Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
187 cm
(6'2") |
Weight:
104 kg
(230 lb) |
Eye Color:
Green
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
O-
|
Ethnic Background:
German-Italian-Scandinavian/English
|
||||
|
Education:
AS/Math, Fire Protection
|
Occupation:
Firefighter/EMT
|
||||
|
Interests:
|
Guitar, Music, Writing
|
||||
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: | Yes - Ragweed: Stuffy nose |
| 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 | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Congestive Heart Failure | 65 |
| Emphysema - cause of death | 69 | |
| Living / Dead | Dead |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 30 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Brother 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| 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 |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 35 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 39 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Asphyxiation - cause of death | 45 |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Breast cancer, treated | 71 |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 86 | |
| Health Problem | Heart failure - cause of death (old age) | 86 |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Emphysema (smoker) | 75 |
| Congestive Heart Failure | 88 | |
| Complications of emphysema, CHF - cause of death | ||
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 85 | |
| Health Problem | Heart failure, died in sleep (old age) | 85 |
| Living / Dead | Dead |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Heart failure, died in sleep (old age) | 80 |
| Living / Dead | Dead |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 92 | |
| Health Problem | Heart failure, died in sleep (old age) | 95 |
| Living / Dead | Dead |
Your Father's Sisters 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Heart failure, died in sleep | 90 |
| Living / Dead | Dead |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Heart failure - cause of death (old age) | 75 |
| Living / Dead | Dead |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 91 | |
| Health Problem | Heart failure - cause of death (old age) | 91 |
| Living / Dead | Dead |
Your Father's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Heart failure - cause of death (old age) | 90 |
| Living / Dead | Dead |
Your Father's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| 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: January 2010, February 2011, January 2012, February 2013. Update received July 2015: Donor has completed his AS degree in Mathematics and Fire Protection. No change to donor Personal Profile: June 2016, February 2019, July 2019. Update to profile April 2020: Donor is pursuing a degree in Public Administration. No change to Personal Profile: April 2021, March 2022, March 2023. |
| Updates - Medical | No change to donor Medical Profile: January 2010, February 2011, January 2012, February 2013, July 2015, June 2016. Update received February 2019: Donor reports right ear surgeries at ages 26 and 27 to treat a cholesteatoma. No change to donor Medical Profile: July 2019, April 2020. Update received April 2021: Donor reports that he has had a vasectomy. No change to donor Medical Profile: March 2022, March 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: January 2010, February 2011, January 2012, February 2013. Update received July 2015: Maternal grandmother suffered a stroke at age 78. No change to donor Family Medical History: June 2016. Update received February 2019: Maternal grandmother died of a bowel blockage at age 79. No change to donor Family Medical History: July 2019, April 2020, April 2021, March 2022, March 2023. |