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Public Profile -- huFB3C45

Public profile url: https://my.pgp-hms.org/profile/huFB3C45

Personal Health Records

Demographic Information

Date of Birth1985-10-11 (35 years old)
GenderMale
Weight205lbs (93kg)
Height6ft 2in (187cm)
Blood TypeO+
RaceWhite

Conditions

Name Start Date End Date
Type 1 Diabetes

Medications

Name Dosage Frequency Start Date End Date
Bd Pen Ned Ufiii Shrt 8mm 31G5/16
Bd Pen Ned Ufiii Shrt 8mm 31G5/16
Humalog Pen 3ml 5's 100U/ML
Humalog Pen 3ml 5's 100U/ML
Insulin Lantus Vial 100U
Insulin Lantus Vial 100U
Lancets Ultrasoft 100's 020-393
One Touch Ultra Strips 100's
Syr Bd Ned Ufin Ii Shrt 0.3ml 31g5/16

Allergies

Name Reaction/Severity Start Date End Date
Ceclor Severe
Penicillins Severe
Sulfa (Sulfonamides) Severe

Procedures

Name Date

Test Results

Name Result Date
CMV Antibody negative
Height 74 inches 2008-05-20
Weight 205 pounds 2008-05-20

Immunizations

Name Date
Flu Shot
Hepatitis A Vaccine, Type Unknown
Hepatitis B Vaccine, Type Unknown
Hib (Hemophilus influenzae Type B), Type Unknown
Measles/Mumps/Rubella (MMR) Vaccine
Meningococcal Vaccine, Type Unknown
Meningococcal/Diphtheria Conjugate Vaccine (MCV4)
Pneumococcal Vaccine, Type Unknown
Poliovirus vaccine, inactivated (IPV)
Rotavirus Vaccine, Type Unknown

Updated: 2010-09-15T08:31:21.366Z

Samples

None available.

Uploaded data

None available.

Geographic Information

Not added.

Family Members Enrolled

None added.

Surveys

None completed.

Absolute Pitch Survey

Survey not taken.

Enrollment History

Participant ID:huFB3C45
Account created:2009-05-27 22:35:44 UTC
Eligibility screening:2010-12-06 15:54:49 UTC (passed v2)
Exam:2010-12-06 18:33:24 UTC (passed v2)
Consent:2010-12-06 18:34:46 UTC (passed v20100331)
Enrolled:2010-12-07 06:25:55 UTC