Thirteen cases of paralytic shellfish toxin poisoning occurred between January and April after eating puffer fish that had been caught in the area of Titusville, Florida. The first case occurred on January 1 and was reported to poison control on January 2. A man who reported eating "eight mouthfulls" of puffer fish developed neurological symptoms soon after; he was admitted to the hospital for observation and treatment. The second and third case, from Virginia, ate puffer fish on March 12. A few hours after eating the fish they reported numbness and tingling to the Richmond poison control center and decided to monitor the symptoms at home. A New Jersey couple had become ill after eating puffer fish that had been caught near Titusville by a family member. Soon after consumption, the couple complained of numbness in the mouth. The woman's symptoms increased over two hours, and she was admitted to the Emergency Room and had to be intuabated. She and her husband made a full recovery. The New Jersey case-patients provided samples of their fish to the Institute for Marine Biosciences, National Research Council, Canada. This lab found the toxin saxitoxin and N-sulfacarbamoyl saxitoxin and decarbamoyl saxitoxin. Severity of illness did not appear to be associated with amount of pufferfish eaten. In fact, there were nine meal partners who ate the pufferfish and had not become ill.