6972172618 16:18 From: QR Yoodson C. Merrell M Webfax Page: 1/5 FAX COVER SHEET To: Jeffrey Epstein / mz From: Lisa Woodson Merrell MD PLLC Company; = — Company: eT FY Fax, — qc Phone: — eS Date: 9/21/2018 Pages wcover: 5 Subject: 9-14-18 IMUGEN Lab Results Jeffr Comments: EFTA00299795

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00/17/2018 21a2 #442 ”.007/007 6972172618 16:18 Fron: Eee Woodson C. Merrell M Webfax Page: 2/5 a Fromimugen \/ [MUGEN Fete Reference Diagnostic Division Weed heres im Oxford immunotec, inc. d/b/a IMUGEN 315 Norwood Park South, Norwood MA 02062 7] o FAX Lyme Antibody Analysis Submitter: Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE 1B Address: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK, NY 10021 NEW YORK, NY 10065 0.0.B.: 01/20/1953 Ordering Submitter Provider: | WOODSON C MERRELL MD Record #: IMUGEN Account #: MERW Patient # 2018013061 Antibody Capture Enzyme Immunoassay Immunoblot IgG (Western Biot) PLASMA # TestDate: 09/17/2018 Values refect the relative amount of 8. burgdorfer- specific antibody corrected for background, Normal Range: No antibody detected at <0.8 for igM and <1 for IgG and IgA. : No IgM, IgG or IgA antibody to B. burgdorferi detected by capture EIA; the IgG immunoblot results fal! within normal limits. Interpretation: No serologic evidence of infection with B. burgdorferi (Lyme). Reactive bands are tsted In kD of 8. burgdorfer antigens with which IgG is reactive. Normal Range: Reactivity to <5 antigens on each bict. Note 1: Recut shod be ermuaies in coryunction with ciniost preeartaton and cher medical und diagnostic range. Mote 2. A negative cesut! dows mai ext hate We poesbitty of intertion wih Baran burgdarten Aniiodies (ray not yet be prenerit at the Ame of blood sarepie cofecthm ar may Net yet be detactatla. Notte 3: ite intial LAA west reout ls negative (Le. antibodies net Getected) and the patents cinical Mistory seorgly Luggatis infraction the collucion of a second sample ie. is strongly recommended Note 4: Quantiative astinody capture enzyme imrranoussey wales Can vary SwO-eK! Win 2 tect ren. Values shuld aot be considered cinically relment outside of 3 comecratien bralyess pertantied on ie same Da Nace eaemnres and tet vertamance chasactarice deterained ty ROUEN. ed coca mama esnemswesty te POA, ‘Tha leborstery in vaguteted endet CLIA ob quater to Parte igh-compmecily inning These tents 8° Ubed for clinica! peposes, They should nol be mga did Un MNmEQITONS OF MT MObErCh Mote 6: A pcetve sent may sat exclude the passtlty af & tacnenafuby iremed peal inaction. Mihae Platt M.0., Ph.D. Director The IMUGEN a trademark of Oxford tmimunotec, Lid. ~ 2017 Oxtrd unas Report Date: 09/17/2018 KEW/JAL CLIA number 2200850196 EFTA00299796

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6972172618 16:18 Fron: Sie Woodson C. Merrell M Webfax Page: 3/5 FFT Fromimugen 09/19/2018 20:10 #647 Eon \YIMUGEN’ Reference Diagnostic Division 2 Uh tie Cato tar gies Immunotec, inc. d/b/a IMUGEN 315 Norwood Park South, Norwood MA 02062 « ENMMMNNS ¢ Fx IEEE Laboratory Results Submitter: Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE 18 Address: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK, NY 10021 NEW YORK, NY 10065 D.0.B: 1/20/1953 Ordering Submitter Provider: | WOODSON C MERRELL MD Record #: IMUGEN Account #: MERW Patient # 2018013061 Borrelia miyamotoi Serology PLASMA #: 13061 PLASMA Collection Date: 09/14/2018 PLASMA Receipt