EFTA00299795.pdf

09/21/2018 10:18 From: Woodson C. Merrel l M Uebfax Page: 1/5 FAX COVER SHEET Fo: Jeffrey Epstein / From: Lisa Company: Company: Woodson Merrell MD PLLC Fax: Phone: Date: 9/21/2018 Pages w/cover: 5 Subject: 9-14-18 IMUGEN Lab Results Jeffr Comments: EFTA00299795 09/21/2018 10:18 From: Woodson C. Merrell M liebf ex Page: Z/5 02/17/8013 81:32 •442 P.0071007 Reference Diagnostic Division OrfOrd Immunotec, Inc. dibia IMUGEN LC. ,41, 315 Norwood Park South, Norwood MA 02062 • • FAX Lyme Antibody Analysis 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.O.B.: 01/20.'1953 Ordering Submitter Provider: WOODSON C MERRELL MO Record ft. IMUGEN Account*: MERW Patient it: 20180.13061 Antibody Capture Enzyme Immunoassay Immunoblot IgG (Western Blot) PLASMA # 1306 Test Date: 09117/2018 Test Date: 09/17/2018 Rssuits 63 bur99Cderi 639140 B. bumdatier149736 Antigen Antibody Wow.* CSF I 58 se Isotype 1306i 41 41 ~am Oa telecica CreW 09/1•018 lagoiel Der Recte4 Oatt- GitIMOla ! QM <1 B. burgdorfeti 497'36 igG <1 IgA <1 Values reflect the relative ~cunt el a bureaorfenuoik "'nobody corrected ex background. N0TIIII Range- no antibody deeded at <be for NM and <1 for 190 and IgA. Comments: No IgM, IgG or IgA antibody to B. burgdorfed detected by capture Elk the IgG Immunoblot results fee within normal knits. Interpretation: No serologic evidence of infection with B. burgclorleri (Lyme). Reactive bands ant feted In SD d B. buystralen antigen with which IgG 1e reac0ve. Nodal Range: 1km:wavily to <5 antigens on each blot Nob 1; eat Mehl a nee« in cratto3 ttith c /Nu ~Mc. I:EaYr mcgod en1dØ6' treenail Na* 7. A ~sera, 0eaa ~facia lea mad., tr ifmuse 8~0 ~9~ Antudits rut not lei t• yawn Al bi•bMd bale and,coaaeltmery act yet 6•01~ itor 3- If :XI aYYIMYe ,001 ~Iva anlitedlas eat eleal)rei te [latent ~I 6399 31900F•82.1S~ NOW 4: Gwalpithe ~lady ~Ise 4rept» ervaniessey ~cal vary fro.lcid ~aka 11•ed~ as a 9~ tea Weir* tweri~ in VMS a14 / .40 cI be ~Sat Glreallymire*Mai *V alga* leabee petnece on tie wit Dance tha NOW 5: INK* bet we dwebiNd eel trr trfonwee inataritoot digettin9 ty ~Mt Teri lu..ig Sin area r reere Werancree. *Ile Thew ~an Wei fie~ Moos Ow Maula not MIyU«ut wwgilVy ta- tor .44~4, «went et In.PCI. , Th4~47 la 4.4~ ~4' Cla,•% ~lee b M<* k: AR", leidl ray p.aM1ldaN fnaa" <4 • Kash*? niscl and it~ The WOGS< bgo et a tegatera edema* ot Ctzked iraundec, W. Mihae Plat MO., Ph.D. Director ra 2c Orlorti Inmunt4ec. Report Date: 09/17/2018 KEW/JAL CLIA number 2200650196 EFTA00299796 09/21/2018 10:18 From: Woodson C. Merrel l M Uehfax rage: ..i/b rnm len,iOs^ 1 00/10/'polo PO to glau 011 ylMUGEN' Reference Diagnostic Division Oxford lmmunotec, Inc. cVb/a IMUGEN 315 Norwood Park South, Norwood MA 02082 • • FAX Laboratory Results Submitter: Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE 18 Address: g EAST 71ST STREET 44 EAST 67TH STREET NEW YORK, NY 10021 NEW YORK: NY 10065 D.O.B.. 1/20/1953 Ordering Submitter Provider WOODSON C MERRELL MO Record #. IMUG£N Account #: MERW Patient tr. 2018013061 Borrelia miyamotoi Serology PLASMA #: 13061 PLASMA Collection Date: 0914/2018 PLASMA Receipt Date: 09/17/2018 Test Method: Indirect EIA (Recombinant Antigen)* Test Dale: 09/1 ed2 18 Antigen Antibody Result kotype Glp(r IgNA <1 GIPer