Fairfax Cryobank |
Donor 2925 Summary Profile |
Questions |
Physical |
Medical |
Family Medical History |
Updates to Profile |
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 | ||
Question | Response | |
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 Antibody | Positive | |
CMV IgM Antibody | Negative | |
Note any comments regarding above items: | N/A |
Family Medical History |
Your MotherQuestion | Response | Comment/Age Affected | Current age or age at death | 55 | | Health Problem |
Living / Dead | Living | |
|
Your FatherQuestion | Response | Comment/Age Affected | Current age or age at death | 58 | | Health Problem |
Living / Dead | Living | |
|
Sister(s) |
Your Sister 1Question | Response | Comment/Age Affected | Current age or age at death | 28 | | Health Problem |
Living / Dead | Living | | |
Your Sister 2Question | Response | Comment/Age Affected | Current age or age at death | 34 | | Health Problem |
Living / Dead | Living | | |
Your Sister 3Question | Response | Comment/Age Affected | Current age or age at death | 35 | | Health Problem |
Living / Dead | Living | | |
Your Sister 4Question | Response | Comment/Age Affected | Current age or age at death | 36 | | Health Problem |
Living / Dead | Living | |
|
Your Mother's FatherQuestion | Response | Comment/Age Affected | Current age or age at death | 80 | | Health Problem |
Living / Dead | Living | |
|
Your Mother's MotherQuestion | Response | Comment/Age Affected | Current age or age at death | 78 | | Health Problem |
Living / Dead | Living | |
|
Your Mother's Sisters 1Question | Response | Comment/Age Affected | Current age or age at death | 53 | | Health Problem |
Living / Dead | Living | | |
Your Mother's Sisters 2Question | Response | Comment/Age Affected | Current age or age at death | 51 | | Health Problem |
Living / Dead | Living | |
|
Your Mother's Brothers 1Question | Response | Comment/Age Affected | Current age or age at death | 57 | | Health Problem |
Living / Dead | Living | | |
Your Mother's Brothers 2Question | Response | Comment/Age Affected | Current age or age at death | 48 | | Health Problem |
Living / Dead | Living | |
|
Your Father's FatherQuestion | Response | Comment/Age Affected | Current age or age at death | 60 | | Health Problem |
Living / Dead | Dead | |
|
Your Father's MotherQuestion | Response | Comment/Age Affected | Current age or age at death | 78 | | Health Problem |
Living / Dead | Living | |
|
Your Father's Sisters 1Question | Response | Comment/Age Affected | Current age or age at death | 55 | | Health Problem |
Living / Dead | Living | | |
Your Father's Sisters 2Question | Response | Comment/Age Affected | Current age or age at death | 53 | | Health Problem |
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. |