In praise of Eliza, Queen of the Shepherds


See where she sits upon the grassie greene,
        (O seemely sight!)
Yclad in Scarlot, like a mayden Queene,
        And ermines white:
Upon her head a Cremosin coronet
With Damaske roses and Daffadillies set:
        Bay leaves betweene,
        And primroses greene,
Embellish the sweete Violet.

Tell me, have ye seene her angelick face
        Like Phoebe fayre?
Her heavenly haveour, her princely grace,
        Can you well compare?
The Redde rose medled with the White yfere,
In either cheeke depeincten lively chere:
        Her modest eye,
        Her Majestie,
Where have you seene the like but there?

I see Calliope speede her to the place,
        Where my Goddesse shines;
And after her the other Muses trace
        With their Violines.
Bene they not Bay braunches which they do beare,
All for Elisa in her hand to weare?
        So sweetely they play,
        And sing all the way,
That it a heaven is to heare.

Lo, how finely the Graces can it foote
        To the Instrument:
They dauncen deffly, and singen soote,
        In their meriment.
Wants not a fourth Grace to make the daunce even?
Let that rowme to my Lady be yeven.
        She shal be a Grace,
        To fyll the fourth place,
And reigne with the rest in heaven.

Bring hether the Pincke and purple Cullambine,
        With Gelliflowres;
Bring Coronations, and Sops-in-wine
        Worne of Paramoures:
Strowe me the ground with Daffadowndillies,
And Cowslips, and Kingcups, and lovèd Lillies:
        The pretie Pawnce,
        And the Chevisaunce,
Shall match with the fayre flowre Delice.

Now ryse up, Elisa, deckèd as thou art
        In royall aray;
And now ye daintie Damsells may depart
        Eche one her way.
I feare I have troubled your troupes to longe:
Let dame Elisa thanke you for her song:
        And if you come hether
        When Damsines I gether,
I will part them all you among.

her parents would have nothing to do with the z,
naming her Elisa Beth

which few got right in her 65 seasons, for their habit
molded an EliZabeth every time  

we presume it mattered not to Elisa, Elisa Beth, because she was
born blind and deaf

her record of birth got it right, but her social
security card did not,

the checks were cashed by caretakers, who cared not
whether the letter snaked or zagged

her parents' obits also claimed they were survived by
an only daughter, EliZabeth

when she "met her reward," some two years past
there was no legacy in print

save a death certificate, which again blasphemed
her appellation with the alphabet's final figure

but on her gravestone, curiously, she was Elisabeth once more,
though what flat, mute slab could even such a score?

~ Aurora Borealis

Under the arch of a starry sky
With a temperature well below zero
I touched your soul with my warm hands
Like an round aura, you reflected the universe
Of our love...

A labyrinth of roads that lead
In stardust, your thoughts whirl as
Small particles, and with pure reflection
My Aurora Borealis you're so beautiful, robust
And longing…

I take you into my warm cabin
Where we drink hot chocolate
The icicles are in your unshaven beard
I find you charming with your red hands
I'll warm you up…

The cold wind makes cracking our wooden hut
And along the windows shrilled the sound
In contrast with our warm fireplace
The crackling of the wood is divine
I look at you…

My Aurora Borealis, you are so handsome
With your thick winter coat still on,
As purple and green sparks reach our
Living room, where your dark hair glistens
I kiss you…

It will never be really dark
In days of love, where light shines
And see your reflection sparkle
Where I could rest by your presence
I am with you…


~ Elisa Laura


© 2012 E. L.

La frente apoyo en la vidriera...
el cielo azul se engalana
y en la fúlgida primavera
canta su canción la mañana.

La mente inclino a lo más hondo
del alma en campos del Ayer;
y marchito miro en el fondo
todo lo que vi florecer.

Soplan auras primaverales
dando más vigor a los músculos.
¡Aquí las brumas otoñales
y el silencio de los crepúsculos!

En el parque crece la yerba
bajo el radiante resplandor.
En el alma todo se enerva
al paso lento del dolor.

