Similar to ciguatera
GI symptoms - vomiting, diarrhea, abdominal cramping; usually within 30 minutes to 3 hours of ingestion
Neurologic symptoms - paresthesia, dizziness, ataxia. Can also see hot/cold temperature sensation reversal 
Upper respiratory tract irritation, rhinorrhea, bronchoconstriction
Generally affects patients with chronic respiratory disease (ie asthma/COPD)
Neurotoxic shellfish poisoning
Toxins
Paralytic shellfish poisoning
Ciguatera
Ethylene glycol toxicity
Scombroid
Acetaminophen toxicity
Tetrodotoxin 