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Cryogenic Laboratories, Inc.

Donor 4535 Summary Profile

Questions

Physical

Medical

Family Medical History

Updates to Profile

Physical
Race	Latino
Ethnic Background	Mexican/Mexican
Height	5'8.5''
Weight	146
Eye Color	Blue
Hair	Brown/Wavy
Skin Tone	Meddk
Blood Type	O+
Education	BS/Psychology
Occupation	Dentist
Interests	Cycling/Swimming

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 - Seasonal: Sneezing, runny nose
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Family Medical History

Your Mother
Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Healthy
Living / Dead	Living

Your Father
Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Undescended testicle, treated with surgery  7
Living / Dead	Living

Brother(s)

Your Brother 1
Question	Response	Comment/Age Affected
Current age or age at death	24
Health Problem	Healthy
Living / Dead	Living

Sister(s)

Your Sister 1
Question	Response	Comment/Age Affected
Current age or age at death	21
Health Problem	Healthy
Living / Dead	Living

Your Sister 2
Question	Response	Comment/Age Affected
Current age or age at death	20
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father
Question	Response	Comment/Age Affected
Current age or age at death	74
Health Problem	Emphysema, due to smoking, treated with oxygen therapy  73  Cause of death: Emphysema  74
Living / Dead	Dead

Your Mother's Mother
Question	Response	Comment/Age Affected
Current age or age at death	77
Health Problem	Ovarian cancer, treated with surgery  65
Living / Dead	Living

Your Mother's Sisters 1
Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1
Question	Response	Comment/Age Affected
Current age or age at death	44
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 2
Question	Response	Comment/Age Affected
Current age or age at death	35
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 3
Question	Response	Comment/Age Affected
Current age or age at death	33
Health Problem	Severe trauma due to car accident  33  Cause of death: Severe trauma due to car accident  33
Living / Dead	Dead

Your Father's Father
Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Living / Dead	Living

Your Father's Mother
Question	Response	Comment/Age Affected
Current age or age at death	68
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1
Question	Response	Comment/Age Affected
Current age or age at death	49
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2
Question	Response	Comment/Age Affected
Current age or age at death	47
Health Problem	Stroke, stress-related, no treatment  46
Living / Dead	Living

Religion:
Faith	Christian
Denomination	Roman Catholic

Updates to Profile
Update Available	Yes
Updates - Personal	No change to donor Personal Profile: September 2014. Update received July 2015: Donor has earned a BS degree in Psychology; his occupation has changed from Student to Dentistry Student. Update received September 2019: Donor's occupation has changed to Dentist. No change to donor Personal Profile: August 2022.
Updates - Medical	No change to donor Medical Profile: September 2014, July 2015, September 2019, August 2022.
Updates - Family Medical History	No change to donor Family Medical History: September 2014, July 2015, September 2019. Update received August 2022: Donor reports the birth of a healthy son, now aged 2; Donor's Father was diagnosed with high blood pressure and high cholesterol at age 48; Donor's Mother was diagnosed with high blood pressure and high cholesterol at age 48; Paternal Grandfather died at age 81 after being diagnosed with heart failure and lung cancer.