Y evoco alegres ilusiones,
campos azules, abrileños;
la juventud con sus canciones
iba entre rosas y entre ensueños.

Fulgurante el cielo reía:
¡Cuán hermoso era el porvenir!
Vino la tarde en pleno día
y todo comenzó a morir.
La frente apoyo en la vidriera...
Verdes árboles, sol radiante
¡Juventud!… ¡también primavera
Fuiste del corazón amante!

¡Días que el alma triste evoca,
alba rosada del amor!
¡Boca que buscaba otra boca,
polen que va de flor en flor!...

En jardines primaverales
las libélulas entre aromas;
rosas rojas en los rosales
y destilando miel las pomas.

Y van surgiendo en un ensueño
amores de la juventud.
Pasan con el labio risueño
en concento de arpa y laúd.

Entonces... retoño y retoño
en los rosales a la aurora...
¡Como lenta bruma de otoño
la tristeza bajando ahora!

En el alma, al ensueño abierta,
algo de antiguo trovador,
y de la vida en la áurea puerta
con sus promesas el Amor.

De la luna la luz de plata
brillaba en el barrio desierto,
y una canción de serenata
subía al balcón entreabierto.

Pendiente la escala de seda
de los barrotes del balcón...
Del pasado ya sólo queda
un rescoldo en el corazón.

Paseos bajo luz de luna
por alamedas de rosales;
dos bocas que el amor aúna
en claras noches estivales...

Entonces... cantos, alegría,
juramentos de eterna fe;
y ahora, gris melancolía
del dichoso tiempo que fue...
La frente apoyo en la vidriera:
en el parque, vestidos blancos,
y amantes en su primavera
bajo los pinos en bancos.

Primeros versos a la amada,
cantos primeros de ilusión...
Son hoy cual queja desolada
en el fondo del corazón.

Tú, flor de la tierra nativa,
de los ojos fuiste embeleso.
Sólo a tu boca, rosa viva,
le dio la muerte el primer beso.

Cuando se recuerda el pasado
hay un deseo de llorar.
¡El árido camino andado
si se pudiera desandar!...

Sombras doloridas que vagan
y esperanzas muertas deploran:
Astros que en tinieblas se apagan
y voces que en silencio lloran!...

A la claridad matutina
fragante erguíase el rosal...
¡ya sobre el agua gris se inclina
la amarilla rama otoñal!...

Una palabra... un juramento...
¿era verdad o era mentira?
Mentira o verdad es tormento
cuando sola el alma suspira.

Se abría a la luz la ventana
en un radioso amanecer,
la ilusión decía: «¡Mañana!»
y el corazón dice: «¡Ayer!».

¡Mañana! ¡Ayer! Polos remotos...
lo que es dolor y lo que salva.
Claros sueños y sueños rotos,
gris de la tarde y luz del alba.

Y el Amor, que en sombras se aleja,
el alma dice: «¿Volverás?»
Y como una lejana queja
se oye en el pasado: «¡Jamás!»

La hiedra fija sus raíces
aún bajo nieve en la piedra.
Recuerdos de días felices:
sois del corazón... ¡siempre hiedra!
Aromadas rosas de Francia
en los casinos y en el Ritz;
Rosas que dais vuestra fragancia
en Montecarlo y en Biarritz.

Reservados de restaurantes;
de vida de goce ansias locas;
El áureo champaña espumante;
temblando de ósculo las bocas.

Nerviosa espera la cita,
Penumbra de la «garconniére»,
Fausto a los pies de Margarita
En el rosado atardecer…

Otra... Extraño acento de arrullo,
honda nostalgia en su mirada,
y severo siempre su orgullo
en su dolor de desterrada.

Su imagen el pasado alegra,
y fijos en la mente están
su traje blanco y su capa negra
en las carreras de Longchamps.

Días lejanos de estudiante,
embriaguez de ideal divino,
El corazón, rosa fragante,
en noches del Barrio Latino...

Midineta bulevardina,
boca roja, frente de lis,
Incitadora, parlanchina,
jilguero alegre de Paris.

