Public Profile -- hu1E622D
Personal Health Records
Demographic Information
Date of Birth | 1966-03-05 (58 years old) |
Gender | |
Weight | 145lbs (66kg) |
Height | |
Blood Type | |
Race | |
Conditions
Name |
Start Date |
End Date |
Hypertension |
2010-01-01 |
2016-01-18 |
Hypothyroidism |
2004-01-01 |
2016-01-18 |
Manic depression |
2001-01-01 |
2016-01-18 |
Epilepsy |
2001-01-01 |
2016-01-18 |
Epilepsy |
2001-01-01 |
2016-01-18 |
Leslie R De Vries |
2001-01-01 |
2016-01-18 |
Medications
Name |
Dosage |
Frequency |
Start Date |
End Date |
METOPROLOL |
50 Milligram (mg) |
Take 1, 1 daily |
2013-01-01 |
2016-01-18 |
Losartan |
50 Milligram (mg) |
Take 1, 1 daily |
2013-01-01 |
2016-01-18 |
Clonazepam |
1 Milligram (mg) |
Take 1, 2 |
2015-06-01 |
2016-01-18 |
cyclobenzrapine |
10 Milligram (mg) |
Take 3, 3 daily |
2010-01-01 |
2016-01-18 |
Levothyroxine |
100 Micrograms (mcg) |
Take 1, 1 |
2005-01-01 |
2016-01-18 |
Lamotrigine |
400 Milligram (mg) |
Take 2, 2 daily |
2011-01-01 |
2016-01-18 |
Gabapentin |
800 Milligram (mg) |
Take 1, 3 times daily |
2011-01-01 |
2016-01-18 |
Allergies
Name |
Reaction/Severity |
Start Date |
End Date |
Morphine |
rash |
1991-09-07 |
|
Dogs |
sneezing |
1988-01-01 |
|
penicillin |
anaphylactic shock |
1978-01-01 |
|
privet |
sneezing |
1974-01-01 |
|
Procedures
Test Results
Immunizations
Name |
Date |
Tetanus, diphtheria vaccine (Td) |
2015-08-26 |
Updated: 2016-01-18T12:27:58.5304516
Samples
None available.
Uploaded data
None available.
Geographic Information
Not added.
Family Members Enrolled
None added.
Surveys
PGP Participant Survey
|
Responses submitted 1/18/2016 12:33:07.
Show responses
|
Timestamp |
1/18/2016 12:33:07 |
Year of birth |
1966 |
Do you have a severe genetic disease or rare genetic trait? If so, you can add a description for your public profile. |
bipolar I disorder; epilepsy |
Sex/Gender |
Female |
Race/ethnicity |
White |
Maternal grandmother: Country of origin |
United States |
Paternal grandmother: Country of origin |
United Kingdom |
Paternal grandfather: Country of origin |
Russian Federation |
Maternal grandfather: Country of origin |
United States |
Month of birth |
March |
Anatomical sex at birth |
Female |
Maternal grandmother: Race/ethnicity |
White |
Maternal grandfather: Race/ethnicity |
White |
Paternal grandmother: Race/ethnicity |
White |
Paternal grandfather: Race/ethnicity |
White |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 1/18/2016 12:35:07.
Show responses
|
Timestamp |
1/18/2016 12:35:07 |
Have you ever been diagnosed with one of the following conditions? |
Epilepsy, Carpal tunnel syndrome |
Other condition not listed here? |
bipolar I |
Absolute Pitch Survey
Survey not taken.
Enrollment History
Participant ID: | hu1E622D |
Account created: | 2012-10-25 12:26:36 UTC |
Eligibility screening: | 2012-10-25 12:51:37 UTC (passed v2) |
Exam: | 2016-01-18 16:17:09 UTC (passed v20120430) |
Consent: | 2016-01-18 16:44:04 UTC (passed v20150505) |
Enrolled: | 2016-01-18 17:15:13 UTC |