Donor 4499 - 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 - Pollen, dust; seasonal: Runny nose
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	60
Health Problem	Hypothyroidism, treats with medication	45
Health Problem	Osteoporosis, treats with medication	47
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	High cholesterol, treats with statins	55
Living / Dead	Living

Brothers

Your Brother 1

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

Sons

Your Son 1

Question	Response	Comment/Age Affected
Current age or age at death	11
Health Problem	Healthy
Living / Dead	Living

Your Son 2

Question	Response	Comment/Age Affected
Current age or age at death	1
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	80
Health Problem	Asthma, age of onset and treatment (if any) unknown
	Bronchial pneumonia, treated in hospital	80
	Cause of death: Complications of pneumonia	80
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	52
Health Problem	Breast cancer, no treatment received	51
Health Problem	Cause of death: Breast cancer	52
Living / Dead	Dead

Your Mother's Sisters 1

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

Your Mother's Sisters 2

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

Your Mother's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	47
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	66
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	67
Health Problem	Healthy
Health Problem	Cause of death: Automobile accident	67
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Diabetes type II, treats with oral medication	45
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	66
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2

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

Height: 5'7" (170 cm)	Weight: 172 lb (78 kg)	Eye Color: Brown	Hair: Black/ Wavy	Skin Tone: Medium	Ancestry: Latino
	Blood Type: B+	Ethnic Background: Chilean-Spanish/Chilean
	Education: Pharm. D. (equivalent)		Occupation: Pharmacist, Writer, Translator
Interests:	Literature

Faith	Christian
Denomination	Catholic

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: July 2015.
Updates - Medical	No change to donor Medical Profile: July 2015.
Updates - Family Medical History	No change to donor Family Medical History: July 2015.

Donor Number: 4499

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 4499

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here