Y del «cabaret» la alegría...
¿Era del Rhin o era del Volga?
¿en su vida un misterio había...
¿era su nombre Elisa u Olga?

En otra, del vuelo al arranque,
mirar nostálgico... y ¡pasó!
Muchas veces junto a un estanque
soñando la luna nos vio.

Tú, mejicana-parisina,
de cabellos como aureola
de luz de sol, y habla divina
entre francesa y española.

En la tristeza de un suspiro,
lejos, a la orilla del mar,
una margarita aún te miro
melancólica deshojar.

Húngara triste, flor bohemia,
De ojos miosotis de Danubio:
¡cuán adorable era anemia
En marco de cabello rubio!

Tus pupilas vagas de Isis
fingía decir un adiós;
Y casi exangüe por la tisis
caíste en golpe de tos...
La frente apoyo en la vidriera...
Un claro sol el cielo dora,
riega rosas la primavera...
El otoño en el alma llora.

Se oye como una voz que ruega,
como un gemido de laúd...
¡Es en la tarde que llega
el adiós de la juventud!

A collaboration between SG Holter and Elisa Maria Argiro

Hesitating here, silent edge of this dark forest,
I look beyond me, warm in the white fog.
Seeing your heart, now residing deep within
the ancient wood, is to know it is blessed, loved.

Silver tongue resting now in golden silence.
Palms of soul upon moss and brittle bark.
Animal song; scent of beasts approaching unafraid.
Fierce peace. The opposite of a machine.

In the rising sap of silent trees around us,
our deeply beating pulses listen, dance,
smiling kisses at the shining stars, new planets.
Eyes open, anima and animus press tightly
And distance is no more.

"What language is Yours,"
I ask the still growing giants of
Green.
"Silence and its sister tongues
Such as leaves dancing with the
Breeze," they reply within the
Gap between soft sounds and
Softer ones.
So we speak through breaths
Exchanged, of nothing.
Two souls afloat upon the stream
Of Union with All.
What is Cosmos,
But "home"?
Never a visitor.
Never a stranger.
Nowhere has anyone ever been
Lost, or
Away.*

Humming your essence into my veins,
in tune with the wordless languages
of green lives and wind, listening
among delicate flowers, sleeping here
on the forest floor, wakeful and awaiting
the next sound of your voiceless voice,
wind words blowing
through my long, curling hair,
feeling the intention of your
untouched touch,
at home, just being.

A collaboration between Elisa Maria Argiro and SG Holter.*

Dear feather. You fell on my heart.
I keep you on my person now; pocket held;
An eternal companion.
As beautiful as you, I remind my
Thoughts to be.
I wake up as Buddha every day.                  
Peace is the corner stone of my breathing.

Dear Last Crescent Moon,
adorning Lord Shiva's brow,
smiling toward Morning Star
enjoying her sweet presence
in clearest predawn light.
She smiles too, drifting into feathery sleep.

Birdless flight, unclenched, un-
Clung to.
With this dew drop in my palm
I need no ocean to swim in.
How can Life's castle, with its wars and
Tragedies, hide within its
Towers of                                                          
Nois­e such quiet chambers?
Paper sails, bamboo, emerald waters.
Single feathers rest even when
Airborne.

From your outstretched palm,
sweet taste of morning touches
my tongue, oceanic dew drop
sharing itself across floating time.
An offering holding the last shining
starlight of this new morning. Drifting
now through limitless space,
finding words in our common language
on your yellow paper sails, we gaze down
from these towers of our ancient dreams,
emerald water below us waiting to catch
the falling feather.

Dear insight.
Light as the wind itself, you
Floated; fell on my heart.
Merged with heavy memories
Like paper balloons rising;
Tsunami of kamifusen
Render my whole being
Weightless.
Third-Eye-Hindsight sees me
Remembering nothing with
Bitterness.
One or a hundred lifetimes
Wandering.
Finally now,
Even waking hours feel like
Dreaming.

