maternal immunization, J. Pediatr. 98: 668, 1981. (Letter)
20. Plotkin, S.A.; Cornfeld, D.; Ingalls, T.H.: Studiesof immunization with living rubella virus: Trialsin children with a strain culture d
from an aborted fetus, Am. J. Dis. Child. 110: 381-389, 1965.
21. Plotkin, S.A.; Farquhar, J.; Katz, M.; Ingalls, T.H.: A new attenuated rubella virus grown in human fi bro b la sts: Evi d e n ce fo r
reduced nasopharyngeal excretion, Am. J. Epidemiol. 86: 468-477, 1967.
22. Weibel, R.E.; Carlson, A.J.; Villarejos, V.M.; Buynak, E.B.; McLean, A.A.; Hilleman, M.R.: Clinical and Labo ra tory Stu d ie s o f
Combined Live Measles, Mumps, and Rubella Vaccines Using the RA 27/3 Rubella Virus, Proc. So c. Exp . Bi ol. M e d. 1 6 5 :
323-326, 1980.
23. Watson, J.C.; Pearson, J.S.; Erdman, D.D.; et al: An Evaluation of Measles RevaccinationAmong School-Entry Age Ch i ld re n,
31st Interscience Conference on Antimicrobial Agents and Chemotherapy, Abstract #268, 143, 1991.
24. Unpublished data from the files of Merck Research Laboratories.
25. Davidkin, I.; Jokinen, S.; Broman, M. et al.: Persistence of Measles, Mumps, and Rubella Antibodies in a n M M R -Va ccina ted
Cohort: A 20-Year Follow-up, JID 197:950–6, April 2008.
26. LeBaron, W.; Beeler J.; Sullivan, B.; et al.: Persistence of Measles Antibodies After 2 Doses of Measles Vaccine in a
Postelimination Environment, Arch Pediatr Adolesc Med. 161:294-301, March 2007.
27. LeBaron, C.; Forghani, B.; Beck, C. et al.: Persistence of Mumps Antibodies after 2 Doses of Measles-Mumps-Rubella Vaccine,
JID 199:552– 60 , February 2009.
28. LeBaron, W.; Forghani, B.; Matter, L. et al.: Persistence of Rubella Antibodies after 2 Doses of Measles-Mumps-Rubella
Vaccine, JID 200:888–99, September 2009.
29. Hilleman, M.R.; Buynak, E.B.; Weibel, R.E.; et al: Development and Evaluation of the Moraten MeaslesVirusVa cci n e , JAM A
206(3): 587-590, 1968.
30. Weibel, R.E.; Stokes, J.; Buynak, E.B.; et al: Live, Attenuated Mumps Virus Vaccine 3. Clinical and Serologic Aspects in a Fiel d
Evaluation,N. Engl. J. Med. 276: 245-251, 1967.
31. Hilleman, M.R.; Weibel, R.E.; Buynak, E.B.; et al:Live, Attenuated Mumps VirusVaccine 4. ProtectiveEfficacy as Measure d i n
a Field Evaluation, N. Engl. J. Med. 276: 252-258, 1967.
32. Cutts, F.T.; Henderson, R.H.; Clements, C.J.; et al: Principles of measles control, Bull WHO 69(1): 1-7, 1991.
33. Weibel, R.E.; Buynak, E.B.; Stokes, J.; et al: Evaluation Of Live Attenuated Mumps Virus Vaccine, Strain Jeryl Lynn, First
International Conference on VaccinesAgainst Viral and Rickettsial Diseases of Man, World Health Organization, No. 147, M a y
1967.
34. Leibhaber, H.; Ingalls, T.H.; LeBouvier, G.L.; et al: Vaccination With RA 27/3 Rubella Vaccine, Am. J. Dis. Child. 123: 133-1 3 6,
February 1972.
35. Rosen, L.: Hemagglutination and Hemagglutination-Inhibition with Measles Virus, Virology 13: 139-141, January 1961.
36. Brown, G.C.; et al: Fluorescent-Antibody Marker for Vaccine-Induced Rubella Antibodies, Infection and Immunity 2(4): 360-363,
1970.
8
37. Buynak, E.B.; et al: Live Attenuated Mumps Virus Vaccine 1. Vaccine Development, Proceedings of the Society for
Experimental Biology and Medicine, 123: 768-775, 1966.
38. Hilleman M.R., Studies of Live Attenuated Measles Virus Vaccine in Man: II. Appraisal of Efficacy. Amer. J. o f Pu b l ic He a lth ,
52(2):44-56, 1962.
39. Johnson, C.E.; et al: Measles Vaccine Immunogenicity in 6- Versus 15-Month-Old Infants Born to Mothers in the Measles
Vaccine Era, Pediatrics, 93(6): 939-943, 1994.
16 HOW SUPPLIED/STORAGE AND HANDLING
No. 4681 ⎯ M-M-R II vaccine is supplied as follows:
(1) a box of 10 single-dose vials of lyophilized vaccine (package A), NDC 0006-4681-00
(2) a box of 10 vials of diluent (package B)
Exposure to light may inactivate the vaccine viruses.
Before reconstitution, refrigerate the lyophilized vaccine at 36°F to 46°F, (2°C to 8°C).
Store accompanying diluent in the refrigerator with the lyophilized vaccine or separately at room
temperature (68° to 77°F, 20° to 25°C). Do not freeze the diluent.
Administer M-M-R II vaccine as soon as possible after reconstitution. If not administered immediately,
reconstituted vaccine may be stored between 36°F to 46°F (2°C to 8°C), protected from light, for up to 8
hours. Discard reconstituted vaccine if it is not used within 8 hours.
For information regarding the product or questions regarding storage conditions, call 1-800-
MERCK-90 (1-800-637-2590).
17 PATIENT COUNSELING INFORMATION
Advise the patient to read the FDA-approved patient labeling (Patient Package Insert).
Discuss the following with the patient:
• Provide the required vaccine information to the patient, parent, or guardian.
• Inform the patient, parent, or guardian of the benefits and risks associated with vaccination.
• Question the patient, parent, or guardian about reactions to a previous dose of M-M-R II vaccine
or other measles-, mumps-, or rubella-containing vaccines.
• Question females of reproductive potential regarding the possibility of pregnancy. Inform female
patients to avoid pregnancy for 1 month following vaccination [see Contraindications (4.5) and
Use in Specific Populations (8.1)].
• Inform the patient, parent, or guardian that vaccination with M-M-R II may not offer 100%
protection from measles, mumps, and rubella infection.
• Instruct patients, parents, or guardians to report any adverse reactions to their health-care
provider. The U.S. Department of Health and Human Services has established a Vaccine
Adverse Event Reporting System (VAERS) to accept all reports of suspected adverse events
after the administration of any vaccine, including but not limited to the reporting of events required
by the National Childhood Vaccine Injury Act of 1986. For information or a copy of the vaccine
reporting form, call the VAERS toll-free number at 1-800-822-7967, or report online at
https://www.vaers.hhs.gov.
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Francesca Jul 2014
I wish I could writ e
                                 and wri t e
                                          and wr i t e
                                                         and w r i t e
until nothing is left unsaid.
Navarana  Mar 2014
Sinead
Navarana Mar 2014
Be with me
I crave you
I waNt you
JuSt you and me
Together
We cAn satisfy each other
in ways others will Not understand
We can become one
One body
WrIte To me
Hear me
I crave You
This poem was something I wrote right before I feel asleep and dreamt a nightmare-ish dream. I do not even remember that I wrote it. It was just there in front of me on a piece of paper when I woke up.

— The End —