Donor 5276 - Summary Profile

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 - Far-sighted (single glasses used for computer use, only at work)
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Bactrim (as a child): Caused a rash
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Endometriosis, treated with hysterectomy	32
Living / Dead	Living

Your Father

Sisters

Your Sister 1

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Lung cancer/ Mesothelioma (smoker), treatment unknown	69
Health Problem	Cause of death: Lung cancer	70
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Dementia, no treatment	84
	Broken rib from CPR (thought to have had a heart attack), led to an infection	86
	Cause of death: Infection	86
Living / Dead	Dead

Your Mother's Sisters 1

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	58	Maternal half sister
Health Problem	High blood pressure, in her 50s (stress, poor diet), no treatment
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	69
Health Problem	Heart attack (smoker), fatal, no treatment	69
Health Problem	Cause of death: Heart attack	69
Living / Dead	Dead

Your Father's Mother

Your Father's Sisters 1

Your Father's Sisters 2

Your Father's Sisters 3

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	33
Health Problem	Healthy
	Trauma due to automobile accident	33
	Cause of death: Trauma	33
Living / Dead	Dead

Height: 175 cm (5'9")	Weight: 85 kg (188 lb)	Eye Color: Hazel	Hair: Brown/ Straight	Skin Tone: Medium	Ancestry: Caucasian
	Blood Type: O+	Ethnic Background: German-Native American/English
	Education: BBA/Supply Chain Management		Occupation: Oil and Gas Buyer
Interests:	Concerts, Plays, Rec leagues, Running, Sailing, Symphony, Tough muddies

Faith	None
Denomination	N/A

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: September 2018.
Updates - Medical	No change to donor Medical Profile: September 2018.
Updates - Family Medical History	No change to donor Family Medical History: September 2018.

Donor Number: 5276