Date: 08/17/2018 Test Method: indirect EIA (Recombinant Antigen)* Test Date: 09/18/2018 : IgM ELISA: <1 to the vatue calculated for the highest result on the standard curve. Reportable Range: igG ELISA: <t to the vaiue calculated for the highest resull on the standard curve. Normal Range is negative: ratio of <1 for IgM and <1 for IgG. Comments: IgG is positive. igM is negative. Interpretation: These findings are compatible with elther an infection with B. miyamotol at an undetermined time or cross-reacting IgG antibody. Mote 1: Recuts choutd be avahaated in conjunction with cinies! preeentston ane other endical aed disgnoete Nexings. Mote 2: Aine) tarot veluss are prodded cn te test raport, thea valet wre only reinvent ‘whan Comparad fo arGhar kaMChe (HLM IN karme patent On the saene teat pun To Gatnrreine wootver « pedurr Nae Sgrfown changnn in arhbody rerporses, » Becons narrow (0g, CONVel SER BET pe) may be suOTted ‘The lancratery wil @rulyze ho price sample wiongside Ine *Gaty submited sarmom On he ‘fame tect run Note 3; Anegatue result dows ret exctate the pocabéity of infection wth 8 miyemo(ol Antibodies cay no yet be prevent at the ime of Coad seensie cobection or may Not ye! be deenctatie, Hf the scute ‘Spraimenis negative (L< entzodiee undeteciabi) end fe Cinicat Miiary thorgly supgesis infection. collection ofa conwalescect specimen 3-4 merits later is recommandad, Troalmant srculd never te sone Apoctia sens eine etnies peas oi oee en, ie bait of an itl sogetve iba rest Mote 4: A poctiva reat & noi definitive @dence of infection with B rayerrinie. inigetion with & Babowa TCO may Cane & wonlllve MEpoNeO ote 0: This tant vans dewsloped and ils performance cheracteestics datenmined By IMUGEN. It hes net bets dered oF angeoved by the FDA ‘Tae laboratory i regulated uedor CLIA 68 qualified bs perfor Migh-compre atty “operded 25 tour Tua wt wumod Or con parpouee B mavts ne Or xr research, The MUGEN logo Is e registered trademark of Oatord immunciec, Lid, © 2017 Oxford Immunotec. Report Date: 09/19/2018 ARM CLIA number 2200650196 EFTA00299797

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09/18/2018 2122 “488 EEEe/0co7 6972172618 16:18 Fron: mobihinietetiets Woodson C. Merrell M Webfax Page: 4/5 a Fromimugen 1 \Y IMUGEN Reference Diagnostic Division ford Immunotec, inc. d/b/a IMUGEN porate 318 Norwood Pari Sou Norwood MA 02062 © —EMNIME © Fax SERIIBENE Laboratory Results Submitter: Patient: WOODSON C MERRELL MO Name: JEFFREY EPSTEIN SUITE 18 Address: 9 EAST 74ST STREET 44 EAST 67TH STREET NEW YORK, NY 10021 NEW YORK, NY 10065 D.O.B: — 1/20/1963 Ordering Submitter Provider: | WOODSON C MERRELL MD Record #: MUGEN Account # MERW Patient # 2018013061 Babesia microti Serology PLASMA #: 13061 PLASMA Collection Date: 09/14/2018 Test Method: —_ Immunoblot (Westem Biot) PLASMA Receipt Date: 09/17/2018 Test Date: 09/17/2018 Test Method: indirect immunofiuorescence Test Date: 17/2018 Antigen Antibody ieotype, Result 's the reciprocal of the plasma endpoint dilution. Normal Range for igG Western biat: pier byte Normal Range is s titer <32 (1:32 dilution); Negative. three specific protein bands (at 42, 38 and 30KDa): Negative. Normal Range for igM Western blot: tio este to eh nent exo of four specific protein bands (at 45, 42, 38 and JOKDa): Nogative. Comments: No IgG antibody to B. microti detected by indirect immunofluorescence or by immunoblot. No IgM antibody detected by immunoblot. Interpretation: