Physical
Height:
187 cm
(6'2") |
Weight:
85 kg
(189 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
A-
|
Ethnic Background:
English-German-Irish/Dutch-French Canadian-German
|
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Education:
BS/Computer Science
|
Occupation:
Computer Scientist
|
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Interests:
|
Fitness, History, Reading, Running
|
Medical
Question | Response |
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
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 Antibody | Positive |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | High blood pressure, controlled with diet modification | 55 |
Cataract, treated with surgery | 58 | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 30 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 32 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | 2 | |
Health Problem | Healthy | |
Living / Dead | Living |
Daughters
Your Daughter 1
Question | Response | Comment/Age Affected |
Current age or age at death | 4 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Heart attack, no treatment | 75 |
Cause of death: Heart attack | 75 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 1 | Donor's mother's identical twin |
Health Problem | Sudden Infant Death Syndrome, no treatment | 1 |
Cause of death: Sudden Infant Death Syndrome | 1 | |
Living / Dead | Dead |
Your Mother's Sisters 5
Question | Response | Comment/Age Affected |
Current age or age at death | 45 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 47 | |
Health Problem | Throat cancer, treated with surgery, chemotherapy, and radiation | 15 |
Surgery to remove scar tissue caused by throat cancer surgery | 47 | |
Cause of death: Choked during surgery to remove scar tissue | 47 | |
Living / Dead | Dead |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 38 | |
Health Problem | Colorblind, no treatment | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 44 | |
Health Problem | Healthy | |
Severe trauma due to farming accident, no treatment | 44 | |
Cause of death: Severe trauma | 44 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 95 | |
Health Problem | High blood pressure, controlled with medication | 70 |
Dementia, no treatment | 95 | |
Heart failure, no treatment | 95 | |
Cause of death: Heart failure | 95 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 83 | |
Health Problem | Heart failure, no treatment | 83 |
Cause of death: Heart failure | 83 | |
Living / Dead | Dead |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 74 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | Identical twin |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 5
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | Identical twin |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 81 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: July 2018, May 2019, February 2020, March 2021, February 2022, June 2023. |
Updates - Medical | Donor's CMV status is updated to IgG Antibody positive in April 2017. CMV IgM Antibody remains negative. No change to donor Medical Profile: July 2018, May 2019, February 2020, March 2021, February 2022, June 2023. |
Updates - Family Medical History | No change to donor Family Medical History: July 2018, May 2019, February 2020, March 2021, February 2022, June 2023. |