Donor 4456 - Summary 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:	Yes - Penicillin: Causes rash
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	50
Health Problem	Migraines, formerly once or twice per year, treated by restricting caffeine intake	30
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	52
Health Problem	Healthy
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	13
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	22
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	18
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	84
Health Problem	Healthy
Living / Dead	Living

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	81
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	46
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 4

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 5

Question	Response	Comment/Age Affected
Current age or age at death	43
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	54
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	42
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	40
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Gout, treated with diet modification	80
Living / Dead	Living

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1

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

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	58
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Height: 5'10" (177 cm)	Weight: 177 lb (80 kg)	Eye Color: Brown	Hair: Brown/ Straight	Skin Tone: Light	Ancestry: Caucasian
	Blood Type: O+	Ethnic Background: Czech-French/Polish
	Education: MS/Software Engineering		Occupation: Computer Engineer
Interests:	Home remodeling and renovation, Investing, Real Estate

Faith	None
Denomination	Atheist

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: March 2014, November 2015.
Updates - Medical	Update received March 2014: The donor no longer consumes alcohol. No change to donor Medical Profile: November 2015.
Updates - Family Medical History	No change to donor Family Medical History: March 2014, November 2015.UPDATE Aug 2025: A boy conceived by this donor has been diagnosed with ASD Level 3 at the age of 3. He is nonverbal at 3.5yo, has global developmental delays, and displays repetitive actions, globaldelays, eloping behaviors, inattention, decreased sense of danger, and significant communicationdifficulties. He doesn't have any other medical problems. This donor has met the Fairfax Cryobank family unit limit of 25 with no other reports of donor conceived children with autism. Risk for recurrence depends on the underlying etiology. Generally speaking, studies have estimated that, when a child has been diagnosed with ASD, the risk a second child (who was conceived by the same egg and sperm source) will develop ASD is 18 to 20%. When a half-sibling (i.e., someone conceived from the same sperm source but different egg sources) has been diagnosed with ASD, the risk that other half-siblings will develop ASD is believed to be 9 to 10%. If a specific etiology is determined,the risk of recurrence may be different. Per the clinet, her son will be meeting with their local genetic department later this year.UPDATE Nov 2025: The previously mentioned boy was determined to have a missing piece of chromosome 16 (16p11.2). Most cases of this deletion are new to an afffect person, however Fairfax will reach out to this donor to consent him to testing for this deletion. No causative link to this donor has been determined at this point nor has the egg source been tested for this deletion. Additional information will be provided when it becomes available.

Donor Number: 4456

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 4456

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here