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THE UNIVERSITY OF TEXAS Patient: Michael L Lester MDAnderson Date ot Birth: 9/16/1963 Ganeer Center on Mele ‘Making Cancer History’ October 4, 2019 To Whom It May Concern: ‘The above referenced patient is being treated at the University of Texas M. D. Anderson Cancer Center. Our patient is currently on a clinical trial 2019-0204 and is not permitted to receive any types of flu shot- live or attenuated, Please call us with any questions or concerns. Sincerely, - / / ok Subbiah, MD MAIN BUILDING CLINICAL CENTER FOR TARGETED THERAPY 1515 Holcombe Boulevard Houston TX 77030-4000 713-563-1930 Employees please obtain a HIPAA authorization from the patient ifthe form is being sent directly fo the employer. ‘Do not attach any supporting documentation without the patient's specific written authorization Caring « Integrity + Discovery 1815 HOLCOMBE BOULEVARD + HOUSTON, TEXAS 77030-4009 M. D. Anderson Switchboard (713) 792-2121 » www.mdanderson.org

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