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Note: Jigglypuffs are the best pokemon

#001 #001 Bulbasaur Bulbasaur Grass Poison
#002 #002 Ivysaur Ivysaur Grass Poison
#003 #003 Venusaur Venusaur Grass Poison
#004 #004 Charmander Charmander Fire
#005 #005 Charmeleon Charmeleon Fire
#006 #006 Charizard Charizard Fire Flying
#007 #007 Squirtle Squirtle Water
#008 #008 Wartortle Wartortle Water
#009 #009 Blastoise Blastoise Water
#010 #010 Caterpie Caterpie Bug
#011 #011 Metapod Metapod Bug
#012 #012 Butterfree Butterfree Bug Flying
#013 #013 Weedle Weedle Bug Poison
#014 #014 Kakuna Kakuna Bug Poison
#015 #015 Beedrill Beedrill Bug Poison
#016 #016 Pidgey Pidgey Normal Flying
#017 #017 Pidgeotto Pidgeotto Normal Flying
#018 #018 Pidgeot Pidgeot Normal Flying
#019 #019 Rattata Rattata Normal
#020 #020 Raticate Raticate Normal
#021 #021 Spearow Spearow Normal Flying
#022 #022 Fearow Fearow Normal Flying
#023 #023 Ekans Ekans Poison
#024 #024 Arbok Arbok Poison
#025 #025 Pikachu Pikachu Electric
#026 #026 Raichu Raichu Electric
#027 #027 Sandshrew Sandshrew Ground
#028 #028 Sandslash Sandslash Ground
#029 #029 Nidoran♀ Nidoran♀ Poison
#030 #030 Nidorina Nidorina Poison
#031 #031 Nidoqueen Nidoqueen Poison Ground
#032 #032 Nidoran♂ Nidoran♂ Poison
#033 #033 Nidorino Nidorino Poison
#034 #034 Nidoking Nidoking Poison Ground
#035 #035 Clefairy Clefairy Fairy
#036 #036 Clefable Clefable Fairy
#037 #037 Vulpix Vulpix Fire
#038 #038 Ninetales Ninetales Fire
#039 #039 Jigglypuff Jigglypuff Normal Fairy
#040 #040 Wigglytuff Wigglytuff Normal Fairy
#041 #041 Zubat Zubat Poison Flying
#042 #042 Golbat Golbat Poison Flying
#043 #043 Oddish Oddish Grass Poison
#044 #044 Gloom Gloom Grass Poison
#045 #045 Vileplume Vileplume Grass Poison
#046 #046 Paras Paras Bug Grass
#047 #047 Parasect Parasect Bug Grass
#048 #048 Venonat Venonat Bug Poison
#049 #049 Venomoth Venomoth Bug Poison
#050 #050 Diglett Diglett Ground
#051 #051 Dugtrio Dugtrio Ground
#052 #052 Meowth Meowth Normal
#053 #053 Persian Persian Normal
#054 #054 Psyduck Psyduck Water
#055 #055 Golduck Golduck Water
#056 #056 Mankey Mankey Fighting
#057 #057 Primeape Primeape Fighting
#058 #058 Growlithe Growlithe Fire
#059 #059 Arcanine Arcanine Fire
#060 #060 Poliwag Poliwag Water
#061 #061 Poliwhirl Poliwhirl Water
#062 #062 Poliwrath Poliwrath Water Fighting
#063 #063 Abra Abra Psychic
#064 #064 Kadabra Kadabra Psychic
#065 #065 Alakazam Alakazam Psychic
#066 #066 Machop Machop Fighting
#067 #067 Machoke Machoke Fighting
#068 #068 Machamp Machamp Fighting
#069 #069 Bellsprout Bellsprout Grass Poison
#070 #070 Weepinbell Weepinbell Grass Poison
#071 #071 Victreebel Victreebel Grass Poison
#072 #072 Tentacool Tentacool Water Poison
#073 #073 Tentacruel Tentacruel Water Poison
#074 #074 Geodude Geodude Rock Ground
#075 #075 Graveler Graveler Rock Ground
#076 #076 Golem Golem Rock Ground
#077 #077 Ponyta Ponyta Fire
#078 #078 Rapidash Rapidash Fire
#079 #079 Slowpoke Slowpoke Water Psychic
#080 #080 Slowbro Slowbro Water Psychic
#081 #081 Magnemite Magnemite Electric Steel
#082 #082 Magneton Magneton Electric Steel
#083 #083 Farfetch'd Farfetch'd Normal Flying
#084 #084 Doduo Doduo Normal Flying
#085 #085 Dodrio Dodrio Normal Flying
#086 #086 Seel Seel Water
#087 #087 Dewgong Dewgong Water Ice
#088 #088 Grimer Grimer Poison
#089 #089 Muk Muk Poison
#090 #090 Shellder Shellder Water
#091 #091 Cloyster Cloyster Water Ice
#092 #092 Gastly Gastly Ghost Poison
#093 #093 Haunter Haunter Ghost Poison
#094 #094 Gengar Gengar Ghost Poison
#095 #095 Onix Onix Rock Ground
#096 #096 Drowzee Drowzee Psychic
#097 #097 Hypno Hypno Psychic
#098 #098 Krabby Krabby Water
#099 #099 Kingler Kingler Water
#100 #100 Voltorb Voltorb Electric
#101 #101 Electrode Electrode Electric
#102 #102 Exeggcute Exeggcute Grass Psychic
#103 #103 Exeggutor Exeggutor Grass Psychic
#104 #104 Cubone Cubone Ground
#105 #105 Marowak Marowak Ground
#106 #106 Hitmonlee Hitmonlee Fighting
#107 #107 Hitmonchan Hitmonchan Fighting
#108 #108 Lickitung Lickitung Normal
#109 #109 Koffing Koffing Poison
#110 #110 Weezing Weezing Poison
#111 #111 Rhyhorn Rhyhorn Ground Rock
#112 #112 Rhydon Rhydon Ground Rock
#113 #113 Chansey Chansey Normal
#114 #114 Tangela Tangela Grass
#115 #115 Kangaskhan Kangaskhan Normal
#116 #116 Horsea Horsea Water
#117 #117 Seadra Seadra Water
#118 #118 Goldeen Goldeen Water
#119 #119 Seaking Seaking Water
#120 #120 Staryu Staryu Water
#121 #121 Starmie Starmie Water Psychic
#122 #122 Mr. Mime Mr. Mime Psychic Fairy
#123 #123 Scyther Scyther Bug Flying
#124 #124 Jynx Jynx Ice Psychic
#125 #125 Electabuzz Electabuzz Electric
#126 #126 Magmar Magmar Fire
#127 #127 Pinsir Pinsir Bug
#128 #128 Tauros Tauros Normal
#129 #129 Magikarp Magikarp Water
#130 #130 Gyarados Gyarados Water Flying
#131 #131 Lapras Lapras Water Ice
#132 #132 Ditto Ditto Normal
#133 #133 Eevee Eevee Normal
#134 #134 Vaporeon Vaporeon Water
#135 #135 Jolteon Jolteon Electric
#136 #136 Flareon Flareon Fire
#137 #137 Porygon Porygon Normal
#138 #138 Omanyte Omanyte Rock Water
#139 #139 Omastar Omastar Rock Water
#140 #140 Kabuto Kabuto Rock Water
#141 #141 Kabutops Kabutops Rock Water
#142 #142 Aerodactyl Aerodactyl Rock Flying
#143 #143 Snorlax Snorlax Normal
#144 #144 Articuno Articuno Ice Flying
#145 #145 Zapdos Zapdos Electric Flying
#146 #146 Moltres Moltres Fire Flying
#147 #147 Dratini Dratini Dragon
#148 #148 Dragonair Dragonair Dragon
#149 #149 Dragonite Dragonite Dragon Flying
#150 #150 Mewtwo Mewtwo Psychic
#151 #151 Mew Mew Psychic
Generation II
Jdex Ndex MS Pokémon Type
#001 #152 Chikorita Chikorita Grass
#002 #153 Bayleef Bayleef Grass
#003 #154 Meganium Meganium Grass
#004 #155 Cyndaquil Cyndaquil Fire
#005 #156 Quilava Quilava Fire
#006 #157 Typhlosion Typhlosion Fire
#007 #158 Totodile Totodile Water
#008 #159 Croconaw Croconaw Water
#009 #160 Feraligatr Feraligatr Water
#019 #161 Sentret Sentret Normal
#020 #162 Furret Furret Normal
#015 #163 Hoothoot Hoothoot Normal Flying
#016 #164 Noctowl Noctowl Normal Flying
#030 #165 Ledyba Ledyba Bug Flying
#031 #166 Ledian Ledian Bug Flying
#032 #167 Spinarak Spinarak Bug Poison
#033 #168 Ariados Ariados Bug Poison
#039 #169 Crobat Crobat Poison Flying
#176 #170 Chinchou Chinchou Water Electric
#177 #171 Lanturn Lanturn Water Electric
#021 #172 Pichu Pichu Electric
#040 #173 Cleffa Cleffa Fairy
#044 #174 Igglybuff Igglybuff Normal Fairy
#046 #175 Togepi Togepi Fairy
#047 #176 Togetic Togetic Fairy Flying
#161 #177 Natu Natu Psychic Flying
#162 #178 Xatu Xatu Psychic Flying
#053 #179 Mareep Mareep Electric
#054 #180 Flaaffy Flaaffy Electric
#055 #181 Ampharos Ampharos Electric
#086 #182 Bellossom Bellossom Grass
#132 #183 Marill Marill Water Fairy
#133 #184 Azumarill Azumarill Water Fairy
#107 #185 Sudowoodo Sudowoodo Rock
#075 #186 Politoed Politoed Water
#067 #187 Hoppip Hoppip Grass Flying
#068 #188 Skiploom Skiploom Grass Flying
#069 #189 Jumpluff Jumpluff Grass Flying
#123 #190 Aipom Aipom Normal
#103 #191 Sunkern Sunkern Grass
#104 #192 Sunflora Sunflora Grass
#101 #193 Yanma Yanma Bug Flying
#056 #194 Wooper Wooper Water Ground
#057 #195 Quagsire Quagsire Water Ground
#188 #196 Espeon Espeon Psychic
#189 #197 Umbreon Umbreon Dark
#213 #198 Murkrow Murkrow Dark Flying
#082 #199 Slowking Slowking Water Psychic
#219 #200 Misdreavus Misdreavus Ghost
#061 #201 Unown Unown Psychic
#108 #202 Wobbuffet Wobbuffet Psychic
#149 #203 Girafarig Girafarig Normal Psychic
#093 #204 Pineco Pineco Bug
#094 #205 Forretress Forretress Bug Steel
#052 #206 Dunsparce Dunsparce Normal
#193 #207 Gligar Gligar Ground Flying
#063 #208 Steelix Steelix Steel Ground
#125 #209 Snubbull Snubbull Fairy
#126 #210 Granbull Granbull Fairy
#163 #211 Qwilfish Qwilfish Water Poison
#112 #212 Scizor Scizor Bug Steel
#168 #213 Shuckle Shuckle Bug Rock
#114 #214 Heracross Heracross Bug Fighting
#218 #215 Sneasel Sneasel Dark Ice
#198 #216 Teddiursa Teddiursa Normal
#199 #217 Ursaring Ursaring Normal
#216 #218 Slugma Slugma Fire
#217 #219 Magcargo Magcargo Fire Rock
#195 #220 Swinub Swinub Ice Ground
#196 #221 Piloswine Piloswine Ice Ground
#173 #222 Corsola Corsola Water Rock
#174 #223 Remoraid Remoraid Water
#175 #224 Octillery Octillery Water
#194 #225 Delibird Delibird Ice Flying
#202 #226 Mantine Mantine Water Flying
#203 #227 Skarmory Skarmory Steel Flying
#214 #228 Houndour Houndour Dark Fire
#215 #229 Houndoom Houndoom Dark Fire
#192 #230 Kingdra Kingdra Water Dragon
#200 #231 Phanpy Phanpy Ground
#201 #232 Donphan Donphan Ground
#221 #233 Porygon2 Porygon2 Normal
#131 #234 Stantler Stantler Normal
#159 #235 Smeargle Smeargle Normal
#145 #236 Tyrogue Tyrogue Fighting
#148 #237 Hitmontop Hitmontop Fighting
#154 #238 Smoochum Smoochum Ice Psychic
#156 #239 Elekid Elekid Electric
#152 #240 Magby Magby Fire
#151 #241 Miltank Miltank Normal
#223 #242 Blissey Blissey Normal
#243 #243 Raikou Raikou Electric
#244 #244 Entei Entei Fire
#245 #245 Suicune Suicune Water
#249 #246 Larvitar Larvitar Rock Ground
#250 #247 Pupitar Pupitar Rock Ground
#251 #248 Tyranitar Tyranitar Rock Dark
#252 #249 Lugia Lugia Psychic Flying
#253 #250 **-Oh **-Oh Fire Flying
#256 #251 Celebi Celebi Psychic Grass
Generation III
Hdex Ndex MS Pokémon Type
#001 #252 Treecko Treecko Grass
#002 #253 Grovyle Grovyle Grass
#003 #254 Sceptile Sceptile Grass
#004 #255 Torchic Torchic Fire
#005 #256 Combusken Combusken Fire Fighting
#006 #257 Blaziken Blaziken Fire Fighting
#007 #258 Mudkip Mudkip Water
#008 #259 Marshtomp Marshtomp Water Ground
#009 #260 Swampert Swampert Water Ground
#010 #261 Poochyena Poochyena Dark
#011 #262 Mightyena Mightyena Dark
#012 #263 Zigzagoon Zigzagoon Normal
#013 #264 Linoone Linoone Normal
#014 #265 Wurmple Wurmple Bug
#015 #266 Silcoon Silcoon Bug
#016 #267 Beautifly Beautifly Bug Flying
#017 #268 Cascoon Cascoon Bug
#018 #269 Dustox Dustox Bug Poison
#019 #270 Lotad Lotad Water Grass
#020 #271 Lombre Lombre Water Grass
#021 #272 Ludicolo Ludicolo Water Grass
#022 #273 Seedot Seedot Grass
#023 #274 Nuzleaf Nuzleaf Grass Dark
#024 #275 Shiftry Shiftry Grass Dark
#025 #276 Taillow Taillow Normal Flying
#026 #277 Swellow Swellow Normal Flying
#027 #278 Wingull Wingull Water Flying
#028 #279 Pelipper Pelipper Water Flying
#029 #280 Ralts Ralts Psychic Fairy
#030 #281 Kirlia Kirlia Psychic Fairy
#031 #282 Gardevoir Gardevoir Psychic Fairy
#032 #283 Surskit Surskit Bug Water
#033 #284 Masquerain Masquerain Bug Flying
#034 #285 Shroomish Shroomish Grass
#035 #286 Breloom Breloom Grass Fighting
#036 #287 Slakoth Slakoth Normal
#037 #288 Vigoroth Vigoroth Normal
#038 #289 Slaking Slaking Normal
#042 #290 Nincada Nincada Bug Ground
#043 #291 Ninjask Ninjask Bug Flying
#044 #292 Shedinja Shedinja Bug Ghost
#045 #293 Whismur Whismur Normal
#046 #294 Loudred Loudred Normal
#047 #295 Exploud Exploud Normal
#048 #296 Makuhita Makuhita Fighting
#049 #297 Hariyama Hariyama Fighting
#054 #298 Azurill Azurill Normal Fairy
#060 #299 Nosepass Nosepass Rock
#061 #300 Skitty Skitty Normal
#062 #301 Delcatty Delcatty Normal
#068 #302 Sableye Sableye Dark Ghost
#069 #303 Mawile Mawile Steel Fairy
#070 #304 Aron Aron Steel Rock
#071 #305 Lairon Lairon Steel Rock
#072 #306 Aggron Aggron Steel Rock
#076 #307 Meditite Meditite Fighting Psychic
#077 #308 Medicham Medicham Fighting Psychic
#078 #309 Electrike Electrike Electric
#079 #310 Manectric Manectric Electric
#080 #311 Plusle Plusle Electric
#081 #312 Minun Minun Electric
#086 #313 Volbeat Volbeat Bug
#087 #314 Illumise Illumise Bug
#094 #315 Roselia Roselia Grass Poison
#095 #316 Gulpin Gulpin Poison
#096 #317 Swalot Swalot Poison
#097 #318 Carvanha Carvanha Water Dark
#098 #319 Sharpedo Sharpedo Water Dark
#099 #320 Wailmer Wailmer Water
#100 #321 Wailord Wailord Water
#101 #322 Numel Numel Fire Ground
#102 #323 Camerupt Camerupt Fire Ground
#105 #324 Torkoal Torkoal Fire
#110 #325 Spoink Spoink Psychic
#111 #326 Grumpig Grumpig Psychic
#114 #327 Spinda Spinda Normal
#116 #328 Trapinch Trapinch Ground
#117 #329 Vibrava Vibrava Ground Dragon
#118 #330 Flygon Flygon Ground Dragon
#119 #331 Cacnea Cacnea Grass
#120 #332 Cacturne Cacturne Grass Dark
#121 #333 Swablu Swablu Normal Flying
#122 #334 Altaria Altaria Dragon Flying
#123 #335 Zangoose Zangoose Normal
#124 #336 Seviper Seviper Poison
#125 #337 Lunatone Lunatone Rock Psychic
#126 #338 Solrock Solrock Rock Psychic
#127 #339 Barboach Barboach Water Ground
#128 #340 Whiscash Whiscash Water Ground
#129 #341 Corphish Corphish Water
#130 #342 Crawdaunt Crawdaunt Water Dark
#131 #343 Baltoy Baltoy Ground Psychic
#132 #344 Claydol Claydol Ground Psychic
#133 #345 Lileep Lileep Rock Grass
#134 #346 Cradily Cradily Rock Grass
#135 #347 Anorith Anorith Rock Bug
#136 #348 Armaldo Armaldo Rock Bug
#140 #349 Feebas Feebas Water
#141 #350 Milotic Milotic Water
#142 #351 Castform Castform Normal
#142 #351 Castform Castform Fire
#142 #351 Castform Castform Water
#142 #351 Castform Castform Ice
#145 #352 Kecleon Kecleon Normal
#146 #353 Shuppet Shuppet Ghost
#147 #354 Banette Banette Ghost
#148 #355 Duskull Duskull Ghost
#149 #356 Dusclops Dusclops Ghost
#150 #357 Tropius Tropius Grass Flying
#151 #358 Chimecho Chimecho Psychic
#152 #359 Absol Absol Dark
#160 #360 Wynaut Wynaut Psychic
#171 #361 Snorunt Snorunt Ice
#172 #362 Glalie Glalie Ice
#173 #363 Spheal Spheal Ice Water
#174 #364 Sealeo Sealeo Ice Water
#175 #365 Walrein Walrein Ice Water
#176 #366 Clamperl Clamperl Water
#177 #367 Huntail Huntail Water
#178 #368 Gorebyss Gorebyss Water
#179 #369 Relicanth Relicanth Water Rock
#183 #370 Luvdisc Luvdisc Water
#187 #371 Bagon Bagon Dragon
#188 #372 Shelgon Shelgon Dragon
#189 #373 Salamence Salamence Dragon Flying
#190 #374 Beldum Beldum Steel Psychic
#191 #375 Metang Metang Steel Psychic
#192 #376 Metagross Metagross Steel Psychic
#193 #377 Regirock Regirock Rock
#194 #378 Regice Regice Ice
#195 #379 Registeel Registeel Steel
#196 #380 Latias Latias Dragon Psychic
#197 #381 Latios Latios Dragon Psychic
#198 #382 Kyogre Kyogre Water
#199 #383 Groudon Groudon Ground
#200 #384 Rayquaza Rayquaza Dragon Flying
#201 #385 Jirachi Jirachi Steel Psychic
#202 #386 Deoxys Deoxys Psychic
#202 #386 Deoxys Deoxys Psychic
#202 #386 Deoxys Deoxys Psychic
#202 #386 Deoxys Deoxys Psychic
Generation IV
Sdex Ndex MS Pokémon Type
#001 #387 Turtwig Turtwig Grass
#002 #388 Grotle Grotle Grass
#003 #389 Torterra Torterra Grass Ground
#004 #390 Chimchar Chimchar Fire
#005 #391 Monferno Monferno Fire Fighting
#006 #392 Infernape Infernape Fire Fighting
#007 #393 Piplup Piplup Water
#008 #394 Prinplup Prinplup Water
#009 #395 Empoleon Empoleon Water Steel
#010 #396 Starly Starly Normal Flying
#011
lovelywildflower Mar 2019
your eyes are full of galaxies and i just want to sit and stargaze until i discover every last one.
199