No serologic evidence of infection with 8. microti. New 1 Reser ahand be @retuated in conknetion wih Civics presariadon and CONG mudical and dagrosic fingings. Note 2: A negative resut does not anche the posubésy af ifection wih B. eacrod, rota pena thr ted he ne tv teen The COC recommends tat Inctiduels ames expose Could have cocuned on ty West Cosst should be tacied aise tor antbodins to Radenia cuscayy, because of fve tack of oF crons-remctivity with E Pewmatier fersonne. Mote 4. These Inte were Cereioped ane thew prrtornence chmracterielion dehw mani by (NUKEM, aS oe gee cuenred@ aperoved bY fe FOR Te enoretry in roquated under CLA 60 usted (© perform hugh-complonty texting. These Iman Bre whed fer chroca puTpCOOS. ‘Thay should met be regecaad ms hemsligatioriat or Minae Platt M.D., Ph.D. Director The M4UGEN trademark of Oxford Immunotec, Lid. 2017 Oxferd tamunotes Report Date: 09/18/2018 MR CLIA number 2200650196 EFTA00299798

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$75 6972172618 16:18 From: Woodson C. Merrell M Webfax Page: Fromemuegen a 09/18/2018 21:44 #468 PF .906/007 yi MUGE N Reference Diagnostic Division enrnaee tn Oxford Immunotec, inc. d/b/a IMUGEN 315 Norwood Park South, Norwood MA 02062 @ EMMIS ¢ Fax EEE Laboratory Results Submitter: Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE 1B Address: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK, NY 10021 NEW YORK, NY 10065 0.0.B.: 01/20/1953 Ordering Submitter Provider: WOODSON C MERRELL MD Record #: IMUGEN Account #: MERW Patient #: 2018013061 Ehrlichia / Anaplasma Serology PLASMA # 13061 PLASMA Collection Date: 09/14/2018 PLASMA Receipt Date: 09/17/2018 Ehrlichia chaffeensis Anaplasma phagocytophilum Test Method: Indirect immunofiuorescence Test Method: Indirect ElA (Recombinant Antigen)* Test Date: 09/17/2018 Result is the reciprocal of the calculated plasma endpoint dilution. Normal Range: ratio of <1 for IgM and <1 for IgG. Comments: No IgM or IgG antibody to A. phagocytophilum detected by indirect EIA. No IgG antibody to Ehrlichia chaffeensis detected by indirect immunofluorescence. Interpretation: No serologic evidence of infection to A. Phagocytophilum or Ehrfichia chaffeensis. Wore tr Rewulls oud be @venmtes m cosjuncton wilh cinloe presantaBon and ome medical dex diagroene fangs. mote z Areanteo rewik coat aot exctide te passBily ef Intection with A. pragoeytoshiivm cr £ cufisansis. Andbodien ray not yal be present atte tine cf bloed sample cllecSon or ray not yet be reccommended. Behar te oars specrate negate (\@ arkbodies undotectable) onc the cinkcat history erongly suggests infection collection of @ convaieucent specimen 34 wenks tater is. Hewowar, ‘ sail Hote 3 A positive remit 6 ool SetVittwe evidence of ieetion with A phan vinnnaun. Wiecton wit Berrais Surgdorier! or Banhests CON Mey CuLisa 0 poeltive response, Mote 4: A positive reall is sat Gatiribee evidence Of ntacton wah E chateane’s Note t Tass Wal were cavaisoed and fete peciomancs cherecseriatcs Gemmmninds By IRUGEN. They have not been cicarad oF Bparoved by te FLA, Tha leboratry is regulated under CLIA 2s queltied to pericern ngh.cometety isting. These tests ae used for clinica) purposes. Thay Should rect be regarded as lvresigatcral o: for rocsarch. ‘The IMUGEN logo is a registered trademark of Oxtord lawnunctnc, Lid. Minae Piatt M.D., Ph.D. Director © 2017 Oxtord immunotec Report Date: 09/18/2018 DP CLIA number 2200650196 EFTA00299799