Cryogenic Laboratories, Inc.
Donor 2281 Summary Profile






Questions
Physical
Medical
Family Medical History
Updates to Profile

Physical
Race Cauc
Ethnic Background German/German
Height 6'0''
Weight 172
Eye Color Blue
Hair Brown/Wavy
Skin Tone Medl
Blood Type A+
Education MS Elect Eng/Elect Engineer
Occupation Computer programmer
Interests Travel/Sail/Origami

Medical
QuestionResponse
Do you or any of your relatives have a history of alcoholism or alcohol abuse?
If yes, relation and age affected:		 Yes - Paternal grandfather at age 50
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:		 No
CMV IgG AntibodyNegative
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  63   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father
QuestionResponseComment/Age Affected
 Current age or age at death  75   
 Health Problem
 Appendix removed 8
 Cause of death: Heart attack 75
 Living / Dead Dead  

Brother(s)

Your Brother 1
QuestionResponseComment/Age Affected
 Current age or age at death  41   
 Health Problem
 Tonsils removed 12
 Living / Dead Living  

Your Mother's Father
QuestionResponseComment/Age Affected
 Current age or age at death  78   
 Health Problem
 Enlarged prostate 70
 Stroke - COD 78
 Living / Dead Dead  

Your Mother's Mother
QuestionResponseComment/Age Affected
 Current age or age at death  89   
 Health Problem
 Cataracts 67
 Cause of death: Cerebral Vascular Disease 89
 Living / Dead Dead  

Your Mother's Brothers 1
QuestionResponseComment/Age Affected
 Current age or age at death  38   
 Health Problem
 Healthy 
 Living / Dead Living  

Your Father's Father
QuestionResponseComment/Age Affected
 Current age or age at death  68   
 Health Problem
 Alcoholism 50
 Heart failure - COD 68
 Living / Dead Dead  

Your Father's Mother
QuestionResponseComment/Age Affected
 Current age or age at death  58   
 Health Problem
 Pneumonia - COD 58
 Living / Dead Dead  

Religion:
Faith  Christian
Denomination  Lutheran

Updates to Profile
Update Available N/A
Updates - Personal May 2016: Donor 2281 also donated with California Cryobank as donor 3204. We are working together to monitor the number of reported births.
Updates - Medical N/A
Updates - Family Medical History N/A