Dear Wisdom, Guardian Planet,
Buddha's radiance shining.
Thousand-Petaled Lotus
is now your own effulgent mind.
Smiling, eyes closed, feeling the
glowing kamifusen of magenta,
scarlet, turquoise, and yellow
floating above us,
we swim so deeply, diving down
into these warm emerald waters,
winking at the luminous fishes
dreaming all around us.

he slammed his cup on the counter  
not to get anyone’s attention
though his cup was empty  
I couldn’t stop staring at his eyes  
of course they were bloodshot  
and of course he stank of nicotine
and of truth that he said could not be found
in the bottom of that coffee cup or bottle of gin  
though he ****** up both  like…
hell, I can’t compare it to anything  
and he would think a simile was a waste of words
he told me of a lover he once had, Elisa  
with hair so long she sat on it  
and a thirst as ravenous as his  
which led her to an alley in South Chicago
where the ***** or the H put her to sleep
for good, and how he buried her in Peoria
in a hard freeze, beside her brother
who got killed in Phu Bai, by “friendly fire”
but Bukowski laughed through his tears
when he heard that ****, “friendly fire”
and he filled his glass again,
with Bourbon I guess--I wasn’t at  Elisa’s
numb mother’s house that day
and when he lost another ****** lover
to a drunk driver, he didn’t say anything about irony  
just said, ****, it hurts to be close  
and he didn’t trust this happiness ****
because it didn’t last, but pain, hell,
you can count on that ******* and if he leaves,
you can make some up on your own…  
the waitress filled our cups to the top
so there was no space for the cream  
I sipped slowly to make room
he took a swig that had to scald his tongue
but I could not tell, for he was already on the death
of lover number three, sitting there with me  
waiting for him to stop the foul flow of truth

An uncanny 60 degree afternoon.
Light generously pours itself in through the bathroom window.
Smoke dances around her, as everything should. She takes a drag.
"I haven't done this in ages," she says, in a serene voice we haven't heard in ages.
"the smoke is prettier."
What was prettier was the Victorian structure that once stood by the window. She glances sentimentally at the sacred remains.
But now she has more room to breathe, now she has light.
An illuminated limb brings itself to a pair of carnation pink lips.
She takes another drag.

Treasure is but a wanderer's lust
seeking utopia amongst the cosmic stars
it's year 2025, humanity's golden age of technology,
and a little white spaceship sets off to colonise Mars

nicknamed Nova 2, she boasts twin light-speed thrusters
polarised windscreens and a body of pure ceramite -
with a whoosh and a deafening bang
she smashes the sound barrier and streaks through the night

[#WHAM! BAM! FLASH!#]

at twenty-two hours they pass the moon
avoid a cluster of meteorite and space debris,
venturing deeper and deeper into the abyss of nothingness
their minds awestruck, their weary souls free

faced with a darkness that was un-shiftable, heavy
the danger of this mission increasingly daunting,
the longer they ignored their fears
the more the alien wilderness became haunting

what if they suddenly stopped dead
hit a snag or ran out of power?
They only had limited supplies
and the absent sun grew hotter and hotter by the hour

with the silence incessant
the sound of their own voices was obtrusive, grating,
food disgustingly vile, water going warm,
pressure steadily rising, there were concerns of the pilot fainting

--// "CALLING ELISA STARR TO THE CABIN PLEASE." //--

Elisa Starr was the cabin's dutiful cleaner
she'd clear away the astronauts *******, and occasionally mop up their sick -
for most of the crew had adapted to the lack of gravity
alas a few individuals hadn't been as quick

only 3 months in and the air had already grown stale
smelling of faint excretion and sweat,
aching and tired, she was always wiping down the interior windows
as the condensation steamed them up wet

what was the point in coming to space to slave away
when she could just do it on Earth;
once a valued member of society, a highly respectable mother of three,
surely this gruelling slavery she didn't deserve?

-//-----//-

The glowing red sphere of Mars approaches,
their destination finally (finally!) in range -
Earth was dying and this is a chance for us to start again

but isn't it already clear that we'll never change?

¡Qué hermosa es la ciudad, oh Contemplado,
                    que eriges a la vista!

Capital de los ocios, rodeada
                    de espumas fronterizas,

en las torres celestes atalayan
                    blancas nubes vigías.

