Summary Profile

Download AS PDF

Donor Number: 1980

Profile:

Family Medical History

Updates to 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 - I choose to eat nothing greasy or fried
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 - Nickel: causes mild skin irritation
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	64
Health Problem	Healthy
Health Problem	Miscarriage	35
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Diabetes Type II	62
	Heart attack	62
	Cause of death: Fluid retention in the lungs	63
Living / Dead	Dead

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	41
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	26
Health Problem	Cat allergies	6
Health Problem	Asthma (childhood)	8
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	79
Health Problem	Cause of death: Sepsis	79
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	84
Health Problem	Multiple Sclerosis	65
Health Problem	Cause of Death: Pneumonia	84
Living / Dead	Dead

Your Mother's Sisters 1

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

Your Mother's Sisters 2

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	85
Health Problem	Healthy
Health Problem	Cause of death: Heart failure	85
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Ovarian cancer	73
Health Problem	Cause of death: Ovarian cancer	83
Living / Dead	Dead

Religion:

Updates to Profile