Is this real? I can’t find it anywhere else.
The WSJ published this on Thursday. However, it didn’t include an image of the card, only the text and a description. From all the sources I’ve seen, the original image has not been released. It is possible that someone only leaked a written report to the WSJ and they dont even have a photo of it. I suspect all these photos are fake, but since Trump will likely sue for defamation, I don’t believe this story would have been published without a high certainty of the text’s authenticity.
It’s a birthday card, it’s been tossed decades ago. This is a mockup from a first hand memory of the card.

That’s not what is being reported.

Maxwell collected letters from Trump and dozens of Epstein’s other associates for a 2003 birthday album, according to documents reviewed by The Wall Street Journal.

The letter bearing Trump’s name, which was reviewed by the Journal, is bawdy—like others in the album.