Flotante sobre el agua, hecha y deshecha
                    por luces sucesivas,

los que la sombra alcázares derrumba
                    el alba resucita.

Su riqueza es la luz, la sin moneda,
                    la que nunca termina,

la que después de darse un día entero
                    amanece más rica.

Todo en ella son canjes -ola y nube,
                    horizonte y orilla-,

bellezas que se cambian, inocentes
                    de la mercadería.

Por tu hermosura, sin mancharla nunca
                    resbala la codicia,

la que mueve el contrato, nunca el aire
                    en las velas henchidas,

hacia la gran ciudad de los negocios,
                    la ciudad enemiga.
No hay nadie, allí, que mire; están los ojos
                    a sueldo, en oficinas.

Vacío abajo corren ascensores,
                    corren vacío arriba,

transportan a fantasmas impacientes:
                    la nada tiene prisa.

Si se aprieta un botón se aclara el mundo,
                    la duda se disipa.

Instantánea es la aurora; ya no pierde
                    en fiestas nacarinas,

en rosas, en albores, en celajes,
                    el tiempo que perdía.

Aquel aire infinito lo han contado;
                    números se respiran

El tiempo ya no es tiempo, el tiempo es oro,
                    florecen compañías

para vender a plazos los veranos,
                    las horas y los días.

Luchan las cantidades con los pájaros,
                    los nombres con las cifras:

trescientos, mil, seiscientos, veinticuatro,
                    Julieta, Laura, Elisa.

Lo exacto triunfa de lo incalculable,
                    las palabras vencidas

se van al campo santo y en las lápidas
esperan elegías.

¡Clarísimo el futuro, ya aritmético,
                    mañana sin neblinas!

Expulsan el azar y sus misterios
                    astrales estadísticas.

Lo que el sueño no dio lo dará el cálculo;
                    unos novios perfilan

presupuestos en tardes otoñales:
                    el coste de su dicha.

Sin alas, silenciosas por los aires,
                    van aves ligerísimas,

eléctricas bandadas agoreras,
                    cantoras de noticias,

que desdeñan las frondas verdecientes
y en las radios anidan.

A su paso se mueren -ya no vuelven-
                    oscuras golondrinas.

Dos amantes se matan por un hilo
                    -ruptura a dos mil millas-;

sin que pueda salvarle una morada
                    un amor agoniza,

y Iludiéndose el teléfono en el pecho
                    la enamorada expira.

Los maniquíes su lección ofrecen,
                    moral desde vitrinas:

ni sufrir ni gozar, ni bien ni mal,
                    perfección de la línea.

Para ser tan felices las doncellas
                    poco a poco se quitan

viejos estorbos, vagos corazones
                    que apenas si latían.

Hay en las calles bocas que conducen
                    a cuevas oscurísimas:

allí no sufre nadie; sombras bellas
                    gráciles se deslizan,

sin carne en que el dolor pueda dolerles,
                    de sonrisa a sonrisa.

Entre besos y escenas de colores
                    corriendo va la intriga.

Acaba en un jardín, al fondo rosas
                    de trapo sin espinas.

Se descubren las gentes asombradas
                    su sueño: es la película,

vivir en un edén de cartón piedra,
                    ser criaturas lisas.

Hermosura posible entre tinieblas
                    con las luces se esquiva.

La yerba de los cines está llena
                    de esperanzas marchitas.

Hay en los bares manos que se afanan
                    buscando la alegría,

y prenden por el talle a sus parejas,
                    o a copas cristalinas.

Mezclado azul con rojo, verde y blanco,
                    fáciles alquimistas

ofrecen breves dosis de retorno
                    a ilusiones perdidas.

Lo que la orquesta toca y ellos bailan,
                    son todo tentativas

de salir sin salir del embolismo
                    que no tiene salida.

Mueve un ventilador aspas furiosas
                    y deshoja una Biblia.

Por el aire revuelan gemebundas
                    voces apocalípticas,

y rozan a las frentes pecadoras
                    alas de profecías.

