Summary Profile

Download AS PDF

Donor Number: 4600

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
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:	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	66
Health Problem	Asthma; treats with inhaler once per year	7
Health Problem	Migraines; occurs 0-2 times per year, treats with rest	26
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	67
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

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	32
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	81
Health Problem	Heart attack; treated with ventilator and pacemaker	79
Health Problem	Cause of death: Complications due to heart attack	81
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Breast cancer	86
Health Problem	Cause of death: Breast cancer	86
Living / Dead	Dead

Your Mother's Brothers 1

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

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	89
Health Problem	Dementia, treating with medication	85
Living / Dead	Living

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	34
Health Problem	Obesity	28
Health Problem	Cause of death: Accidental fall down stairs	34
Living / Dead	Dead

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Sleep apnea, treats with nighttime breathing mask	55
Living / Dead	Living

Religion:

Updates to Profile