Donor 5150 - 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:	No
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:	No
CMV IgG Antibody	Positive
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	53
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	Healthy
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	35
Health Problem	Healthy
Living / Dead	Living

Your Brother 2

Question	Response	Comment/Age Affected
Current age or age at death	27
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	33
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	29
Health Problem	Healthy
Living / Dead	Living

Your Sister 3

Question	Response	Comment/Age Affected
Current age or age at death	19
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Healthy
	Fell and broke hip, declined treatment	85
	Cause of death: Infection secondary to open fracture	85
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	84
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	40
Health Problem	Healthy
	Malaria (in Africa), no treatment	40
	Cause of death: Malaria	40
Living / Dead	Dead

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Healthy
	Malaria (in Africa), no treatment	45
	Cause of death: Malaria	45
Living / Dead	Dead

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
	Food poisoning, no treatment	50
	Cause of death: Food poisoning	50
Living / Dead	Dead

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	62
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 3

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

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
	Malaria (in Africa), no treatment	50
	Cause of death: Malaria	50
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	82
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2

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

Your Father's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Healthy
	Pneumonia, no treatment in time	45
	Cause of death: Pneumonia	45
Living / Dead	Dead

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	46
Health Problem	Healthy
	Malaria (in Africa), no treatment	46
	Cause of death: Malaria	46
Living / Dead	Dead

Your Father's Brothers 2

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

Height: 177 cm (5'10")	Weight: 63 kg (139 lb)	Eye Color: Brown	Hair: Black/ Curly	Skin Tone: Dark	Ancestry: Black
	Blood Type: O+	Ethnic Background: African (Luo)/African (Luo)
	Education: Master of Physician Asst.		Occupation: Medicine
Interests:	Community services, Read, Research, Study

Faith	Christian
Denomination	Catholic

Update Available	Yes
Updates - Personal	No change to Personal profile: November 2019, August 2020, April 2022.
Updates - Medical	No change to Medical profile: November 2019, August 2020, April 2022.
Updates - Family Medical History	No change to Family Medical History: November 2019, August 2020, April 2022.

Donor Number: 5150

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5150

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here