La mejor bailarina, Magdalena,
                    se pone de rodillas.

Corren las ambulancias, con heridos
                    de muerte sin heridas.

En Wall Street banqueros puritanos
                    las escrituras firman

para comprar al río los reflejos
                    del cielo que está arriba.
Un hombre hay que se escapa, por milagro,
                    de tantas agonías.

No hace nada, no es nada, es Charlie Chaplin,
                    es este que te mira;

somos muchos, yo solo, centenares
                    las almas fugitivas

de Henry Ford, de Taylor, de la técnica,
                    los que nada fabrican

y emplean en las nubes vagabundas
                    ojos que no se alquilan.

No escucharán anuncios de la radio;
                    atienden la doctrina

que tú has ido pensando en tus profundos,
                    la que sale a tu orilla,

ola tras ola, espuma tras espuma,
y se entra por los ojos toda luz,
                    y ya nunca se olvida.

La mujer que tiene los pies hermosos
nunca podrá ser fea
mansa suele subirle la belleza
por totillos pantorrillas y muslos
demorarse en el *****
que siempre ha estado más allá de todo canon
rodear el ombligo como a uno de esos timbres
que si se les presiona tocan para elisa
reivindicar los lúbricos pezones a la espera
entreabir los labios sin pronunciar saliva
y dejarse querer por los ojos espejo

la mujer que tiene los pies hermosos
sabe vagabundear por la tristeza.

One million dollars in between her fingers,
Chipped blue nail-varnish.
A cigarette; a tired frowning mouth.
Black denim jeans.
A petrol station, expensive perfume on her neck.
A flower patterned halterneck, a bottle of liquor.
The faded sun hides behind cloud bodyguards.
The woman is alone at midday,
The breeze is cool, the alcohol is sweet, her tears are hot, the mascara runs black.
She's tired; is she lonely?
She's lost, but a lone hunter.
The girl is beautiful, mid 20's with dark rolling hair and freckles.
The girl is tragic.
She wipes her eyes and leans back against the red brick wall, half concealed in shadow.
She eats an apple.. takes of her worn leather sandals,
Sits on the hot dirt, then the rainclouds come.
Rain falls and chills her clothes and skin.
She applies pale pink lipstick and calls a taxi from the payphone.
......
White peonies, 300 or more.
Dark oak coffin.
A lady in a grey fur coat, an embroidered handkerchief.
Tears, blonde hair, the smell of hairspray.
A young couple with dark eyes and bronze skin, their hands grasped.
'True Colours', a male pianist, stained glass, high ceiling, arches.
Loneliness.
Heartache.
Loss of friendship.
Aching.
Hopeful,
Fingers crossed.
Will love enter and lightning strike some wonder into the girl-woman's life?
.......
She holds her sister's cold porcelain-white hand, stops a moment to take in the tattoo of a shallow in black ink.
Elisa,
Gone.
29 years old.
Always one year between them but there might as well have been 20.
It's been four months since they met for coffee out near
the motorway where Helen was working at the time.
A golden locket; Helen places it around her sister's slim neck.

the missing accents (in a poem composed in French)

~for Elisa Maria Agiro~

are neither missed nor lost,
are neither essential nor essences,
for the heart of the poem dazzles!
for the life well dreamed, dazzles!
the simplest truth needs no spices,
life, it is glorious, the glorious spark
of god, living and breathing within us,
no matter the language, no matter
the accent, that is our mission!

The Pandemic in Six-Word Memoirs
“The world has never felt smaller.”

By Larry Smith
Mr. Smith is the creator of Six Word Memoirs.

Since 2006, I’ve been challenging people to describe their lives in six words, a form I call the six-word memoir — a personal twist on the legendary six-word story attributed to Ernest Hemingway: “For sale: baby shoes, never worn.”

I’ve found that some of the most memorable six-word stories arise in the extremes — during our toughest and most joyous moments. So over the past several months, I’ve asked adults and children around the country to use the form to make sense of this moment in history: one person, one story, and six words at a time.