I’m “wife”—I’ve finished that—
That other state—
I’m Czar—I’m “Woman” now—
It’s safer so—

How odd the Girl’s life looks
Behind this soft Eclipse—
I think that Earth feels so
To folks in Heaven—now—

This being comfort—then
That other kind—was pain—
But why compare?
I’m “Wife”! Stop there!
Diana Aug 2020
What makes you feel the most beautiful?
  ->doing whatever the fu€k I want
edit 1: I usually thought this way, but now I would say when I’m worshipping or praying
edit 2: I would add it is when I am completely vulnerable. It is a different kind of beauty. One that is emotionally strong
(usually a person will say when they look a certain way which is sad to an extent because it reflects the way in which they associate beauty immediately with an external reflection; however, most people think this way)

2. Who do you love the most in your life?

3. Who has shown you and made you feel the most loved?
—> I had a 11 year old ask me this once

4. What would you do during the summers as a kid?
—> it can reflect the socioeconomic background one comes from

5. Do you think you’re an aesthetically  beautiful person?
—> this is quite interesting, bc if a good looking person says yes, then they’re proud and stuck up; if they say no, then they’re obnoxiously oblivious and seeking attention; if a not so good looking person says yes, then they are praised for their confidence; if they say no, then they are pitied and encouraged, the best answer is to give an answer back: do you believe that everyone should feel aesthetically beautiful?

6. Do you have any siblings? If so, how many brothers and sisters, and are you the oldest or youngest?
—> learning about birthing order can be huge! Oldest tend to be protective, responsible, mature at a very young age, selfless, and carry more of a silent burden and stress, introduction to adulthood is rather quick. Middle child is often overlooked and will seek a sense of family/community elsewhere with friend groups and such; they feel like their thoughts/existence goes unseen by the ones that are supposed to care the most youngest tend to seek the approval of others especially of those older than them, outgoing, irresponsible, and babied. They can have a harder time managing task without it being done for them by others.

7. When we fall asleep, where do you think we go?

8. What is a thought that has kept you up at night?

9. What was the most humbling moment you’ve had in your life?

10. What is a piece of advice that you still hold today that transcends time?

11. What’s a favorite quote of yours?
-> the unexamined life is a life not worth living; don’t take yourself too seriously; come back home to yourself and choose to show up authentically; growth is a dance not a light switch; Harriet Tubman- I freed a thousand slaves. I could have freed  a thousand more of only they knew they were slaves.

12. Who has impacted your life the most? How and why?

13. What is an overlooked or under appreciated strength that you have?
—> honesty, forgiveness

14. How do you give love? How do you receive it?
—> 5 love languages: words of affirmations, physical touch, acts of service, quality time, gifts

15. How do you communicate when in repairs after a rupture has occurred?
—> discuss as soon as possible, take a five minute break, wait a few days, words, touch, gifts, silence, etc. so you never repair after a disagreement?

