Public Profile -- hu917E1A
Public profile url: https://my.pgp-hms.org/profile/hu917E1A
Personal Health Records
Demographic Information
| Date of Birth | 1948-02-15 (77 years old) |
|---|---|
| Gender | Male |
| Weight | 162lbs (73kg) |
| Height | 5ft 9in (175cm) |
| Blood Type | O+ |
| Race | White |
Conditions
| Name | Start Date | End Date |
|---|---|---|
| Back Pain,five herniated discks | 2004-01-01 | |
| mild depresion | 1999-01-01 | |
| Retinal Detachment | 2011-01-08 |
Medications
| Name | Dosage | Frequency | Start Date | End Date |
|---|---|---|---|---|
| Effexor XR,rosuvastatin,melatonin,aspirin,multivitamin,fish oil | 75mg-150mg,5mg-10mg,1mg-3mg,325mg-650mg | Take 1, as needed | 2001-01-01 |
Allergies
| Name | Reaction/Severity | Start Date | End Date |
|---|
Procedures
| Name | Date |
|---|---|
| Inguinal Hernia Repair | 1997-01-01 |
| Retinal Detachment Repair | 2011-01-08 |
Test Results
| Name | Result | Date |
|---|---|---|
| Diastolic Blood Pressure | 69 mmHg | 2011-11-25 |
| Weight | 162 lb | 2011-11-25 |
| Systolic Blood Pressure | 110 mmHg | 2011-11-25 |
| Hours slept | 9 hours | 2011-11-25 |
| Height | 69 in | 2011-11-26 |
Immunizations
| Name | Date |
|---|---|
| BCG (Tuberculosis) Vaccine | 1957-01-01 |
| Chickenpox Vaccine | 1957-01-01 |
| Cholera Vaccine | 1970-01-01 |
| Diphtheria Antitoxin | 1957-01-01 |
| Flu Shot | 2010-11-01 |
| Measles Vaccine | 1958-01-01 |
| Meningococcal Vaccine, Type Unknown | 1958-01-01 |
| Mumps Vaccine | 1961-01-01 |
| Tetanus Immune Globulin (TIG) | 2002-01-01 |
Updated: 2011-12-26T14:47:16.108Z
Samples
| Saliva Collection for Multiple Studies |
Sample
42586792
(saliva)
received
2012-04-10 16:26:23 UTC
by Harvard University / TeloMe, Inc..
Show log
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sample
28034755
(saliva)
received
2012-04-10 16:26:26 UTC
by Harvard University / TeloMe, Inc..
Show log
|
|||||||||||||
| Saliva Re-collection for Multiple Studies |
Sample
96208469
(saliva)
received
2012-05-07 23:10:26 UTC
by Harvard University / TeloMe, Inc..
Show log
|
||||||||||||
Sample
31411469
(saliva)
received
2012-05-07 23:10:25 UTC
by Harvard University / TeloMe, Inc..
Show log
|
|||||||||||||
Sample
97440298
(saliva)
received
2012-05-07 23:10:17 UTC
by Harvard University / TeloMe, Inc..
Show log
|
Uploaded data
None available.Geographic Information
| State: | New Jersey |
| Zip code: | 07036 |
Family Members Enrolled
None added.Surveys
| PGP Participant Survey | Responses submitted 10/30/2011 14:54:22. Show responses |
|---|---|
| Timestamp | 10/30/2011 14:54:22 |
| Year of birth | 60-69 years |
| Which statement best describes you? | I am comfortable making my genome sequence data publicly available without prior review. |
| Severe disease or rare genetic trait | No |
| Sex/Gender | Male |
| Race/ethnicity | White |
| Maternal grandmother: Country of origin | Poland |
| Paternal grandmother: Country of origin | Poland |
| Paternal grandfather: Country of origin | Poland |
| Maternal grandfather: Country of origin | Poland |
| Enrollment of relatives | No |
| Enrollment of older individuals | No |
| Enrollment of parents | No |
| Have you uploaded genetic data to your PGP participant profile? | No, I have no genetic data. |
| Have you used the PGP web interface to record a designated proxy? | No |
| Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? | No, and I do not plan to |
| Blood sample | Yes |
| Saliva sample | Yes |
| Microbiome samples | Yes |
| Tissue samples from surgery | Yes |
| Tissue samples from autopsy | Yes |
| PGP Participant Survey | Responses submitted 3/27/2012 8:37:11. Show responses |
| Timestamp | 3/27/2012 8:37:11 |
| Year of birth | 60-69 years |
| Which statement best describes you? | I am comfortable making my genome sequence data publicly available without prior review. |
| Severe disease or rare genetic trait | No |
| Sex/Gender | Male |
| Race/ethnicity | White |
| Maternal grandmother: Country of origin | Poland |
| Paternal grandmother: Country of origin | Poland |
| Paternal grandfather: Country of origin | Poland |
| Maternal grandfather: Country of origin | Poland |
| Enrollment of relatives | No |
| Enrollment of older individuals | No |
| Enrollment of parents | No |
| Have you uploaded genetic data to your PGP participant profile? | No, but I have genetic data and plan to upload it |
| Have you used the PGP web interface to record a designated proxy? | Yes |
| Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? | Yes |
| Uploaded health records: Update status | Yes |
| Uploaded health records: Extensiveness | 3 |
| Blood sample | Yes |
| Saliva sample | Yes |
| Microbiome samples | Yes |
| Tissue samples from surgery | Yes |
| Tissue samples from autopsy | Yes |
| PGP Participant Survey | Responses submitted 3/10/2013 18:37:46. Show responses |
| Timestamp | 3/10/2013 18:37:46 |
| Year of birth | 60-69 years |
| Which statement best describes you? | I am comfortable making my genome sequence data publicly available without prior review. |
| Severe disease or rare genetic trait | No |
| Sex/Gender | Male |
| Race/ethnicity | White |
| Maternal grandmother: Country of origin | Poland |
| Paternal grandmother: Country of origin | Poland |
| Paternal grandfather: Country of origin | Poland |
| Maternal grandfather: Country of origin | Poland |
| Enrollment of relatives | No |
| Enrollment of older individuals | No |
| Enrollment of parents | No |
| Have you uploaded genetic data to your PGP participant profile? | No, but I have genetic data and plan to upload it |
| Have you used the PGP web interface to record a designated proxy? | No |
| Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? | Yes |
| Uploaded health records: Update status | Yes |
| Uploaded health records: Extensiveness | 2 |
| Blood sample | Yes |
| Saliva sample | Yes |
| Microbiome samples | Yes |
| Tissue samples from surgery | Yes |
| Tissue samples from autopsy | Yes |
| PGP Trait & Disease Survey 2012: Vision and hearing | Responses submitted 3/10/2013 18:52:59. Show responses |
| Timestamp | 3/10/2013 18:52:59 |
| Have you ever been diagnosed with one of the following conditions? | Retinal detachment, Infantile, juvenile, and presenile cataract, Hyperopia (Farsightedness) |
Absolute Pitch Survey [see all responses]
Can tell if notes are in tune: Not sure
Can sing a melody on key: No
Can recognize musical intervals: No
Do you have absolute pitch? No
Enrollment History
| Participant ID: | hu917E1A |
| Account created: | 2011-09-25 14:12:24 UTC |
| Eligibility screening: | 2011-09-25 14:23:21 UTC (passed v2) |
| Exam: | 2011-09-25 15:46:07 UTC (passed v2) |
| Consent: | 2015-08-06 14:31:11 UTC (passed v20150505) |
| Enrolled: | 2011-09-30 12:12:45 UTC |