Not a criminal, but running masked.
— Stella Kleinman

Every day’s a bad hair day.
— Leigh Giza

Home ec: rationing butter, bourbon, sanity.
— Christine Triano

Cinemagraph
Can’t smell the campfire on Zoom.
— Melanie Abrams

Deserted crowded Manhattan, my own island …
— Elisa Shevitz

Eighth hour of YouTube. Send Help!
— Leela Chandra

Cinemagraph
Messy hair, messy room, messy thoughts.
— Lily Herman

I regret saying, “I hate school.”
— Riana Heffron

Read every book in the house.
— Francesca Gomez-Novy

Cinemagraph
Never-ending, but boredom doesn’t faze me.
— Lily Gold

Required school supplies: screens, screens, screens.
— Darshana Chandra

Won scrabble; smile breaks through mask.
— Abby Ellin

Cinemagraph
Tuning out parents, under my headphones.
— Lukas Smith

This is what time looks like.
— Sylvia Sichel


Bad time for an open marriage.
— Rachel Lehmann-Haupt

Cinemagraph
Sun-kissed lips? Not kissed this year.
— Twanna Hines

Avoiding death, but certainly not living.
— Sydney Reimann

Social distancing myself from the fridge.
— Maria Leopoldo

Cinemagraph
Dream of: heat, limbs, crowds, concerts.
— Amy Turn Sharp

Teacher finding inspiration through uneasy times.
— April Goodman

Slowly turning into a technological potato.
— Jad Ammar

Cleaned Lysol container with Lysol wipe.
— Alex Wasser

Cinemagraph
Hallway hike, bathtub swim, Pandora concert.
— Susan Evind

Numbers rise, but sun does too.
— Paloma Lenz

Afraid of: snakes, heights, opening schools.
— Michelle Wolff

The world has never felt smaller.
— Maggie Smith

Cinemagraph
How do you make sense of this moment in history?

Share your own six-word memoir in the comments. We’ll feature some of our favorites in a future article.

For some designers, fabric is the starting point of their collections. For others, it’s their initial sketches. But for Edda Gimnes, it’s neither. Or actually both.

The Norwegian born, London College of Fashion graduate begins by creating graphic drawings executed with her left hand though she is right-handed, and which possibly adds to their naïve charm. Blown up across canvas or reworked in fur, these drawings, inspired by an eclectic collection of found vintage photographs and objects, animate her living fashion cutouts. While this approach earned her more trouble than praise as a student, it has now paid off, earning her the 2016 Designer for Tomorrow title, sponsored by German specialty store chain Peek & Cloppenburg and its online shop Fashion ID, and this year under the patronship of Alber Elbaz.

Although Elbaz, who is recuperating from pneumonia, was not allowed by his doctors to fly to Berlin for the June 30 DFT show held during Mercedes-Benz Fashion Week Berlin, he was nonetheless most perceptibly present. Jury members all remarked how his hand — and his eye — could be felt in the cull of the first 15 finalists. Filmed the night before the show in Paris, his video welcome to the five finalists and the audience couldn’t have been more personal.

Watching the live-stream of the show, and together with the eight member jury board choosing the winner, Elbaz said he saw a lot of potential in Gimnes. “She captured my imagination and I’m keen to find out how her talent will evolve,” he said. The young creative will soon be meeting Elbaz in person, a trip to Paris to meet the designer the next step in the one-year sponsorship program.

Design competitions, like wine, have their good years and bad years, and this year’s DFT crop was especially strong. The other finalists included David Kälble, whose cross-cultural South African-inspired collection mixed fur trims and cable tie fringes; Elisa Kley’s ultra linear compositions; Marc Morris Mok’s geometry in motion (and Sponge Bob footwear) ideas, and Ancuta Sarca’s plasticized fashion wardrobe.Read more at:http://www.marieaustralia.com/long-formal-dresses | www.marieaustralia.com/red-carpet-celebrity-dresses

The older I get the more I question whether I have ever truly loved someone.

A year ago, I would have said I did. I stumbled upon this intoxicating feeling of being found. Seen even. ACCEPTED. I saw him as my savior, rescuing me from my demons lurking in the shadows.

