Two Florida residents presented at an emergency room with symptoms of neurological toxin poisoning. The two had eaten puffer fish within in 12 hours and reported tingling and numbness in the lips, arms, face, and legs, drowsiness, headache and muscle aches. The fish had been prepared pan fried, and had been caught in the Indian River Lagoon near Titusville, Florida. The cases were unaware of the dangers of eating puffer fish, the ban on possession of puffer fish in Florida, or the fact that cleaning and cooking the fish does not reduce the risk of illness. The health department issued a press release to educate the public on the dangers of eating puffer fish from the region. Testing on the puffer fish found extremely elevated saxitoxin levels.