16. Do you enjoy the late hours of the night or the early hours of the morning?

17. What’s your favorite type of weather?

18. Do you prefer exploring and staying in the gray, or the black and white?

19. Of you could study anything what would it be?

20. What are ways that you work on your emotional intelligence and character?

21. What type of communicator are you?
—> words, touch, actions, silent, loud, stoic, expressive, curt, bombastic, blunt, passive, etc.

22. Would you say you have a better face or body?

23. What is a moment where you felt a supernatural appreciation for the earth due to the view you saw?

24. How do you handle seasons? The ends and beginnings of them?
-> journal, reflect, avoid, acknowledge, cry, run backwards, move forwards, etc.

25. What book had a huge effect on you? What was it about the book?
-> all the bright places, Fahrenheit 451, the curse of the good girl, it ends with us, great gatsby, the voice of archer, etc.

26. What is the worst thing you can take from another person?
-> their time

27. What’s the greatest act of love (that you can do for another) ?
-> to die for another since the greatest fear is death

28. What is something that brings you peace that not many people do or notice?

29. What is the worst form of loneliness?
-> when you are uncomfortable with yourself

30. When do you feel the most vulnerable?
-> sleeping, expressing emotions, sick, crying, etc.

31. How do you handle seasons? The end and beginning of them?

32. Liquid or bar soap?

33. Have you ever closed your eyes, plugged your ears, and listen to the noise that comes when you let the water from a shower head pour over your skull

34. What is the most beautiful sound you have ever heard?

35. Do you think your parents are soulmates, or do you question their love for each other?  

36. What are important qualities to have in any relationship (platonic, romantic, etc.)?
-> trust, love, loyalty, respect, empathy, compassion, boundaries, autonomy, differences, effective communication, etc.

37. What are qualities that you look for in a romantic partner?
-> thoughtfulness, observant, confidence, wisdom, romantic, humorous, self-driven, self-discipline, humility, grace, etc.

38. How do you know that your (insert name/ relationship) loves you?

39. Would you rather be hated or alone?
-> interesting philosophical question in regards to being hated would mean that there is a recognition of your existence as opposed to being alone

40. How did you learn to ride the bike? Ice Scate? Snowboard?

41. When was the last time you felt rejected? By who? For what?

42. When was the last time you cried?

43. What has a kid said to you that has made you stop and reflect?

44. Which is a worse fear: the fear of dying or the fear of not being worthy of love
-> Jordan Peterson claims that the greatest fear that humans have is not death because then how would we explain suicide...the fear of death is a subcategory for the greatest fear which he believes to be the complexity issue (people **** themselves not because they want to die but because their life has become too complex for them to handle emotionally and/or physically)

45. What is the most destructive thing a person can do to themselves?
-> to deny themselves; to place the responsibilities of loving and accepting themselves onto others such as lovers or family members; to believe they are not worthy to be loved

46. What is something you want to experience/feel in a relationship
-> unconditional love; lol I have a while poke dedicated to experiences

47. Tell me about a dream that you have had multiple times

48. What do you like most about yourself?
-> my mind/thinking process; understanding, and open to conversation

49. Would you be friends with yourself

50. What is the worst thing you have done or said to another person? How old were you?

51. Why do you choose to wake up and participate in society?

52. What makes a woman or man their gender? Their body/attitude/characteristics?

53. Would you let your child date someone that has the character of you?

54. What makes you special? Since the beliefs you hold and the personality traits that you have aren’t exclusive to you?
-> it’s the combination and ratio that makes us unique

55. when was the last time anyone ever told you how important you are?

56. what are things you do when you need to feel nurtures?
->hot bath, foot rub, curling up in a comfy chair with a comforter and a good book, or making a *** of soup or a nourishing hot drink

57. what are ways that you neglect your physical and emotional well-being?

58. where in your life are you not protecting what is precious in you?

59. what adjectives describe your relationship with your mother? do you like the closeness or is it uncomfortable in some ways and hard to fully accept?

60. What do you do when you cry? do you try to stop it, cover your eyes, in the dark, into a pillow, silent, loud, sooth your body?

61. What was something that someone said to you that made you feel seen for the first time in a long time? what is something that touched you heart?
-> you are do brave, you have a courageous heart, you are a natural teacher and psychologist, you lean towards healing, you do not realize how much you impact other people's lives

62. what is a go to song that you could listen to at any moment in your life?

63. What do you do when you feel lonely?

64. What is something that puts a smile on your face?

65. What smell brings you joy?

66. would you rather get caught or catch your parents?

67. what is one of the biggest lies you have told yourself?
-> you are unworthy of love

68. what is a memory that reminds you of the beauty in life?

69. what is your favorite word to pronounce?
-> tantalizing, satiate, revere

70. what stereotype do you think people put you in when they see you?
-> pretty, (not super smart) blonde

71. what are things about you would shock other people?
-> first generation. youngest of five, 4.0 student, write poetry, love to read, not active on social media, don't like taking pictures, never been kissed, played the violin and cello, struggled with insecurity

72. tell me the accomplishments that you might be hesitant to share bluntly in fear that it comes off as being a show off?
-4.0 since sixth grade to nursing school in college, won a poetry competition in senior year of high school, got a full ride to UW Seattle and declined, won best dressed in high school, squatted 225lbs, muscular body, sang in a few songs (good at singing)

73. how do you interact with others when they are invading your personal space?
-> don't do anything, interrupt and tell them to move, slowly do something on your own without saying anything to them

74. what do you do and how do you feel when someone cries next to you?
-> hug/touch them, talk to them, remain silent, get stiff and uncomfortable, try to get them to stop crying, walk away

75. how do you regulate your emotions when they are out of homeostasis?
-> don't know how to, take deep breaths, walk away from the situation so the stimulus/source is not in front of me, cry

76. name as many emotions as you can
-> reflects their ability to accurately label their emotional experiences and can possibly be a marker/indicator for their emotional intelligence/maturity

77. how do you feel about death, do you talk about death, do you see others shut down or open up when you express this topic?
-> isn't it ironic how death is an inevitable event yet so many humans are uncomfortable with talking about it. I believe that it interrupts the natural grieving process. I talk about death with my dad and he is more open with talking to me about when he passes; my mom gets uncomfortable and gets upset and tries to switch the topic.

78. would you rather eat any form of noodles or burgers for the rest of your life?

79. when was the last time you sat in silence and was comfortable with it (excluding before you fall asleep)?

80. when was the last time you had a conversation with yourself about something deep? what was it about?

81. what is a revelation in your life that made you cry?
->only God can provide me with unconditional love; no one else can

82. what do you think is the root of all fears? what do you think can remove them?
->ignorance; distraction/knowledge -> unconditional love

83. What is the most unique response you’ve received when you’ve asked someone how they are doing?
-> still breathing

84. Do you think humans are easy to love?
-> I don’t think they are easy; it is complex just like they are

85. When was the last time you read a book? What was the title called? what was it about? Why did you read it?
-> the emotionally absent mother by Jasmin Lee Cori

86. If you’re comfortable with sharing, talk to me about the life of someone that has passed away? What were they like? How did they make you feel? Who were they to you? How did you cope when you realized they passed away?

87. Who are addicts? What do you need to do to be one? Do you think everyone is an addict to some extent? Why do you think people become addicts?
-> whenever faced with such questions it is imperative that we must ask ourselves the question of why! Yes, I believe all of us are addicts to dopamine; our brain is wired that way. But when we think of addicts, we forgot to ask the question of why they are addicts. Life became too difficult to manage and the body found a way to stimulate the mind in such a manner that it either numbed the pain or provide sensation to a chronic state of numbness

88. Other than the lips, where do you like to be kissed the most?
-> forehead, cheek, behind the ear, neck, top of head, hand, nose, shoulder, chest, back, collarbone

89. What type of kiss do you enjoy the most?
-> slow, fast, French, peck, open mouthed, short, long, sloppy, hungry, passionate, affectionate, sweet, etc.

90. it is easy to agree with the statement that dehumanization is not okay, but is it more gray than we think? is there a degree of dehumanization that is okay or needed? if so, what is that degree? also, do you think we commit acts of dehumanization regularly? if so, when and what are these instances?
-> i believe that as humans we have a tendency of wanting to see our light and ignore the aspects of ourselves that are casted in that shadow. to have a light is to also have a shadow; i believe that we dehumanize almost every time we meet someone by limiting their mystery to small snipits of who they really are; also, sometimes it is very difficult to handle and hold such emotional space that our minds need to shut off and dehumanize for our own sake of well-being

91. are soul mates meant to be with each other?
-> A soulmate is a person with whom one has a feeling of deep or natural affinity. This may involve similarity, love, romance, platonic relationships, comfort, intimacy, sexuality, ****** activity, spirituality, compatibility and trust

92. what are ways that you can take a break from reality?
-> sleep, reading, gaming, showering

93. do you have people in your life where their presence is enough? no conversation is necessary, just each other's presence is comforting enough.
->celesa, kristina, michelle, marta,

94. what is a memory you like to relive time to time?
->dancing with celesa at the bistro to adore you; trinity; late night phone calls with close friends

95. how would you describe your relationship using 5 adjectives or phrases with your best friend, sibling (if you have one), and care giver?
-> "If you love yourself, you love others. If you hate yourself, you hate others. Because in relationship with others … the other is nothing but a mirror." - Anonymous

96. how would you describe yourself using 10 adjectives?
-“I’m selfish, impatient and a little insecure. I make mistakes, I am out of control and at times hard to handle. But if you can’t handle me at my worst, then you sure as hell don’t deserve me at my best." I like this quote because it acknowledges the negatives of who we all are. we aren't all only happy, funny, bubbly, hard-working, etc. we are also grumpy, boring, rude, and lazy. we are a combination of every adjective out there; it just depends on how aware we are of our expressions of these adjectives. So, notice the kind of adjective the person uses when they respond and also note the context and circumstance of your relation to them.

97. do you prefer a hot drink on a cold day or a cold drink on a hot day?

98. if you could be famous would you? famous for writing, acting, food, music, sport, YouTube etc.
-> for me personally it depends on the exposure i get. if i get a lot of focus on myself then no (music, acting, etc.) but if my work gets more focus than i do and i can still live a "normal" life then yes (writing, food, etc).

99. which musicians or artists do you think deserve more recognition?
-> emotional oranges, Justice Der, cigarettes after ***, the 1975, pink sweat$, A. Chal

100. what is one of the most thought-provoking questions or statements you have ever heard?
-> "not all of us can afford to be romantic" - Pride and Prejudice;
"when will it be enough; how much more do you need to finally be happy"- My dad; "do you believe that everyone deserves to look and find themselves to be aesthetically beautiful" -My brother

101. Favorite piece of clothing?
-> yuriy’s wedding: the dress I had, red socks, fuzzy sweater

102. What’s your full name?

103. What’s the weirdest saying an old person has said?
-> don’t go spending your money in a wooden nickel

104. What age would you consider a person to be old?

105. Do you believe that life requires s purpose?

106. What is your purpose?

107. What is one of your biggest fears that you believed in (as a child, adult, etc)?
-> that I was unlovable at some point in my life

108. When you are in an emotional emergency, do you have someone you can call? If so, who is it and why?
-> I don’t really...I try to stick through it...weird since I have had people tell me that I could call them but I still don’t feel comfortable to talk to them...

109. Do you have relationships where you felt valued, a sense of belonging, calm, accepted?

110. What is your earliest memory of feeling left out?
-> the social pain overlap theory (SPOT) describes the overlap between the pain of being physically hurt and the pain of being left out. In our bodies, there is literally no distinction between the two.

111. If you could only have one for the rest of your life, would you choose to keep limes or lemons?

112. Have you ever experienced the relational paradox? If so, with whom?
->  when you’re convinced that your friends won’t tolerate who you really are so you decided the best way to be excepted is to leave a part of yourself out of those relationships; By hiding yourself you may preserve the friendship but at the cost of feeling that you don’t legitimately belong but if your friends can see who you truly are they would cut you loose

113. Have you ever done a relational mindfulness exercise?
-> set a timer for 10 minutes, and then stare into each other’s eyes silently. It should sync your cardiac systems as well as your respiratory systems. Hold each other’s pulses to identify; I find it weird how we get stared at lovingly when we are babies and then that goes away as well get older...