It was beautiful the way he looked at me, all knowing. It threw me to my knees. He knelt with me, kissing every indiscretion and ugliness. Praying this would never go away, I willingly surrendered my soul as he sensually sang his love for me.

With each refrain, I found myself converted. Obliviously, giving away my pearls to swine.

Like with every mere mortal, deception is too hard to keep hidden. Shattered with the reality of his facade, all that surrounded me were the demons I was running from.

My fears of his sins confirmed I had been rejected in my most vulnerable state, leaving me with nothing but shame.

A year later, I sometimes think of him and his silver tongue. I think of the flowery lyrics he lured me with and one line. This one line that led me like a lamb to the slaughter, "I would watch grass grow with you, Elisa."

I no longer question why I followed him, because I know.

His soul was broken like mine, just in different places. And as we held each other for redemption, his jagged edges left me bleeding.

Did I ever really love him?

That's the thing with false gods and reckless believers; you love what you think you know: deliverance.

Did I ever really love any of them? Or, did I love the promise of Heaven?

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
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.mmm... yeah... that time when i was paranoid about my neighbour killing my cat, and when i went into a cemetery and hacked off a slab of a grave? that time? ugly? mmm... matti... my my... which part? dating? is that like... an english "thing"? can we just bypass the whole fiasco and dive right into the ***? no? good... well... with so many freedoms allowed to govern women, who subsequently tend to want to tame governing man... how about... you tell me what to do, once you hand-cuff me? oh... right... well... here's to the guillotine... anti-immigration... the rights of bulgarian prostitutes... or... whatever you feel like: making up your mind about.

masochism... not listening to the radio...
and turning on
the youtube socio-political commentary...

when...
  Ashley Elisa
could have met Economic Invincibility.

me?
       fold, poker, down,
and a sing-along...
   with a fiddler on the roof staged
take on being amused...
  from the petty jew...
to akin a king solomon...
well: neither of the two could
be held in equally high esteem...
could they?

    but's that's my variant of
masochism...
turning off the radio brimming
with song,
and instead...
(jerking off doesn't seem
as bad)...
listening to "advice"
on the youtube.

the **** is there to
                     complain about?

   grand nose,
ashley elisa
   what some
                would call:
          picasso's...

what, with one nostril
being larger
than the other?

with one side
of the nose
having more prominent
cartilage?

   i forgot both
the existence of *******
and eyes,
just looking
at your nose...

   so well hidden in
some of the videos...
but one...

the **** is twitter,
and the new gab,
and dissenter?!
   i "forgot"
to use twitter to begin
with...
the alternatives?
   ffansi-ceilliau
           (fancy *******)

can you see the picasso
stipend
for: having arrived at
the over-exaggerated
shadow upon a face,
which, now,
made apparent,
begins with the nose...
and one nostril
smaller than the other..

i'd love to buy the ****
about liberated women,
angst ridden males...
commentaries...
   and...
to be frank,
i never left an anonymous
comment,
doubly honest:
i rarely used up
a presence in the comment
section of any internet
page...

   i just visited a *******,
and came back,
and...
    wouldn't come
back for any worth
of keeping
a focus on a variation
of "preservation"...

          i'm not worried...
transcending
the categorical darwin initiative...
competing with...
some other alternative...
akin to me,
akin to the virus of ebola...

    say, Kant, the ideal bachelor...
attempitng the feat of:
forgetting to be bored...
  
           i guess i had to be born
with an inhibited ambition
to forward
   my, "self"...
        and what remains?
guess-work...
        something given an a priori
   stature
for the status of life:
   with no, or any, lacking,
a posteriori focus
   to, "keep up with the lineage";

some people fall asleep with
books in their hands,
as if i were anywhere near
providing a rigid rubric
of words,
        
             there's this,
as there's also some Tolstoy,
labour of dross...
  and what's to be kept
of the repeated jargon...
   just when you thought
people would care,
you play-back the scenes
of the same people,
playing a game of nuace...

          can we just leave it at:
i forgot to give a ****?