Public Profile -- hu5D04DE
Personal Health Records
Demographic Information
Date of Birth | 1935-03-24 (89 years old) |
Gender | Male |
Weight | 130lbs (59kg) |
Height | 5ft 6in (167cm) |
Blood Type | A+ |
Race | American Indian or Alaska Native |
Conditions
Name |
Start Date |
End Date |
Age Spots |
|
|
Allergic Drug Reaction |
|
|
Medications
Name |
Dosage |
Frequency |
Start Date |
End Date |
Adult Low Dose Aspirin |
|
|
|
|
Allergy Medication |
|
|
|
|
Alupent |
|
|
|
|
Allergies
Name |
Reaction/Severity |
Start Date |
End Date |
Antivenom,Polyvalent Snake |
Severe |
|
|
Procedures
Name |
Date |
Color Vision Test |
|
Dental X-Rays |
|
Electromyography (EMG) |
|
Head and Face Reconstruction |
|
Head X-Ray |
|
Hydrocele Repair |
|
Inguinal Hernia Repair |
|
Lumbar Puncture (LP) |
|
Neck X-Ray |
|
Ophthalmoscopy |
|
Otoscopy |
|
Repair nasal fracture (broken nose) |
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Root Canal |
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Sinus X-Ray |
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Skeleton X-Ray |
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Teeth X-Rays |
|
Testicular Self-Examination |
|
Vision Test |
|
Visual Acuity Test |
|
Visual Field Exam |
|
White Blood Cell (WBC) Scan |
|
Test Results
Name |
Result |
Date |
Allergy Scratch Tests |
UNSPECIFIED |
|
Audiometry |
UNSPECIFIED |
|
Blood Typing |
UNSPECIFIED |
|
Hepatitis C Virus Genotype |
UNSPECIFIED |
|
Body Weight |
130 pounds |
|
Hearing Test |
UNSPECIFIED |
|
Height |
66 inches |
2009-08-21 |
Height |
66 inches |
2009-08-21 |
Body Height |
66 inches |
2009-08-21 |
Weight |
2080 ounces |
2009-08-21 |
Weight |
130 pounds |
2009-08-21 |
Immunizations
Name |
Date |
Chickenpox Vaccine |
|
Measles/Mumps/Rubella/Varicella (MMRV) Vaccine |
|
Mumps Vaccine |
|
Plague Vaccine |
|
Smallpox (Vaccinia) Vaccine |
|
Tetanus Toxoid, Unknown Type |
|
Typhoid Vaccine, Parenteral, Acetone-Killed (U.S. Military) |
|
Typhus Vaccine |
|
Yellow fever vaccine |
|
Updated: 2010-10-16T10:04:31.328Z
Samples
Saliva Collection for Multiple Studies
|
Sample
26427390
(saliva)
received
2011-12-16 01:36:40 UTC
by Harvard University.
Show log
2012-04-12 21:04:35 UTC |
Harvard University / TeloMe, Inc. |
A new sample 23341413 was derived from this sample |
2011-12-16 01:36:48 UTC |
Harvard University |
Sample transferred to plate 58212966 (id=10) well G01 (id=73) |
2011-12-12 00:58:55 UTC |
hu5D04DE |
Sample returned to researcher |
2011-12-12 00:55:10 UTC |
hu5D04DE |
Sample received by participant |
2011-12-03 20:27:19 UTC |
Harvard University / TeloMe, Inc. |
Sample sent |
2011-11-21 21:27:10 UTC |
Harvard University / TeloMe, Inc. |
Sample created |
|
Sample
19160192
(saliva)
received
2011-12-16 01:36:50 UTC
by Harvard University / TeloMe, Inc..
Show log
2012-04-12 21:04:11 UTC |
Harvard University / TeloMe, Inc. |
A new sample 73072730 was derived from this sample |
2011-12-16 01:36:55 UTC |
Harvard University / TeloMe, Inc. |
Sample transferred to plate 65016198 (id=9) well G01 (id=73) |
2011-12-12 00:58:55 UTC |
hu5D04DE |
Sample returned to researcher |
2011-12-12 00:55:10 UTC |
hu5D04DE |
Sample received by participant |
2011-12-03 20:27:19 UTC |
Harvard University / TeloMe, Inc. |
Sample sent |
2011-11-21 21:27:10 UTC |
Harvard University / TeloMe, Inc. |
Sample created |
|
Saliva Re-collection for Multiple Studies
|
Sample
37198878
(saliva)
received
2012-05-23 23:28:45 UTC
by Harvard University / TeloMe, Inc..
Show log
2012-05-23 23:28:45 UTC |
Harvard University / TeloMe, Inc. |
Sample received by researcher |
2012-03-31 00:34:40 UTC |
hu5D04DE |
Sample returned to researcher |
2012-03-28 16:36:58 UTC |
hu5D04DE |
Sample received by participant |
2012-03-24 23:21:09 UTC |
Harvard University / TeloMe, Inc. |
Sample sent |
2012-03-06 15:28:45 UTC |
Harvard University / TeloMe, Inc. |
Sample created |
|
Sample
28741631
(saliva)
received
2012-05-23 23:28:48 UTC
by Harvard University / TeloMe, Inc..
Show log
2012-05-23 23:28:48 UTC |
Harvard University / TeloMe, Inc. |
Sample received by researcher |
2012-03-31 00:34:40 UTC |
hu5D04DE |
Sample returned to researcher |
2012-03-28 16:36:58 UTC |
hu5D04DE |
Sample received by participant |
2012-03-24 23:21:09 UTC |
Harvard University / TeloMe, Inc. |
Sample sent |
2012-03-06 15:28:45 UTC |
Harvard University / TeloMe, Inc. |
Sample created |
|
Sample
97482313
(saliva)
received
2012-05-23 23:28:49 UTC
by Harvard University / TeloMe, Inc..
Show log
2012-05-23 23:28:49 UTC |
Harvard University / TeloMe, Inc. |
Sample received by researcher |
2012-03-31 00:34:40 UTC |
hu5D04DE |
Sample returned to researcher |
2012-03-28 16:36:58 UTC |
hu5D04DE |
Sample received by participant |
2012-03-24 23:21:09 UTC |
Harvard University / TeloMe, Inc. |
Sample sent |
2012-03-06 15:28:45 UTC |
Harvard University / TeloMe, Inc. |
Sample created |
|
Uploaded data
None available.
Geographic Information
Not added.
Family Members Enrolled
None added.
Surveys
PGP Participant Survey
|
Responses submitted 7/16/2011 23:56:21.
Show responses
|
Timestamp |
7/16/2011 23:56:21 |
Year of birth |
70-79 years |
Severe disease or rare genetic trait |
No |
Sex/Gender |
Male |
Race/ethnicity |
American Indian / Alaska Native, Asian, Black or African American, White |
Maternal grandmother: Country of origin |
United States |
Paternal grandmother: Country of origin |
Other / don't know / no response |
Paternal grandfather: Country of origin |
United States |
Maternal grandfather: Country of origin |
United Kingdom |
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? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
1 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
Absolute Pitch Survey
Survey not taken.
Enrollment History
Participant ID: | hu5D04DE |
Account created: | 2009-05-22 12:45:54 UTC |
Eligibility screening: | 2009-05-22 12:53:01 UTC (passed v1) |
Exam: | 2009-05-22 19:49:44 UTC (passed v1) |
Consent: | 2015-08-06 14:28:05 UTC (passed v20150505) |
Enrolled: | 2010-10-10 15:33:35 UTC |