Public Profile -- hu197836
Personal Health Records
Demographic Information
| Date of Birth | 1946-09-05 (77 years old) |
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| Gender | |
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| Weight | 155lbs (70kg) |
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| Height | 5ft 10in (177cm) |
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| Blood Type | |
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| Race | |
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Conditions
Medications
| Name |
Dosage |
Frequency |
Start Date |
End Date |
Allergies
| Name |
Reaction/Severity |
Start Date |
End Date |
Procedures
Test Results
Immunizations
| Name |
Date |
| 104 - hepatitis A and hepatitis B vaccine |
2016-07-11 |
| 101 - typhoid Vi capsular polysaccharide vaccine |
2016-07-11 |
| 24 - anthrax vaccine |
2016-07-11 |
| Zoster ZOS (Zostavax) (60yr+) (MCR 64yr+) |
2016-05-06 |
| 75 - vaccinia (smallpox) vaccine |
2011-12-14 |
| 24 - anthrax vaccine |
2011-12-14 |
| 21 - varicella virus vaccine |
2011-12-12 |
| 104 - hepatitis A and hepatitis B vaccine |
2011-12-12 |
| 104 - hepatitis A and hepatitis B vaccine |
2011-11-01 |
| 101 - typhoid Vi capsular polysaccharide vaccine |
2011-10-19 |
| 96 - tuberculin skin test; purified protein derivative sol… |
2011-10-19 |
| 115 - tetanus toxoid, reduced diphtheria toxoid, and a… |
2011-10-19 |
| 88 - influenza virus vaccine, NOS |
2011-10-19 |
| 10 -poliovirus vaccine, inactivated |
2011-10-18 |
| 3 - measles, mumps and rubella virus vaccine |
2011-10-18 |
| Tdap (Adacel or Boostrix) |
2011-01-01 |
Updated: 2016-10-23T13:06:09.4199663
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: | hu197836 |
| Account created: | 2016-10-23 02:20:24 UTC |
| Eligibility screening: | 2016-10-23 02:24:09 UTC (passed v2) |
| Exam: | 2016-10-23 09:16:05 UTC (passed v20120430) |
| Consent: | 2016-10-23 09:19:29 UTC (passed v20150505) |
| Enrolled: | 2016-10-23 09:22:55 UTC |