114. What is a secret that you have kept from your partner, family, or closest friends that you believe if they found out they would reject you?

115. Do you have a person in your life that can be categorized as “the one that got away”? Someone you either dated or never dated?

116. Is there someone in your life that you don’t see anymore that you would like to have a conversation with? Dead and/or alive.

117. Sunset or sunrise?

118. Do you want children? What is your opinion on men who don’t want children; what is your opinion on women who don’t want children?

119. Have you ever felt forced to do something that you didn’t want to do or say? Like give a handshake, hug, take a picture, have a conversation, give a number, compliment someone, disclose personal information, go on a date, say I love you?
-> there’s a difference between not wanting to do something and feeling forced to do something, and I find it interesting that we all do things that we feel are forced upon us when no one is directly stating that we have to do it; it’s like an invisible force

120. what is something that another person did that made you uncomfortable but you never addressed it?
-> sing terribly while they are genuinely trying, get physically close to me, compliment me in a creepy way, talk in a movie theater

121. What is a pet peeve of yours?
-> leaving garbage on a table after you eat (not cleaning up after yourself), having poor etiquette with servers or cashiers, saying “mom” instead of “my mom” if I don’t share the same mother as them (missing the possessive pronoun before a parent).

122. Who is someone that you find attractive that is the same *** as you?
-> Arbby, Irina, Jessica, Sara, Valentina

123. What is the most sweet/****** compliment you have given to someone?

124. What is the biggest plot twist you have ever seen in a movie or book?

125. When did you  feel the most loved (in your entire life, this week, by me)?

126. what is something I have said that you have always remembered?

127. Blue or red Gatorade?

128. Star gazing or sunset picnic?

129. What is something that is underrated?
-> our bodies (specifically our our hands, eyes), stars, cologne/perfume

130. have you ever tried to impress the other? If so, for what reason and when?

131. Which do you prefer: breakfast, lunch, or dinner for the rest of your life?

132. Are you missing someone right now? Do you think they miss you?

133. What was the happiest meme out you have had this year?
-> dancing with Celesa at trinity, at the apartment, after hours at the bistro, French dip at lost like with Celesa, holding Lorenzo, seeing a birth and colostrum, making my first song and listening to it for the first time, board game with Hayden, D.E.A. Hat guy, Fourth of July with kristina -> ride back with questions, eagles falls, yuriy’s wedding and gelato boy, euphoria makeup with Bella, painting with Michelle at green lake, reading books

134. where were you born?

135. how many states/countries have you visited?

136. what color would you use to describe your life

137. would you say it is better or worse to listen to sad music when you are sad?

138. what is the #1 factor that predestines people for failed relationships?
-> no examples of healthy relationships

139. what is the weirdest ice cream flavor you have ever tried?
->black licorice, peppercorn/caramel/goat cheese

140. What’s the most exciting dream you have ever had?

141. What’s the most peaceful dream you have ever had?

142. What’s the most terrifying dream you have ever had?

143. Who is the most misunderstood person you know?
-> Mark; he wasn’t well liked, but I remember thinking that the was just misunderstood...

144. Who in your life are you misunderstood by?
-> my mom

145. Do you prefer handshakes or hugs?

146. Do you prefer movie nights or dinner dates?

147. When was the last time you read a paper book for pleasure?

148. What is a comment that someone said to you that you were honestly shocked by? Like, you couldn’t believe it came from their mouth?
-> when I was in sixth grade and my friend’s mom said, “aren’t you jealous of [her daughter/my best friend’s name] ****”?; “do you even know what wings are”?

149. As a kid in elementary school, where did you play during recess? Tetherball, four-square, hopscotch, jump rope, soccer, basketball, slide, monkey bars, swings, sandpit, etc?

150. What otter pop flavor was your favorite?
-> the pink one

151. When you brush your teeth, are you messy or clean? Meaning, does the toothpaste get outside of your mouth at all?

152. What do you remember about elementary school in terms of field trips, punishments, recess, fun run, day of activities, lunch food, movie nights, fundraisers, assemblies, and reading points?

153. what do you remember about middle school in terms of the change from elementary school with no recess, classes, $ex ed, lockers, assemblies, P.E., lunch food?

154. what do you remember about high school in terms of the change from middle school, classes, assemblies, P.E., sports, lunch food, standard tests, dances, friends from your first year to your last year?

155. what do you think is a poet's aphrodisiac in the form of a person?
->intelligence, originality, mystery, intriguing personality

156. what is a bad habit that you know you should quit ( can be a substance, activity, or person)?

157. How often would you say you reflect on your life? with the mundane activities and the more impacting activities?

158. what's a song that you are replaying right now?
-> redbone x childish gambino by Jospeh Solomon

159. what is the most random food combo that you really enjoy?
->mashed potatoes/gravy with corn; hot dog with jelly

160. who is a person in your life that was the most mysterious to you?

161. would you say that you were shown healthy relationships throughout your childhood? in particular, your parents' relationship?

162. would you say that your family made you feel seen, heard, and understood? if not, would you say that you subconsciously expect this in your adult relationships? what have you done to unlearn this mentality?

163. would you say that you are always the one doing the caretaking in your relationships?

164. do you have a hard time listening to others?

165. do you act differently with men than with women?

166. do you get hurt easily and withdraw when there is conflict; what are you like during conflict?

167. what are you like when you don't get your way (aggressive, sad, quiet, loud, irritated, calm, unbothered, indifferent, annoyed, happy, frustrated)?

168. what are the molds for your ideas about how relationships are supposed to work?

169. what do you believe you're entitled to within a relationship (any/ friend/ romantic/ family)?

170. what was your closest experience with death?

171. do you prefer cauliflower or broccoli?

172.  what's the weirdest thing you have ever eaten?

173. what are your favorite tv shows or movies?
-> bridgerton, pride and prejudice, law abiding citizen,

174. what is the most controversial thing you have ever done?

175. what is the most controversial thing another person has done?

176. what is your superpower?
->there is no one on this planet that is quite like me

177. what do you believe is the purpose of a romantic relationship? Marriage?

178. do you think love is needed to marry someone? would you find yourself ever in a situation where you would marry someone that you did not love?

179. what is your weirdest talent? hobby? experience?

180. do you bring your phone with you when you go to the bathroom? if so, when was the last time that you went without your phone?

181. what is something that most people have done but will not admit to?
->eat a ******, smelling their **** out of curiosity, ma$turbate, blame a **** on someone else, etc.

182. do you believe that there should be aspects of yourself that no one else on this earth except yourself should ever know?

183. what's the weirdest conversation you've ever had with someone?

184. How old were you when you had your first kiss? Describe the situation? Who made the first move?

185. What is the spiciest thing you have ever eaten?

186. what is the most bitter thing you have ever eaten?
-> unripe pear!!

187. what is the most spontaneous thing you've ever done and/or said?
->eagles falls with kristina, lorenzo's birthday with selesa

188. how would you want a girl/boy to shoot their shot at you?

189. if you could be someone else for a day (someone you have met and know) who would it be?

190. if someone wasn't interested in you, how would you want them to rejected?

191. do you prefer buttered popcorn or the sweet kettle popcorn?

192. what is the rudest thing you've wanted to say but stopped yourself from saying?

193. what is the most genuine, heart-felt compliment you have received from someone?
-> you are courageous/brave; you are a natural psychologist and healer; you're my best friend, I can tell you anything

194. what is an experience you look forward to in life?
-> walking down the aisle and maintaining eye contact with my man the entire time until I have to hug my dad goodbye; my wedding night; going on vacations with just my husband; going to Jamaica; holding my baby in my arms for the first time; watching my husband play with our children on a beach as I sit under the shade; trying fruity cocktails on my 21st; going on my first date; my first kiss; moving into my house

195. what is a moment that you tend to relive in your mind?

196. what is something that you have learned to accept in life as you have gotten older?

197. who was your first crush? how old were you? what about them made you like them?
->ruslan at church; I was maybe four; he was really sweet to me and I thought he was cute; at yuriy's wedding, I saw him and told him about it which made him get really excited

198. what is something that you hate to eat? you've tried it and you know that you will try to avoid it at all costs.
->parsley, celery, beets, ginger

199. at what age would you say you lost your child-like innocence?

200. your turn. create a question!

201. how old were you when you found out that santa wasn't real? how did you handle it?

202. what is something that people hate, but still choose to participate in?
->beauty standards

203. what super power would you wish to have?
->time control

204. if you had the chance to have the superpower of mind control, would you accept it?

205. how would you decorate your ideal house?
-> different vibes for different rooms; monochromatic black room with lava lamps, white room with dark brown wood accents and lots of plants, pastel light pink with neon glass decorations

206. who is a person that had made you cry?

207. what is one of the most scariest thoughts you have had run through your mind?

208. what is one of the most sad thoughts you have had run through your mind?

209. do you believe you should have to pay to live on a planet you were born on?

210. what is a candy that you hate?

211. what is a song that you try to avoid because it is too personal?
-> apple bottom jeans

212. would you say that you are alive or merely living?

213. what is something that someone said to you that you have never forgotten?
-> you have a lot of knowledge, but you lack experience

214. what is an example of a person that you thought was good but turned out to be a genuinely bitter, horrible person?

215. When was the last time you felt truly understood by somebody? Who was it? What did they understand?

216. Can you think of someone in your life who understands you better than anyone else?

217. Is your relationship with yourself healthy or unhealthy?

218. Growing up, the relationships I primarily saw were healthy or unhealthy?

219. Do you attach guilt with growth?

220. Have you spent too much time today comparing yourself?

221. When did you feel the most trapped?

222.who do you feel most yourself around? Why?

223. what parts of yourself do you need to break up with?

224. what is your favorite conspiracy that you believe in right now?

225. do you prefer to work with people are are the same or opposite gender as you?

226. what was the most intense experience of $exual tension that you have had?

227. what activity do you do that makes you feel most at home/ yourself?

228. what was the most painful truth you have ever been told?

229. who is someone you will never forget even though you have only had one encounter with them?

230. when was the last time you felt adrenaline pumping through your veins due to excitement?

231. what about you feels easiest to love (physical and character)?

232. what about you feels hardest to love (physical and character)?

233. What kind of love feels more familiar to you -> peaceful or chaotic love?

234. to what extent to you feel your appearance is the most important aspect of who you are?

235. do you think being attractive is a privilege? are you nicer or meaner to people you find attractive?

236. what was the hardest thing that you forgave someone for?

237. how would you define forgiveness?

238. who have you farted the loudest or most often?

239. what is an embarrassing story of when you really needed to **** in class but struggled to hold it in?

240. what is something that made you blush really hard?

241. if you had the opportunity to be famous, would you choose to be?

242. what is the longest you have not dated someone (or was flirting or thinking with someone)? In other words, what is the longest you have been alone?

243. what separates us from God?
-> ignorance (spiritual) and death (physical) - Jordan Peterson

244. what is a message that everyone deserves to hear in life?
-> "you deserve someone who's going to work hard to find ways to care for you." You are worthy of unconditional love.

245. what is a difficulty in your life right now?

246. what is something you've always wanted to try but haven't yet?
->fall in love, go on a trip by myself, go to Europe with Itzhel, drink a mimosa at brunch in a sunny place

247. what are qualities that you really admire in people?
-> attentiveness, observant, thoughtful, thought-provoking, mysterious, charming, honest transparency, vulnerability, calm curiosity, humble confidence

248. what is one of the most important connections you can have in life?
->your relationship with yourself

249. what memory comes to mind when you think about the ocean/beach?

250. what memory comes to mind when you think about carnivals?

251. what memory comes to mind when you think about water balloon fights or snowball fights?

