Physical
Height:
5'8"
(172 cm) |
Weight:
145 lb
(65 kg) |
Eye Color:
Brown
|
Hair:
Black/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Latino
|
Blood Type:
A+
|
Ethnic Background:
Bolivian/El Salvadorian
|
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Education:
MS/Mechanical Engineering
|
Occupation:
Technology Service Manager
|
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Interests:
|
Martial Arts, Piano and Keyboard player, Reading, Running, Soccer
|
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 HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 36 | |
Health Problem | Asthma, treating with inhaler | 35 |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 14 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 32 | |
Health Problem | Healthy | |
Cause of death: Injuries sustained in an automobile accident | 32 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Healthy | |
Cause of death: Complications from broken hip after falling down stairs | 68 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 45 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 42 | |
Health Problem | Healthy | |
Cause of death: Complications of infected wound sustained in an automobile accident | 42 | |
Living / Dead | Dead |
Your Mother's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 43 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 39 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 23 | |
Health Problem | Healthy | |
Cause of death: Injuries sustained in an automobile accident | 23 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 40 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 41 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 39 | |
Health Problem | Healthy | |
Cause of death: Injuries sustained in an automobile accident | 39 | |
Living / Dead | Dead |
Religion:
Faith | Christian |
Denomination | Baptist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: May 2012. Update received November 2018: Donor's occupation has changed from Student to Technology Service Manager. |
Updates - Medical | No change to donor Medical Profile: May 2012, November 2018. |
Updates - Family Medical History | No change to donor Family Medical History: May 2012. Update received November 2018: Paternal grandfather has died, the cause of death was not reported. |