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Public Profile -- hu75FD15

Public profile url: https://my.pgp-hms.org/profile/hu75FD15

Personal Health Records

Demographic Information

Date of Birth1984-10-09 (40 years old)
Gender
Weight195lbs (88kg)
Height5ft 7in (170cm)
Blood Type
Race

Conditions

Name Start Date End Date
childhood Asthma 1984-11-05 2002-04-01
Migraine 1996-12-04

Medications

Name Dosage Frequency Start Date End Date
Multivitamin Take 2, once daily 1995-04-01

Allergies

Name Reaction/Severity Start Date End Date
Kiwi anaphylactic shock 1993-10-12
Allergy to penicillin anaphylactic shock 1993-09-14

Procedures

Name Date

Test Results

Name Result Date

Immunizations

Name Date

Updated: 2014-04-04T12:45:26.7068463

Samples

None available.

Uploaded data

None available.

Geographic Information

State:Vermont
Zip code:05401

Family Members Enrolled

None added.

Surveys

PGP Participant Survey Responses submitted 4/4/2014 12:25:11. Show responses
Timestamp 4/4/2014 12:25:11
Year of birth 1984
Sex/Gender Male
Race/ethnicity American Indian / Alaska Native, White
Maternal grandmother: Country of origin United States
Paternal grandmother: Country of origin Other / don't know / no response
Paternal grandfather: Country of origin Other / don't know / no response
Maternal grandfather: Country of origin United States
Month of birth October
Anatomical sex at birth Male
Maternal grandmother: Race/ethnicity American Indian / Alaska Native, White
Maternal grandfather: Race/ethnicity American Indian / Alaska Native, White
Paternal grandmother: Race/ethnicity No response
Paternal grandfather: Race/ethnicity No response
PGP Trait & Disease Survey 2012: Cancers Responses submitted 4/4/2014 12:25:44. Show responses
Timestamp 4/4/2014 12:25:44
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity Responses submitted 4/4/2014 12:26:10. Show responses
Timestamp 4/4/2014 12:26:10
PGP Trait & Disease Survey 2012: Blood Responses submitted 4/4/2014 12:26:28. Show responses
Timestamp 4/4/2014 12:26:28
PGP Trait & Disease Survey 2012: Nervous System Responses submitted 4/4/2014 12:27:10. Show responses
Timestamp 4/4/2014 12:27:10
Have you ever been diagnosed with one of the following conditions? Migraine with aura
PGP Trait & Disease Survey 2012: Vision and hearing Responses submitted 4/4/2014 12:27:48. Show responses
Timestamp 4/4/2014 12:27:48
Have you ever been diagnosed with one of the following conditions? Astigmatism
PGP Trait & Disease Survey 2012: Circulatory System Responses submitted 4/4/2014 12:28:11. Show responses
Timestamp 4/4/2014 12:28:11
Have you ever been diagnosed with one of the following conditions? Premature ventricular contractions
PGP Trait & Disease Survey 2012: Respiratory System Responses submitted 4/4/2014 12:28:31. Show responses
Timestamp 4/4/2014 12:28:31
Have you ever been diagnosed with any of the following conditions? Chronic tonsillitis, Asthma
PGP Trait & Disease Survey 2012: Digestive System Responses submitted 4/4/2014 12:29:02. Show responses
Timestamp 4/4/2014 12:29:02
Have you ever been diagnosed with any of the following conditions? Dental cavities, Gingivitis
PGP Trait & Disease Survey 2012: Genitourinary Systems Responses submitted 4/4/2014 12:29:45. Show responses
Timestamp 4/4/2014 12:29:45
Have you ever been diagnosed with any of the following conditions? Urinary tract infection (UTI)
Other condition not listed here? epididymitis
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue Responses submitted 4/4/2014 12:30:18. Show responses
Timestamp 4/4/2014 12:30:18
Have you ever been diagnosed with any of the following conditions? Dandruff, Allergic contact dermatitis, Acne
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue Responses submitted 4/4/2014 12:30:50. Show responses
Timestamp 4/4/2014 12:30:50
Have you ever been diagnosed with any of the following conditions? Osgood-Schlatter disease
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies Responses submitted 4/4/2014 12:31:11. Show responses
Timestamp 4/4/2014 12:31:11

Absolute Pitch Survey [see all responses]

Can tell if notes are in tune: Not sure
Can sing a melody on key: Not sure
Can recognize musical intervals: Not sure
Do you have absolute pitch? Not sure

Enrollment History

Participant ID:hu75FD15
Account created:2014-04-04 15:54:08 UTC
Eligibility screening:2014-04-04 15:56:17 UTC (passed v2)
Exam:2014-04-04 16:12:56 UTC (passed v20120430)
Consent:2015-08-06 14:34:34 UTC (passed v20150505)
Enrolled:2014-04-04 16:16:58 UTC