Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'7"
(170 cm) |
Weight:
133 lb
(60 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Curly |
Skin Tone:
Medium Light
|
Ancestry:
Multi
|
|
Blood Type:
AB+
|
Ethnic Background:
Lithuanian Jewish-Polish/Puerto Rican
|
||||
|
Education:
BA/History, Economics
|
Occupation:
Billing Specialist
|
||||
|
Interests:
|
Computer games, Reading
|
||||
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 | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 18 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 16 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Pneumonia, treated with hospitalization and antibiotics | 90 |
| Cause of death: Pneumonia | 90 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 88 | |
| Health Problem | Alzheimer's disease, no treatment | 84 |
| High blood pressure, treated with medication | 88 | |
| Cause of death: Cardiac arrest | 88 | |
| Living / Dead | Dead |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 44 | |
| 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 | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 48 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | I believe in heaven and hell, but I don't think about too much beyond that |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2014, January 2016, January 2018, June 2018. |
| Updates - Medical | No change to donor Medical Profile: February 2014, January 2016, January 2018, June 2018. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2014, January 2016, January 2018, June 2018. Update April 2024: A recipient reports her daughter, age 2, is diagnosed with autism spectrum disorder. |