252. Do you think your parents have thought about killing themselves?

253. Do you think your best friend has thought about killing themselves?

254. How often do you think people have thought about harming or killing themselves.

255. Do you believe in the concept of marriage?

256. what is the worst advice you have ever received?

257. was there ever a time where you were vulnerable and regretted it? if you are comfortable with it, what was the situation?

258. if you could go to any concert, who would you go see?
-> chase atlantic, post malone, cigarettes after ***, ariana grande, the 1975

259. why do you think people protect their pain? what does that look like - to protect one's own pain?

260. what is an acoustic version of a song that sounds better than the studio version?
-> like a rockstar & what u call that & cassie - chase atlantic

261. what is an experience that you wish to never experience again?

262. how do you feel about silence? is its presence comforting?

263. have you taken any drugs? if so and you feel comfortable sharing, what are they?

264. what is advice you would give to your 15yo self and your 40yo self? (a much younger and older version of yourself?)
-> younger self: you are worthy to love; you are worth getting to know and understand; you will one day believe that you are enough and choose healing with a life filled with authenticity that will get challenged; you'll be more unconventional; your way of thinking will not be like most that are around you - this is okay and expected
older self: I hope you are happy and live a life that you chose and not one that you compromised on for the sake of other's happiness and comfortability; I hope you live authentically and continued the process of living actualized as Maslow would saw; I hope you married your best friend that is your match in his own unique way; i hope your communication is better and that your relationships are healthy and boundary enforced

265. if you knew you were going to interview God for thirty minutes and could ask him only one question, what would it be?
-> who am I?

266. what would you do if knew you could not fail?

267. how are you, really?

268. how would you behave if you were the best at what you do in the world?

269. are you finding your dream job or are you creating it?

270. if there was a solution to your anxiety, what would it look like?

271. why are you worth knowing?
-> well, you're sitting in this seat listening to me

272. when was the last time you did something for the first time?

273. how do you treat people who can do nothing for you?

274. do you stack the plates and clean up your table when at a restaurant?
->analyze SES and their behavior to working class

275. what or who lights you up?

276. what would your perfect day look like?

277. what is an underappreciated fruit and vegetable?

278. what is something that guys/girls are insecure of that guys/girls do not really care about?

279. tell me about a time where you threw up in public?

280. tell me something illegal that your family did?

281. what is a word that would always make you laugh whenever you heard or said it when you were a kid?

282. what is the first cuss word you started using often in your vocabulary?

283. if you could be one animal, what would it be?

284. what insect were you the most fascinated by as a kid?
->ladybugs, dragonflies

285. if you could blow one thing, what would it be?
->paint, slaughterhouse, firework stand

286. what emotions would you associate to every color in the rainbow including pink, brown, black, and white? If that is too much, if you could choose one color, what emotion would you assign to it?

287. what is the saddest thing that a person has ever said to you about themselves or their life?

288. if you could be any pair of shoes, what would it be?
->professional rock climber, work boot

289. would you consider yourself to be an addict?
-> I think we are all on a continuum and are all wired to be addicted to dopamine and love we just go about it different ways.

290. if you could have any dog in the world, what would it be and why?

291. if you had to describe love and what it feels like to a young person, what would you say? OR
if a kid asked you what love feels like, how would you answer them?
-> able to feel no judgment and feel free to be who you are without the fear of rejection

292. how would you define healing?

293. how would you know that you are healing or healed?

294. where in your life have you compromised and lived for someone else?

295. what is a thought or idea that scares you?

296. why do you think people protect their pain?

297. how would you like to be cared for when you are experiencing an emotional crisis?

298. what is something that you were told when you were a kid that you have never forgotten because it provoked you so much?

299. who is a friend in your life that you know you should stop the friendship with but you struggle to?

300. what is a motto that you would tell your kids that you have lived by?
->be the man/woman that you would want your daughter/son to marry one day

301. when was the last time anyone ever told you how important you are?

302. Who have you spoken the most genuine I love you to?

303. What social situation are you the most anxious of?

304. What is something that people would never think or associate with you that you’ve thought or done?
-> I love to binge on romance novels, I played the violin and cello, I’ve never been kissed/had a bf, I have a song on all platforms, I’ve had a 4.0 most of my life, I tend to write ****** poems, I was in a drill team for five years, I wasn’t born in America, I love country music

305. What is something you’d like to say to someone who has already passed away?
-> Robertson: I hope you’re proud of me in the way that I am; thank you for supporting me in more ways than one

306. What is something you’d like to say to someone who hurt you badly?
-> i deserved better than your projected insecurities, but I was too naïve to understand any better

307. If you were forced to only listen to three songs on replay during the deed for the rest of your life, what would it be?

308. Like all of us, we are replete with contradictions -> we are walking contradictions. What are yours?
-> a desire for intimacy and a fear of touch/commitment; a desire to be known and a fear of vulnerability

309. Do you think you ever turned a teacher on?

310. What is the greatest lesson that the other person has taught you?

311. if people could not take pictures, do you think they would still drive to the tulip festivals?

312. why do you think we met?

313. which is the hardest for you to say
(1) I love you
(2) I was wrong; I'm sorry
(3) Worcestershire sauce
(4) I need help
(5) I appreciate you

314. what is one of your favorite lines in a song?
-> hoodie on low cuz I stay focused yeah, hard to stay low when everybody notice
-> heart on your sleeve like you've never been loved; I don't feed her fears I feed her habits; type to make you f*ck 'till you finish
->said you needed this heart then you got it turns out that it wasn't what you wanted

315. Are you struggling with your mental health right now?

316. Are you afraid to admit the things that go on in your head?

317. Have you ever met a person that made you so nervous that you avoided them at all costs due to the way that they look?

318. Who is the most selfish person you know?

319. Who is the most selfless person you know?

320. How many Costco hotdogs could you eat in 45 minutes for a hotdog eating competition?

321. What do you put on your Costco hotdog?

322. What’s your favorite cereal brand?

323. Stargazing or sunset?

324. What is an underrated aspect of life that is mundane to most?
-> breathing, eyesight, touch

325. If you could only keep two out of the five senses, which ones would you choose? What if you could only keep one?
-> taste, touch, smell, eyesight, hearing

326. Would you consider yourself to be more black and white or gray in terms of your thinking?

327. What was your favorite kind of candy cane: the peppermint, chocolate, or fruity ones?

328. What’s an American tradition that you do not follow?
-> I'm not a huge fan of chocolate chip cookies, PB cups, peppermint candy canes

329. what do you love most about your family?

330. what is something you would like to change about your family?

331. what is a fashion trend that you think is overrated?

332. what is an aspect about people that you have only encountered a few times in your life?
->humble/ confident authenticity, thoughtfulness

333. what do you think is the ugliest trait one can have?

334. which is worse to be super insecure or to have an inflated ego?

335. would you call yourself a good person? how do you define good?

336. what is something that fascinates you that you think about time to time?
-> reality doesn't really exist; it's our perception of the stimuli in our life that we come to understand as our own reality which is only one side of the narrative. Also, people have conversations that are quite incompatible in the sense that their definitions of words and their life experiences impact how each person enters the conversation. It is like there are two conversations that are being shared and understood in the same space.

337. what is a job that you think is much more difficult to do/live with?
-> acting: how do you separate and keep hold of your authentic self and the characters you play if you can play them really well. Does life become your stage?

338. what is a movie or song that is about to release that you look forward to seeing/listening?

339. how do you feel about your inevitable mortality?

340. what do you think about graves? how do you think society has shaped or challenged your opinion of them?

341. what is a reason for why you cried?

342. when was the last time you laughed so hard you couldn't breath?
-> talking to Bella's family and Devin jumping into the conversation with his friend that his lactose intolerant when we were talking about birth control

343. what is the best vacation that you have had? what made it so special?

345. what is the greatest lesson a friend has taught you?

346. what is the greatest lesson a parent or adult has taught you?

347. what is the weirdest thing you have done with someone in public?

348. have you ever looked at someone while they're doing something like driving, laughing or eating and just smile because they mean so much to you? If so, who?

349. what do you think is the most influential relationship that you have that impacts all other ones that you have?
-> yourself or with your parent(s)/caregiver(s)
-> "never forget that the relationship you have with yourself sets the tone for the relationship you have with everyone else. If you want to work on your relationships, start working on yourself"

350. what was a phase of your life that you would go back to if you have the chance. why?

351. what is a warning that you wish you got before knowing me?

352. what is a question that you have wanted to ask someone but got too nervous to announce?

353. talk about a time where you needed toilet paper but it wasn't there. what did you do? were you in public or at home?

354. what is an instrument that you think is harder than it actually is?
-> the drums!! that is multiple rhythms to keep up with...

355. describe a time where you thought you were going to cry but tried really hard to keep your composure?

356. when you would cry as a kid, what would your parent(s) say? other adults? if they shamed or shut you down immediately, do you still do this to yourself today?

357. what is the craziest drug you have ever taken?

358. what is something you would miss if your home burned down?

359. if you could move anywhere, where would it be? would it be in the city or country?

360. what is knowledge that you wished you knew when you were younger?

361. what is the most expensive item you have bought that you regretted?

362. if you could hug anyone in the world, dead or alive, who would it be?

363. what is the most messed up thing you have seen another person do to another?

364. what do you tend to think about during the time where you are laying in bed and trying to fall asleep? where does your mind tend to go to?

365. what is an event in the future that you are looking forward to?

366. Is a hotdog a sandwich?

367. If you were diagnosed with Alzheimer's and you could remember only one memory, what would it be?

368. What aspect/version of yourself are you the most ashamed of?

369. What aspect/version of yourself are you the most proud of?

370. Is there someone in your life that you hide aspects of yourself from? Do you believe that if they knew all of you unfiltered that they wouldn’t accept you? is this true love?

371. Do you know how to swim? If so, how and where did you learn to?

372. What is a song that makes you cry/emotional? W

373. What song reminds you of another other person?

374. What is the name of a song you will not listen to again because it is too painful?

375. Who has emotionally hurt you the most in your life?

376. When was the last time someone told you that they loved you? How did it make you feel?

377. What did you dream of last night? If you do not remember any dream, then what was your most recent dream?

378. If you had to either eat and **** out of your mouth or *** which one would it be?

379. What's something a stranger said to you that you remember to this day?
-> I think that your body is perfect

380. What is a lesson that the earth has taught you?

381. What is a lesson that your body has taught you?
Feel encouraged to add on in the comments.
BRIAN, YOU ARE STILL A LITTLE SHY BOY, BUDDY




