Donor 5360 - Summary Profile

Physical

Medical

Question	Response
Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected:	Yes - Maternal grandfather, heavy drinker
Any dietary restrictions? If yes, explain:	No
Do you wear glasses or contact lenses? Are you near or far-sighted?	Yes - Near-sighted
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Pollens: Cause sneezing
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Family Medical History
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Anemia, in her early 30s, treated with iron supplements, no longer affected
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	47
Health Problem	Deviated septum, since birth, treated with surgery at age 30
Health Problem	Kidney stones, in his 30s, passed naturally
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	30	Maternal half brother
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	23
Health Problem	Healthy
Health Problem	Mild seasonal allergies, since childhood, no treatment necessary
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	21
Health Problem	Healthy
	Mild seasonal allergies, since childhood, no treatment necessary
	Anxiety (situational), no treatment	20
Living / Dead	Living

Your Sister 3

Question	Response	Comment/Age Affected
Current age or age at death	8	Paternal half sister
Health Problem	Healthy
Health Problem	Mild seasonal allergies, no treatment necessary
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	78
Health Problem	Obese (not diagnosed), lifelong, no treatment
	Heavy drinker as an adult, no treatment
	Liver damage, controlled by avoiding alcohol	50
Living / Dead	Living

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	75
Health Problem	Osteoarthritis, no treatment	60
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	47
Health Problem	Healthy
Health Problem	Miscarriage (age unknown)
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	40
Health Problem	Multiple sclerosis, treated with physical therapy	30
Health Problem	Cause of death: Complications of multiple sclerosis	40
Living / Dead	Dead

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	High blood pressure, no treatment	40
	High cholesterol, no treatment	40
	Heart attack, fatal, no treatment	55
	Cause of death: Heart attack	55
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	82
Health Problem	Osteoarthritis, no treatment	75
	Organ failure	82
	Cause of death: Organ failure	82
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	54
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	49
Health Problem	Healthy
Living / Dead	Living

Height: 177 cm (5'10")	Weight: 65 kg (144 lb)	Eye Color: Brown	Hair: Black/ Wavy	Skin Tone: Medium	Ancestry: Latino
	Blood Type: O+	Ethnic Background: Mexican-Spanish/Mexican
	Education: BS/Physics		Occupation: Student/Tutor, Restaurant Help
Interests:	Cooking, Reading

Faith	Other
Denomination	Agnostic

Update Available	N/A
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	Update received March 2021: Maternal Grandmother has died at at 79 from COVID-19, treated with hospitalization.

Donor Number: 5360

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5360

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here