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Page 2457 Generated 07/09/2019 13:03 bylbi5) (bir Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 Provider: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Documented Date: 07/09/2019 12:51 EST Immunization Date: KEG); (DMF HC) Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: (b}(G); (bMF WC) Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST ‘|MLP Bureau of Prisons - NYM Race: WHITE Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Smallpox Series Administration: History Unknown, Not Administered Reg #: Facility: Unit: 76318-054 NYM HO1 Page 5 of 13 DOJ-OGR-00026133