YOU SEE MY DAD CLOSED THE DOOR SAYING

DON’T WORRY ABOUT THE TEASING, BE LIKE ME AND MUMMY

AND WENT BACK IN AND I FOLLOWED DAD AND HE SAID

ARE YOU GETTING TEASED, BRIAN , AND I SAID, I AM TEASING YOU

CAUSE DAD, YOUR NOT LIKE US, YOUR NOT LIKE US, YA NOT LIKE US

I AM A YOUNG DUDE, AND YOU ARE A GRUMPY OLD ****

AND DAD SAID GO TO YOUR ROOM, AND I SAID NEH, I AM STILL COOL, BUDDY

DAD SAID, COOL, WHY DO YA WANT TO BE COOL FOR, BE LIKE ME AND MUMMY

OR A SHY YOUNG DUDE, AND I SAID, YOU ARE FUCKEN SHY, DAD

AND DAD GOT UP AND SAID, GO TO YOUR BLINKEN ROOM YA LITTLE SHY BOY

AND IF WE HAD LOCKS, I WILL LOCK YOU IN, I SAID WHEN YOU DIE

YOU ARE LEARNING ABOUT HOW KIDS OF TODAY ACT

DAD SAID SHUT UP, YOUR STILL A LITTLE SHY BOY

AND RAN TO HIS SEAT, AND I FOLLOWED HIM SAYING, I AM STILL NOT LEAVING YOU ALONE DAD

AND DAD SAID, GO TO YOUR ROOM YA FOOL, YA FOOL

I SAID, HIT ME HERE IN THE FACE DADDY, AND HE SAID OK AND HIT ME SQUARE IN THE FACE

AND TRIED TO RUN TO HIS SEAT, AND I FOLLOWED HIM TO HIS SEAT

SAYING, I WANT TO BE COOL, AND HE SAID COOL WHAT DO YOU WANT TO BE COOL FOR

GO AWAY FOOL, DAD, SAID, AND I STUCK MY FINGER UP AT DAD, AND HE SAID

DON;T GIVE ME THOSE RITCHARD HAND SIGNALS YA FOOL YOU FLAMING FOOL

AND I SHOWED DAD MY FINGER 199 TIMES, MY BROTHER DEFENDED DAD LIKE A MANS KID WOULD

AND I STARTED A BG ARGUMENT WITH DAD SAYING, I WAS TOO COOL FOR THIS FAMILY

HE SAID, GO AWAY YA FOOL, GO AWAY FOOL, GO FOR A WALK, YA NEED TO LET OFF STEAM

I SAID, NEH, I  WANT TO HAVE MY SAY, DAD YOU NEED TO LIGHTEN UP

DAD SAID, GO TO YOUR ROOM, FOOL, GO TO YOUR ROOM, YA FOOL

AND I SAID, ******* AWAY FROM US YOUNG DUDES, BUDDY, YOU ARE AN OLD FUCKEN KODGER

DAD SAID, GO AWAY YA FOOL, AND WENT INTO THE KITCHEN TO WIPE UP

AND I REMEMBER FOLLOWING HIM, SAYING, LISTEN TO ME, DAD I AM NOT YOUR FAVOURITE SON AM IT

HE SAID, NO, NOT IF YOU CARRY ON LIKE THIS YOUR NOT, YOUR A LITTLE SHY BOY, BUDDY

I SAID, DAD I WANT TO STAB YOU IN THE BACK, DAD SAID WHERE’S THE KNIFE

THE BIG THING WAS, WHERE’S THE KNIFE, I DIDN’T WANT TO **** DAD, HE’S FAMILY

I WAS REALLY TEASING LIKE THE COOL YOUNG DUDES DID IN THE 1980s

WHEN DAD FINISHED THAT HE RAN STRAIGHT TO HIS CHAIR

AND I FOLLOWED HIM, SAYING, YOU ARE A STUPID FATHER

HE SAID, GO AWAY FOOL, GO AWAY FOOL, LEAVE ME ALONE BRIAN, I’M A FAMILY MAN

I SAID, I HAVE COOL MATES, I DON’T NEED YOU TO SAY, YOUR LIKE ME AND MUMMY BRIAN EVERY DAY

THEN I SAID I AM COOL, DAD, DAD SAID, COOL, WHAT DO YOU WANT TO BE COOL FOR

WELL, NOW DAD IS DEAD, I GOT MY CHANCE TO TELL DAD THAT I WAS BEING A KID

AND NOW IT’S DAD’S TURN TO BE ONE OF DAVID AND LISA CAMPBELL’S TWINS

PAIRED WITH ROBIN WILLIAMS, THEY ARE JUST LIKE EACH OTHER

DAD, IS SOON TO BE JIMMY BARNES’S  GRANDCHILD WITH ROBIN WILLIAMS

TO JOIN OLGA CHICK

HAPPY NEXT LIFE, DAD

AND LET US DUDES BURN YA OLDIE OFF WITH METHANE, TO IMPROVE YOUR NEXT EARTH BODY

BOBYE BLINKEN DAD, YA FOOL, I AM ONLY JOKING, HA HA HA HA
PARTY ZONE WITH DAVE BROWN




DANCERS’   YOU ARE MY SUNSHINE MY ONLY SUNSHINE

YOU MAKE ME HAPPY WHEN SKIES ARE GRAY

I WILL NEVER KNOW DEAR, HOW MUCH I LOVE YA

YOU CAN NEVER TAKE MY SUNSHINE AWAY

OH YEAH DUDES ROCK AND ROLL

GET UP ON THE DANCEFLOOR AND TOUCH YOUR IMMORTAL SOULS

YEAH, MATE YEAH, YOU’LL LIVE FOREVER

IF YOU DON’T GET A FUCKEN WHITE ****** FEATHER

YEAH YOU ARE OUR PARTY DUDE, OUR ONLY PARTY DUDE

YOU MAKE US HAPPY, FOR BEING ALIVE

YOU’LL NEVER KNOW DEAR, HOW MUCH I CAN DRINK BEER

AS I TAKE YOUR COOL KID AWAY

DAVID’  WELCOME TO PARTY ZONE AND ON TODAY’S SHOW WE HAVE BERT ROBERTS

WITH HIS NEW SONG, TITLED YOU AND ME, DREAMING TO BE FREE, IN A CABBAGE PATCH GARDEN

AND NOW HERE IS SUE, BUDDY

SUE’  THANKS AND NOW, WE HAVE GEORGE AND HIS LITTLE JINGLE

GEORGE’  PARTY PARTY PARTY PARTY, I MEAN PARTY

IF YOUR WHOLE WORLD DEPENDED ON IT, YOU ****** PARTY

FIRST YOU GO INTO A NIGHTCLUB AND IF MATES DITCHED YOU, OH YEAH

JUST LOOK AT THEM AS LOSERS ANYWAY

PARTY PARTY PARTY PARTY I MEAN PARTY

PARTY IN EVERY NIGHT AND ****** DAY

YOU WILL NEVER KNOW DEAR, HOW MUCH I ENJOY PARTYING

JUST AS LONG AS YOU CAN BE SAFE, OH ****** YEAH

SUE’   THANKS GEORGE AND HERE IS JUDY

JUDY’   I AM 23 AND I LOVE TO PARTY, DOWN

AND MAKE OLD MISERY GUTSES FROWN

AS THEY ARE TRYING TO BE COOL

YA SEE I HAVE ALL THE FELLAS AROUND ME

I AM HAVING A WOW OF A TIME

AND THEN SOME KIND SIR BOUGHT ME A DRINK

WHICH WAS SODA AND LIME

COME ON OLD MISERY GUTSES , GET OFF YOUR CHAIR

AND NOT JUST TO DO HOUSEWORK, NO MATE NO

YOU HAVE TO GO TO THE CLUB, OH YEAH

AND DRINK YOURSELF SILLY

FOR I AM THE YOUNG DUDE

I WANNA PARTY DOWN

AND MAKE YOU OLD MISERY GUTSES FROWN

AND THAT IS WHAT I DO TEASE THE OLD MISERY GUTS

IN THE OLD MAN SITTING TRYING TO LEFT ALONE

HE SHOULD GET A LIFE, PARTYING, IS THE LAW OF THE LAND

I KNOW BRIAN ALLAN IS YOUR PARTY MAN

AND SO ARE YOU SUE AND DAVID AS WELL

SUE’ THANKS JUDY AND NOW HERE’S PATRICK

PATRICK’  WE’RE NOT GOING TO TAKE IT

NO WE’RE AIN’T GOING TO TAKE IT

WE’RE NOT GOING TO TAKE IT ANYMORE

YOU SEE I HAVE THE RIGHT TO MUCK AROUND DUDE

I SHOULDN’T HAVE TO COPE WITH YOUR BULLYING DUDE

SAYING, IF YOU DON’T MUCK WITH US, YOU DON’T BELONG

I SAID, I ONLY MUCK WITH REAL PARTY DUDES

AND I GO TO THE CLUB TO EAT A LOT OF FOOD

AND DADDY SAID, YOU ARE RUDE, YA FOOL, YA FOOL

WE’RE NOT GOING TO TAKE IT

OUR RULES WE WILL ****** BREAK IT

WE’RE NOT GOING TO TAKE IT ANYMORE

SUE’   THANKS PATRICK AND NOW HERE’S BRIAN


BRIAN’   DON’T MESS ME UP, OR I WILL DRAG YOU DOWN

YOU WANT TO EARN MONEY, I WILL TAKE IT FROM YOU

I GOT TO UNDERSTAND THAT POOR PEOPLE ARE PEOPLE TOO

AND AS I GET ON THE DANCEFLOOR, I DO THE BOOGALOO

AND I SAID IT’LL SCATTER MY BRAIN

AND DRIVE MY MIND TOTALLY INSANE

HEAVY METAL MUSIC, IS MY FORTAE, SO STOP TRYING TO BRING ME DOWN

SUE’  THANKS BRIAN, FOR SHOWING US THE POOR MAN’S PARTY, NOW HERE IS MARTIN

MARTIN’   WHAT A NIGHT WE ARE HASVING TONIGHT

***** AND SMOKES, ACTION A PLENTY

I WILL BUY THE WHOLE CLUB A DRINK

AND THAT WILL COST ME 5 INTO 20

MOVE MOVE MOVE MOVE

I WANT TO DANCE TO 100 TUNES

I WANT TO DANCE TO 100 MORE

JUST TO BEAT 199 HOMEBODY’S WHO GO TO BED AT 7 PM

THEY SAY I AM LIKE A 2 YEAR OLD, BUT JUST TO THEM THOSE OLD MISERY GUTSES WHO LOVE TO FROWN

SUE’   OK BACK TO DAVID, THANKS MARTIN

DAVID’   HERE IS BERT ROBERTS, WITH HIS NEW SONG

BERT

I AM, ONLY 23, THE DAYS HAVE SEEMED SO LONG CAN’T YA SEE

I AM ENJOYING EACH ALCOHOLIC BEVERAGE

YEAH I MUST GET A KICK OUTTA YA

YOU SEE MATE, I AM ONLY 23, I DESERVE ANY CHANCE TO REALLY PARTY

IF YOU CAN’T EXCEPT THAT, GO HOME AND CUDDLE YOUR PILLOW

AND READ YOUR BOOK WIND IN THE WILLOWS

I LOVE PEOPLE WHO DON’T GO TO BED, NO MATTER WHAT THEIR AGES ARE

BECAUSE GOING TO BED EARLY IS FOR WOOSEYS

YEAH ONLY WOOSEYS GO TO BED EARLY DEAR

I WAS MUGGED BY THE WICKED WITCH

CAUSE MY MATES TREATED ME LIKE A SNITCH

I HATED THAT, SO I TOOK MY REVENGE, BUT YEAH, ****** OATHE I AM THE GRINCH

I STOLE CHRISTMAS FROM THE CHRISTIANS, AND GAVE IT TO THE BUDDHISTS

CAUSE, I DID IT ONCE BEFORE, I GET A KICK FROM DOING THIS, WAY TO GO BERT, THEY SAID BACK TO ME

I AM ONLY 23, THE DAYS HAVE SEEMED SO LONG CAN’T YA SEE

I AM ENJOYING EACH ALCOHOLIC BEVERAGE

YEAH I MUST GET A KICK OUTTA YA

YA SEE, I HAVE HAD A HARD HARD LIFE, I DESERVE TO PARTY, AND GET INTO STRIFE WITH YOUR WIFE

AND MY MUM AND DAD, WILL SAY, YOU DON’T NEED TO PARTY, WE LIKE YA

I SAID, BUT I WANNA PARTY, I WANNA BE RICH AND FAMOUS, I WANT TO HELP THE HOMELESS, MAN

THAT’LL BE SO RADICAL DUDES, RADICAL RADICAL RADICAL DUDES

IF YA CAN’T EXCEPT ME FAMOUS, KISS MY ***

I AM ONLY 23, THE DAYS HAVE SEEMED SO LONG CAN’T YA SEE

I AM ENJOYING EACH ALCOHOLIC BEVERAGE

I MUST GET A KICK OUTTA YA

DAVID, THANKS BERT, AND HERE IS SUE

SUE’  THANKS DAVID, ON MORE JINGLE

BERT’   IF YA HAPPY AND YA KNOW IT, HAVE A PARTY

AND BE A BIT OF A LITTLE SMART ALEK

DON’T FORGET, WE ARE BORN TO PARTY ON AAA YOUTUBE TV

IF YA HAPPY AND YOU KNOW IT HAVE A PARTY

DAVID’ WELL BERT YOUR SONG WAS SO COOL

BERT’  YEAH, MATE, I REALLY LOVE LIFE, ONLY NERDS GO TO BED EARLY

NO MATTER HOW OLD THEY ARE

SUE’   YOU REALLY MEAN THAT

BERT’ YES I DO

DAVID AND SUE TOGETHER

WAY TO GO BERT, SEE YA NEXT TIME, LET’S PARTY DUDES
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.
For patent information: www.merck.com/product/patent/home.html
Copyright © 1978-2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
All rights reserved.
uspi-v205c-i-2006r009
Ashley Williams May 2016
Camel brown seats pocked with burns,
Dry rotted with age and heat.
A booboo trap (many fingers were sliced opening its doors)
Stained with the stench of cigarettes and summer.

