Fairfax Cryobank
Donor 2925 Summary Profile






Questions
Physical
Medical
Family Medical History
Updates to Profile

Physical
Race Cauc
Ethnic Background German-Irish/French-Native American
Height 6'1''
Weight 192
Eye Color Hazel
Hair Blond/Straight
Skin Tone Med
Blood Type O-
Education MS Molecular/Cellular Nutrition
Occupation Laboratory Manager
Interests Cycling classes, Running

Medical
QuestionResponse
Any dietary restrictions?
If yes, explain:		 No
Do you wear glasses or contact lenses?
Are you near or far-sighted?		 No
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:		 Yes - Codeine, redness of skin
CMV IgG AntibodyPositive
CMV IgM AntibodyNegative
Note any comments regarding above items: N/A

Family Medical History

Your Mother
QuestionResponseComment/Age Affected
 Current age or age at death  55   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father
QuestionResponseComment/Age Affected
 Current age or age at death  58   
 Health Problem
 Healthy 
 Living / Dead Living  

Sister(s)

Your Sister 1
QuestionResponseComment/Age Affected
 Current age or age at death  28   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Sister 2
QuestionResponseComment/Age Affected
 Current age or age at death  34   
 Health Problem
 Healthy- Half sister 
 Living / Dead Living  

Your Sister 3
QuestionResponseComment/Age Affected
 Current age or age at death  35   
 Health Problem
 Healthy- Half sister 
 Living / Dead Living  

Your Sister 4
QuestionResponseComment/Age Affected
 Current age or age at death  36   
 Health Problem
 Healthy - Half-sister 
 Living / Dead Living  

Your Mother's Father
QuestionResponseComment/Age Affected
 Current age or age at death  80   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Mother's Mother
QuestionResponseComment/Age Affected
 Current age or age at death  78   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Mother's Sisters 1
QuestionResponseComment/Age Affected
 Current age or age at death  53   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Mother's Sisters 2
QuestionResponseComment/Age Affected
 Current age or age at death  51   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Mother's Brothers 1
QuestionResponseComment/Age Affected
 Current age or age at death  57   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Mother's Brothers 2
QuestionResponseComment/Age Affected
 Current age or age at death  48   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father's Father
QuestionResponseComment/Age Affected
 Current age or age at death  60   
 Health Problem
 Cause of death: Work-related accident 60
 Living / Dead Dead  

Your Father's Mother
QuestionResponseComment/Age Affected
 Current age or age at death  78   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father's Sisters 1
QuestionResponseComment/Age Affected
 Current age or age at death  55   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father's Sisters 2
QuestionResponseComment/Age Affected
 Current age or age at death  53   
 Health Problem
 Healthy 
 Living / Dead Living  

Religion:
Faith  Other
Denomination  Agnostic

Updates to Profile
Update Available Yes
Updates - Personal Update received September 2014: Donor has earned an MS degree in Molecular/Cellular Nutrition; his occupation has changed from Student to Laboratory Manager. No change to donor Personal Profile: July 2015, August 2019, May 2020. Update received March 2023: Occupation has changed to Development Laboratory Chemist.
Updates - Medical No change to donor Medical Profile: September 2014, July 2015, August 2019, May 2020, March 2023.
Updates - Family Medical History Update received September 2014: Maternal grandfather has died in a work accident; Sister #4 has died, no details were provided; Donor reports the birth of a healthy son and a healthy daughter. Update received July 2015: Maternal grandmother has died, cause of death unknown; Father was diagnosed with pancreatic cancer at age 64; he received radiation therapy and chemotherapy, but died of the cancer at age 65. No change to profile: August 2019, May 2020, March 2023.