igG 4.4 Aaron/melba» IØ ais& I to the new cakulaled fee the te9hest maul en the Standan31 Curvy Repottablertanee:190 ELISA Ito the yaw calculated kr ale mist reset on the standard curve. Nonnet Range is negative: rate of <l b' 1gM and <1 for lirS. Comments; igG is positive. IgM Is negative. Interpretation; These findings are compatible with either an infection with A. mlyamo(oi at an undetermined tone or cross-reacting 190 antibody. ~1: Rath ~I lag aVwreb6ai ymbNiaaiY ehal pneseadon ird saw reweliaP erV ciaree.C Nee 2: Aincaga asnent TN.“ ass prom'seat. tom mgcn. 01.14 ~an an, only Nana« 'abb., eansesa11-60> arand arrow fro, Ma Lars won ne same 11S/ nin To delemia•~as 31.~Ng Md." n ann'o1Y1, 1~. aNMM ~Is “nasimesa ardal~Se 111” 111•1 nn1110«8111/ win 4, 11a* Npia tamp,. alaN*1* UN.M1r warsUgle San« 01area re ewe we". Nob 3; A assaan mail darn ad en-121• the ganablik ananaamtoi "tuna ma, nat Altab amen V. the frns spactsen mayatla• OS ~Os telltdibhnlinire 11.1011tinsy Stagy Isgpalfl ~am ~201«I tkeneksoret siamantel ~re ,cubic» , away na yet Si 011141144. Ma* ta idayad wary ne:scald stlasaniaal mkt. Or Maenad met 3-1 seen key ;$ moansSi nsalred~Li Ass be dan intls teatem 18d•6: ~ea ~a la net datnave WFaae6avnneM la natenalar Manta *in aar.Nhs»annf man. ~wags manrnay GS.401~0 mia,ne I: Talt mu yea Ø6m aara parlonaina annalwelea 4.0~.1 itiliG11 hb ealeag'ara•a bee~ a stegovee wee sae Tad inainzei • -*guinea ale~ n palled lo warm alahasiadlylOW4 IM isel a atea ty Urania...meta It ~al na Imiegenan as ~in a b roger^ The ILIUGEN Jowls a 160:02103 ~ark 11Cbeen1 ennon-A.C. Mtn Platt.. M. Director 2017 Oefore haventec Report Date: OM 912018 ARM OLIA number 2200850196 EFTA00299797 09/21/2018 10:18 From: Woodson C. Merrell M Uebfax Page: 4/5 acorn 04411 11 00/1n/2018 21:32 •100 MM21.3.07 yINIUGEN. Reference Diagnostic Division Oxford Immunotec, Inc. d/b/e IMUGEN womcr. n. 315 Norwood Perk South, Norwood MA 02062 • • FAX Laboratory Results Submitter: Patient: WOODSON C MERRELL MD Name: JEFFREY EPSTEIN SUITE 16 Addross: 9 EAST 71ST STREET 44 EAST 67TH STREET NEW YORK. NY 10021 NEW YORK, MV 10065 D O.R.: 1/20/1953 Ordering Submitter Provider. WOODSON C MERRELL MD Record b !MUGEN Account # MERW Patient 2018013061 Babesia microti Serology PLASMA N. 13061 PLASMA Collection Date: 09/14/2018 Test Method: :mmunoblot (Western Blot) PLASMA Receipt Date: 09/17/2018 Test Dahl: 39/17/2018 Test Method: Indirect Immunolluorescence Antigen Antibody Result Test Date: 09/17/2018 Isotypo Antigen Antibody Result Isotype B. (mow, IgG NEGATIVE B. microti IgG <32 B. microti 1O.4 NEGATIVE Result re the reciprocal of the plasma endpoint Normal Range ler IgG Western blot: No reactivey teat least one of Normal Range t a titer <32 (1:32 dilution : Negative. throe specific protein bands (at 42. 38 end 30K0a): Negative. Nomad Range for IgM Western blot: No reectivay to at least one of four specific protein bands (at 45. 42, 38 and 30KDi): Negative. Comments: No IgG antibody to by indirect trnmunolluorescence or by immunobtot. No IgM antibody detected by anmunoblot Interpretation: No serologic evidence of infection with a microll. Nns 1 8 kin 4h4,4 tway.sonts4 049,4444 411401 aid coy EOM Nola 2 A negate mot panne 00m to 3c33433,3 012332303 312.00: areg4 at lit lassma42~12/222421. 