One year your bed was a winter snow catcher
And we used your frozen spoils for ammo,
Your body as a shield,
Our icy cannonballs smashing and exploding against your sides.

Death trap, playground, what difference did I know?
To me, you were daddy's El Camino.
199
There are so many
One hundred & ninety nine
How could I read them?
Sk Abdul Aziz Jun 2016
5 ways to optimize your talent

1)Love your talent
2)Constantly keep working on your talent
3)Respect your talent and never take it for granted
4)Never be boastful about your talent...humility is a must
5)Set yourself small goals with regards to your talent and challenge yourself once in a while
jordyn Dec 2015
a balloon floats over a child’s birthday party that the fat girl wasn’t invited to.
the balloon is the art of maintenance.
let some air out, blow some in, until it’s just right, and then tie it off.

when i was born, i weighed ever so slightly more than six pounds.
that was the last time i’d be slight.
i grew big and grew bigger
years of eating, years of blowing hot air into a balloon hard and fast
with thick, humid inside filling and filling
no longer clear but cloudy and clotted and sick and bigger, and bigger, skin ripping, breaths uncaring, breaths unwavering—

my mother was terrified i’d pop.

i came close in high school, weighing in at two hundred and eight pounds
at the doctor, when i accidentally saw the chart that i was so afraid to see
that i hadn’t seen it in years
and now, here, i saw the weight that i was so afraid, all of this time, to know that i carried.

but i felt it qualitatively
not in the knees, where they tell you you’ll feel it
not in the tightening and narrowing of my overstuffed clothes and arteries
plaque lining them, hardening into tunnels that the blood
can’t find a way through in more than needle thin streams
little brooks in a body born with rivers

not in the heart pumping hard to keep up
not in the swollen, alien stomach that i am sure does not belong to Kate Moss
but i am unsure truly belongs to me.
it looks nothing like the plus size model’s tanned, toned, macro version of a micro Moss
flawless and shiny and glazed with the flecks of photoshopped light
i am a photographer myself, i know the tricks
i felt it in the way the world treated me.

and i know that woman, my designated sister in size who couldn’t fit in my pants and whose shirt I’d drown in, the predetermined champion of my cause,
my implied, targeted marketing role model gimmick and plea to the outraged girls with thick thighs to settle
for someone shopped, just like everyone else.
edited, audited for body parts like stretch marks and pale skin and lines of hair
called happy trails but are sad
that scream desperately for air and an ending when someone,
someone they call brave, runs his tongue along the clearing where they ripped out our flowers and called them weeds, a sad reminder
that i call him brave, too, because they told me he was.

they told me he was brave for adventuring my hills and valleys.
he is no explorer, most of the time.
he is simply a tourist.

they tell me to settle for a woman who still doesn’t look like me.
and they set me a new standard to aspire to—
“FINE, BE BIG, BE PLUS, BE CURVY! YOU CAN BE THEM, BUT YOU CANNOT BE FAT. YOU CANNOT BE FAT. HER FAT IS IN HER *******, IN HER HIPS, IN HER THIGHS… BUT YOUR FAT? YOUR FAT? YOU’RE JUST FAT!”

so i looked in the mirror, ****** it in, twisted, manipulated, tried on this bra and these underwear
and yes, my waist looked slim and yes, my hips had breadth and yes, my ******* were massive and yes, I looked like her.

but then, my mother screamed.

“you are going to die! this is so unhealthy! we have to do something!”
because my high school sent a letter home telling my mother that i was abominable based on three letters and three digits:
BMI- 37.1
WEI
GHT
203
i took off my control top *******.
i undid the latch on my push up, padded bra.
i deflated my stomach.
i deflated my pride.
i looked in the mirror in shock and horror like viewing an old time slasher flick in the back of a drive in in the middle of the night in the days where maybe there’d be a hook on the handle when he came to open my door.
i did not look like her.

i let out the air in slow and painful pinches.
and sometimes it swam, doing pirouettes in the bowl like a little dancer
a teaser of the kind of thin lean woman i am not unless these dinners keep spinning
clockwise down the toilet before i feel them weigh in my stomach
and i am wise to the clock – wait just 30 minutes and you take up half the calories.
do it now, now, now, you have to, you have to – and you’ll take up half the space.
Ana told me to and she is only looking out for me.
the numbers decline to 199 and i think 189 could be mine if i put in the time
and i’m wise to the clock so i start the countdown from 199 to 189 to 177 and i quit

because i let the air out, and for once in my life, when i left my house in two months’ time for the first time,
for once in my life, i wanted to let it in.

some days it leaks out of me.
one more laxative won’t hurt and i don’t care if the weight is fat, water, or ****, it still counts
155, 159, 163…161, 159, 155
and sometimes i still think
Ana is my friend.

but when i’m weak and jealous and out of my head
and angry at the explorer i’ve met who tells me he has so enjoyed his visit
that he’s decided to move in forever, enchanted with the landscape and the history and culture in the area, in the country i’ve built through disorder and plants and bread and loss and skin bunching and ribs you can feel and an *** you can grab so hard sometimes it hurts
sometimes i still think Ana is my friend.

but when i am deflated and counting and wearing out my plastic, and I think one way or another, I’m going to die
I’ll **** myself, with razor blades or Ativan or cancer from these ******* laxatives or these appetite suppressant menthol 100 cigarettes or maybe I’ll just jump like I wanted to
But any day, if I keep going, I’m going to pop—
I realize something about my friend Ana.
when i’m sickly and tired and ******* my brains out
and wishing i hadn’t hurt and built walls to keep out the man that filled the vacancy in my hotel heart who i promised to marry to keep in my country, the one built from feminist strength, brick and bone and stars and skin and roses and muscle and fat and beauty,

baby, take your visa back and let’s knock down these walls and we can tie me off.
Ana is not my friend.
She’s holding the pin.
Babu kandula Nov 2012
చొరవ  చొరవ  అది  మీరితేనే  గొడవ .
మితి  మీరి  మీరితేనే  చొరవ  చొరవ .
అర్ధంలేని  మాటలకే  ఆయువు  రూపములే  గొడవ .
అద్దంపట్టేల  అలజడుల  మద్యలో  స్నేహం  పడవ .
అంతే  ఎరుగని  అహంభావమే  ఈ  ధరువా .
నిలువునా  నీడను  దాచే  వింతైన  తరువా .
సరదాలను  మరచిన  సీతాకోక  చిలుకవా .
మనసే  మూగబోయిన  కమ్మని  కోయిలమ్మవా.
తలనే  దాచుకోలేని  ఇల్లులా  నువ్వే   మారిపోయినావా .
నన్ను  విడిచేలా  కంకణా లే    కట్టుకున్నావా.
కాళేశ్వరిలా  కణకదుర్గలా   కంట్లో  మంటలే  కురిపిస్తున్నావా .
దీపంలాగా  తిరిగి  నాకు  దిక్సూచనలను   ఇచ్చేస్తావని  తెగ  ఆరాటపడుతున్నానే  .
ఆవేదనగా  నీ కోసం  పయనిస్తున్నానే .
కంటికి  కనిపించేసి   కలతలు  కరిగించేయి   .
కాసేపైన  ఉండి  భాదలనే  మాయం  చేయి .
as none were made. no brawn
to be spoken of today.

along the coast to aeron,
aberaeron, to chase the ghost,
look out to sea.

gone now, ragged curtains hang.

***** windows.

more dice take us,
scissors hang in corners,
to cut and paste
the dogged words of life.

chant the twisted trees
of chancery, note the roots.

no comments found.

sbm.
anastasiad Dec 2016
Kindle Fire Only two in addition to iPad 3 is actually estimate to deal with any fight buy. As a result, both the items is allegedly to become presented throughout adjoining time.

Amazon's will become manufacturing of Amazon kindle fire 2 upon Mei The coming year for introduction by the end of another district associated with buy.
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http://www.passwordmanagers.net/ Password Recovery
Sk Abdul Aziz Mar 2016
My heart has been broken so many times that now it can't bear any happiness
Happiness seems like an alien to it
For it has always been familiar with sadness
And no matter how hard i try to explain it to my heart
It just doesn't seem to get what this 'joy' stuff is
It's not because of my eyes that the world is blurry,
My mind is always a little bit behind.
A "poem" every day.
Thando Jun 2018
I Am Waiting For My Death With These Two Bear Hands,
My Head Against Their Heads, Stupidly I fell On These Lands:-
Hell's Way. Demons In side My Brains;
A Mind Of Killer, Thoughts Of Devil Stains
Covered In smile But DEEP And So dark as HELL's Gate.
I Pray For Brighter Fate
But My Deeds Trapped Me In Satan's Plate
My Sins Can Fill The Jar Over Fill A Crate.
_
Now I Know Who I am,
Where I'm Heading.
I'll Drown In The Fire DAM
Hell's My Landing.
Sometimes I Pray, To Overcome My Ways Escape His Trap
But He Knows Me, He Knows Me Very Well.
My Heart Is Wet,
In Sin. Satan Dwell'
Beneath Me, He Lives Right Inside Me.

I Have A Mind Of a Sinner,
Thoughts Not Different From A killer.
I Hate My Ending,
But Love How Sinning
Taste.

This Is My Confession,
"I Am A Sinner"
This Is My Obsession
"Heaven's Creator".

I Know My Path, And I Know My Home.
I Belong With Sinners, As I'm One Too.
Sometimes I Wish I Was Never Born,
Or Even  Ever Existed.
I Curse The Day I Was Designed-
Curse My Birth.
I Imagine When We Enter Hell's Gate,
Long Behind My Fellow Sinners
"WELCOME TO HELL"
A Comforting Phase.

It's Rare For Someone To Know His Death,
Or One's Birth
Before Thy're Conceived;
Eggs And ***** Fused.
I Know Mine
I Can Feel It's Presence.

Lucifer Has A Home In Me,
I wish I Had Comforting One In His.

Yeah It's Not Like, I've Accepted My FATE
I Daily Pray For Heavens Gate.

"Mind Of A Sinner"
Lines Of Deceiver
"Soul Of The Fallen"
That Rejected Token.
Darling Engage With Non OF My Action
But Only Words I Preach.
I mean Every Word On This Poetry

Days I Ago I met My spirit,
God! It Was Crying
Deep Trapped Around Those
With The Same Mind As I.

Yesterday I Kissed A Beautiful Princess
Yesterday I Stripped Naked Heaven's Newly Accepted
Cause I Have A Mind Of A Sinner
A Godly Yearning Killer
That's Who I am.

Sometimes I Think I'm A Demon Myself
A Fallen Angel In Soul And In Flash.
Tribute To All Who Love Me
Specially The One Reading My Poem
-Don't Feel Sorry For Me
I Did This To Me, Sinning
Is What I chose.

We Sin By Thinking,
Sin By Walking, Eating
We Sin By Staring
Sin By Chatting, Touching
We Sin In Many Ways
But My Sins Are Beyond Common Sinnings.