30.333&30 33 0• 3•30 N&In& 0330 itcoen07,44101J4swe manedm1:4. Wet C4440/x441be11081 bravtollis 88/818481mint Mune 1N lad' 41cecognoahairipe :103 M3 a:C." 1' 33ra 43341^04/303 Noe. 3. P. peavoim3sos 4•2643,3 Maria&wtkeoni/i & Watt inesaaanwlai Stenalkostabove nicar. Nab 4. 8444 Ma inn 08400.4 are Ow nrolov.4444 issa04.1484 410018.444/ r an awn a Kelm 10.04444 MAW 041 roniMI841848" 44848 8" W . ' m a 4" ." 8,40.8 `nil. et IA "sail" 1, 84. 44141.04•488 t8144. T144i bit Pio vied ix ova n4n444.811/ 18144 r44 a 884481b 8444948444 a Is wawa. the IN.JGEN 1093 is a ragiStared 4-4141444 01000d kravnat0C. Ltd. Was Plat M.D . PhD Director 12 3317 Oxkal Immurotec Report Date: 09/18/2018 MR CLIA norther 2200650196 EFTA00299798 05/Z1/Z018 10 : 18 From: Woodson C. Merrell M i/ebfax Yage: Sib com:laiucian 00/16 /20 is 2I:a4 .84581 P.006/007 1 ylMUGEN' Reference Diagnostic Dhehion Oxford Immunotec, Inc. d/b/a IMUGEN 315 Norwood Park South, Norwood MA 02082 • • FAX 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.O.B.: 01/20/1953 Ordering Submitter Provider. WOODSCN C MERRELL MD Record 8: IMUGEN Account U: MERVbi Patient 8: 2018013061 Ehrlichia / Anaplasma Serology PLASMA #: 13061 PLASMA Collection Date: 09114/2018 PLASMA Receipt Date: 09/17/2018 Ehillehe shithead: Anaplasma phagocytophHum Test Method: Indirect immunoluoreecence Test Method: Indirect EIA (Recombinant Antigenr Test Data: 09/17/2018 t Date: 09;17/2018 Antigen Antibody Result Antigen Antibody Result Isotype Isotype E. cheffeensis IgG <64 ERE-1' IgM <1 Result is the reciprocal of the plasma endpoint dilution. Normal Range Is a Her <64 (1:64 dilution): Negative. ERF-1- IgG <1 Result is the reciprocal of the calculated plasma endpoint dilution. Nora! Range: ratio of <I for Ight and <1 for IgG. Comments: No IgM or IgG antibody to A. phogocytophilum detected by indirect EtA. No IgG antibody to &Within chanson& detected by indirect immunofluoresconce. Interpretation; No serologic evidence of infection to A. phagosytophilum or Ehrlichia cheffeensis as' i• falls inua t• erionaso lationcla with Maw promaaon an ma nedklil s.d diagrosec Niers MoirL MOM.* Mull OM tat taeltia tr.meta* dinliaga *NA. gagecongtheaa audowaft Mena a the awls sic:an repolve tVKOht uudeteCablsj ere Ive erica &Abode. 'Myna yet b0p4Mint 3,no Na dbbod sample cc06601fley nal Wt. tisbyteralttf /AMA 7AS:in ce • COMMON* X•00,10 3.4 .easmy b. fOCantnendet HaNwif,1110CCC npXrrerAIGS Toll Taroks cl RCA( ewer must be annotnand on anal sin ted °ae arciaa. acct Cr affar be *amino, o$9 enlelaxianteraltey radoyYm Traaniel tae MOM*/ ddafid Wei MO Mak( *A isbailay IS Net,e be WNW( Onto bang an ti ai aroma wawa/foal losal: Ape** 1. 4Y ":14•116.• t e/Wimpando. phyrocadlawc MM1arM ton bama 0..57*M, tab.* mama sly ansa • poulho meow, .wee. AMMO+ man all 04thera &WWI Oa Weannth a inelbealki Set• It The ddb tyre Cranceael and tearaalcanarts ~net dennetity MOGEN Tory hive in been ctearec a (KaOtel byT4PCIA.Tneiteamaryernial reltin, rugharrObely WS% Takao NS are until 'robe& pUPS web WA a quoted TboY sbc40 'cc be "WOO . Maagskai a knorsecri. TTr ILIUGEN WAS a atnitlend tractor's* °McCord tenonaloted. Oct MInao Plnr M D , Ph.D Dreclof it) 2017 Orbrd IMMUn011iC Report Date. 09/18/2018 DP CM number 22D0650196 EFTA00299799