My Real Name Is Vusumzi Kati
Born In Khayelitsha 18 December 199*.
Grown Under The Wing Of Poverty
With Bro And Cousin.
You Know I've Never Truly Laughed
Till I Wrote This Poem.
I'm Very Talented
With A Mind So Broad
A Gift Of Making People Laugh
And I am An Artist:
Poet
Musician
Drawing Artist.
But Most Of All I am A sinner.
_
Maybe You Think I'm Joking
Check My Thoughts If You Can.
Maybe You Think I'm Poking
Your Emotions. Take A Deep Scan
At My Soul And See
I'm No Saint
I'm More Of A Sinner.
George Krokos Dec 2014
Too much of a good thing can actually turn out to be bad
and all that makes us happy now may later make us sad.
____________
From "Simple Observations" ongoing writings since the early '90's.
199
Trees transform to spears,
Or mossy headstone maybe-
Deceased guardians.
ᗺᗷ May 2017
Ineffable words
Understood best by use of
Ineffable words
donia kashkooli Jan 2017
it was 99 degrees so
tamar and i took
5 shots of tequila each
and lied down on
asphalt that was 99 degrees hotter
199 degrees
watching clouds
melt into each other
like they were
scenes from an old black and white
movie and singing songs
about jesus
until god's tears began to
fall down on us.

*-z. vega
as in tamar from the bible. i'm not a religious person by any means so this is my first attempt at writing something even remotely related to the bible or any holy book for that matter.
Dr Peter Lim Feb 2018
Zen is hard to explain
    you would understand
    its true content
    if  your old self you put away.
Infamous one Nov 2018
Keep pushing till you have no more
Mentally drained from over thinking
Physically exhausted from pushing forward
Thinking of the next plan to rise
From the bottom to the top
Things changes never the same
Over come the adverse pain
Meant to go forward not back
Focused on gain and results
A loss leads to much more
Karijinbba May 2020
Dearest True love
I am the woman
who loves you the most
in this whole world
I am thinking of you
and can't help
but realize
you sure are like wine

I am drinking wine in Hollywood
all alone and bathing in it
since you aren't here
to spill it on me and me on you
I have drank half
and then I made a bathtub
and added half to the bubbles
I love you forever
Thanks for the huge buquet of roses
red and roses white
I pain so sorry for my lilys

Mothers day 199..
roses whites and reds
your grand Hilton's antorage entrance
the shampagne waiting there
  two cups full for two
I see my old letter you kept hidden
in a safety deposit box up above
your magestic lovely love roses

that view is healing magic
it will last an eternity
I miss you love you
mourn US deeply
I am
with you in spirit your home
in your world
every May 10th Mothers Day
still speachless
bad people made sure i had no idea what second chances meant

DARLING It's been
THIS LONG SINCE
I first met you

46 long years, 0 months
0 days, 15 hours
27 minutes, 11 seconds.
AND
Its been this long since
we planted our garden
45 years, 10 months 15 days,
15 hours, 2 minutes 19 seconds
Hiltons upside down kiss
I didn't know I was ill and dying
I needed you
I didn't know I could earn
your love trust and heart
I've mourned deep within in silence
for us a lifetime now
nothing I did helped to forget you

the life that grabbed me
in your absence
tortured me, abandoned me
to virus my heart of gold and all

but the memory
of your precious love
elates me upholds me
thank you for loving me
once upon a time
and on Mothers Day
yes we never say good bye
~~~~~~~~
By: Karijinbba
95-10-2020.
Thank you for the rooms filled with roses
in memory of RDD/BBA
1974-to present
JAC Sep 2018
Up at quarter after seven
out by hopefully eight

take the 36 or the 199 rocket
eastbound to Finch

about nine minutes
give or take, seven stops

then southbound thirty minutes
to Bloor, cut to St. George

down to St. Patrick
they're not really saints

I have my own key
even though I shouldn't

so I let myself in
and tiptoe to you

you know I'm here
because it's Friday

and you smile while
I slip into bed with you

and hold you
until we wake up.
Graff1980 May 2019
I'm in love
with a lie
that is older than me,

and a hope
that is younger
than
the most recent spring;

Not a parroted dream
but a queen
of deep schemes
that parses out wisdom
and better poems
than me.

I'm in love
with a drug
that I create
everyday,
not pill
that some take
but the thoughts
that make
my mind great,

and the shadows
that I see
make me want
to believe
there is something
greater out there
that is in love with me.
Bhill Aug 2019
Those pesky flies will land on your glasses
And buzz your face till your insane

There always seems to be nothing but masses
It much too hard to maintain

What to do, oh what to do
How can you even relate

All you can do, to see this thing through
Is expect, that you are the fly bait...

Brian Hill - 2019 # 199
Who hasn't been buzzed by these pests?
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.
For patent information: www.merck.com/product/patent/home.html
Copyright © 1978-2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
All rights reserved.
uspi-v205c-i-2006r009
Mateuš Conrad Oct 2021
finally! that time of the year has come
when i'll be taking a 2 week hiatus to the "old country":
perched on a windowsill drinking
some Napoleon brandy
donning a baseball cap donned in
reverse: cool as a cucumber...
oddly enough: if baseball caps are anything
to go by: i could get used to a kippah...
sure as **** not to a monk's tonsure...
ah... the night... a time of solace...
ah... die nacht... ein zeit auf trost...
the "old country", monochromatic, among
"my fellow" countrymen:
none of this Loon'don Babylon of the world
congregating... a little ****** town that
once had ambitions to compete with
the metallurgical industry of Cracow...
collapsed... sold off...
from a population nearing 100,000...
reduced to... perhaps 40,000...
since everyone left once the economy collapsed:
how Europe exported its
metallurgical industry... it's production
to Asia... some "disappeared" else in this
native land... some left for Canada... England...
i love going back: even though my
dementia riddled grandfather isn't alive...
i'll still get to read some books...
on the to-do list...
finishing Knausgaard's vol. 4... taking a break
by: finally! reading some
Rousseau... letter to M. D'Alembert on spectacles
& the social contract...
lucky me i own a copy that has paired these
two books together...
i have reached a point of tedium
reading the genre of autobiography...
esp. autobiography that borrows so much
from memory...
of course i'll finish volumes 5 & 6...
but i need a break...
i need to get away from internet access...
i need to walk into a pine forest...
i need to sniff the air in Eastern Europe...
funny... i was in Russia for a month once:
never watched the t.v.:
we ******... she played video games...
i was either reading
a book of her choice: the Master & Margarita
or studying chemistry to resit
a failed exam...
i need to immerse myself in propaganda...
see what's happening in politics...
i'm way behind the culture...
i tried to keep up... last time i heard
bands like Lao Che & Żywiołak are not in
the mainstream... every time i turn on the radio:
no chance in hell...
it's like that conundrum of Iron Maiden's
Bring your Daughter to the Slaughter reaching
no. 1 in the charts... but... "for some reason"
BBC Radio 1 not giving it any play...

we used to walk around the graveyard and
talk about life and how:
death is the only true democracy...
among other things...
i dubbed us: the hyenas of the graveyard...
now i'm going to stand over his grave
and probably pull a smirk onto my face...
a sort of gleeful: i'm coming...
you shouldn't have had that tirade
of yours over your brother-in-law's early
death: how you boasted that
you were still living while he was already dead...
i think you were teasing death then
but i can accept the fact that you wanted
to be finally rid of that woman...
how you said:
old people should live more cordially
with each other: not this stereotypical
Hemingway: men without women array of
short stories...

do i still regret breaking up with that Siberian lass?
of course i do...
but if for your happiness me giving you
grandchildren: but being slapped in the face
for no reason other than her paranoia
while she was still in close contact with her ex?

that's the difference between
Catholic and Protestant nations...
while the protestants have their little Halloween
****** Doo thrills of dressing up...
some Catholic nations celebrate the day after
the 31st of October...
the feast day of All Saints...
a big ******* deal in Paul-and...
the people light candles at the graves...
whole graveyards start looking like
starry constellations: hell... more...
when spotted on the Maldives...

i like this approach more than the insurrection
of monsters... fake or real:
mostly fake... life's this one grand party...
i hardly think so...
if i'd be content with life i wouldn't
be inquisitive of it... or off it...
the necropolis beckons...
names etched into marble...
important dates...
oh not the dates of a person's birth
or a person's death:
all those important dates not written onto a grave
those in-between... written into the riddled flesh
of the living...
tattoos akin to... 2001... 2019...
  
but oh so welcome... this impeding break...
from... whatever this is...
a return to: this little ******-town that once
grew & grew & could have been something...
sold off...
sleepy little town... it would be rather
impossible to put Ostrowiec Świętokrzyski
on the map...
mind you: the mindset of the western folk is:
to put hardly anything on the map:
except for their bellybutton...
i don't mind: "we" sort of don't exist...
so far far away: further even than India...
further than the Americas... further than Spain...
or Italy... as a sort of wilderness "non-existent"
before you arrive in Russia...

watching two matches today: super Sunday, what?
even though West Ham only beat Tottenham Hotspurs
a meagre 1 - nil...
it was just as entertaining as watching
Liverpool thrash Manchester United 5 - nil...
sport is fun when you don't take sides...
when you're in it for the mere spectacle...
it's like automated chess... football...
please: don't get me wrong...
no... get me wrong... but American football
is a load of crap...
so many ******* interludes...
it's unlike rugby where there are clear rules...
the oval needs to be passed back...
the charge is forward...
what is it with H'american football...
you throw the oval forward...
you run off the field: STOP... let's realign...
the oval touches the ground: STOP... let's realign...
what a **** sport...
only two sports came out of north america:
hockey &... eh... but cricket is better
than baseball... period...
American "football" is ****...
it's the ******* sport imaginable...
too many interludes...
there's no fluidity! the game doesn't: FLOW...
**** ****, double ****... thrice ****... **** ****, ****...
how can you play a game
when it's only about a throw forward
and the game has to be restarted: reset
when some ****** runs off the field or drops the oval?
with all these interludes...
you could probably have about 2 cricket tea-breaks
for tea...
American sports: with the exception of basketball
& ice hockey: ***** MAJOR ***...
***** ***** MIDGIT ***...

but this kind of football is like: chess playing by itself...
i've come to appreciate good sport...
unlike the Olympics... although...
give me an hour watching some classic Greco-Turkish
wrestling & i'll tell you:
there's no need for boxing...
was boxing even remotely related to rhetoric?
was it? was it?

but sport per se is so much more fun when
you're not taking sides...
you're there for the spectacle:
i never understood these little pockets of tribalism...
how many football teams are playing
in the premier league: all from London?
7?
Chelsea, Arsenal, Crystal Palace, Watford...
West Ham... Tottenham...
Brentford! and how many are in the Championship?
Millwall... QPR... however many...
little nations within nations...
i was always from elsewhere and from elswhere
when i first came to England i supported
Manchester United... because of the moniker:
the red devils...
& because Eric Cantona was playing for them...
****** view from behind the goalposts
at the old Wembley when Manchester United
played Newcastle United at the 199- charity shield
match... ****** view at the old Wembley...

a welcome break from everything "western":
from the bellybutton crew:
from: if it happens in western europe
it: by default ought to happen everywhere else...
a break from the anglophonic claustrophobia
and sort-of solipsism...
a return to the Slavic barbarians:
imbeciles... etc. etc.
well... one man put the name of the town
on the map: a Witold Gombrowicz...
but then again... he was born into an aristocratic
family in a village shy of the "urban centre"
of this little ****-hole of a town...

thank god it's not exactly Warsaw...
or Cracow... or Danzig... it's a nowhere with
as much of everything to offer
as a "here" town...
on the map: distinguished...
a town of: ghosts & retired people...
2 weeks of splendour...
rustic scoops...
       2 weeks of this...
         rest my mind... read some Rousseau...
i don't think it would require
me to take a cruise...
give me the pines, the clouds, the night...
the scent of the graveyard...
the superstitious folk...
                 not that i'd want to feel superior:
just doubly distant from
the already narrowed-down distance
i feel when cycling through London.

— The End —