Physical
|
Height:
6'0"
(182 cm) |
Weight:
172 lb
(78 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
German-Irish-Norwegian-Scottish-Swedish/German
|
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|
Education:
AAS/Business Administration
|
Occupation:
Library Clerk
|
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|
Interests:
|
Art, Design, Inventing
|
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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 | 57 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Heart disease, treated with heart valve replacement and blood thinners | 52 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 29 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 27 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 22 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 79 | |
| Health Problem | Lyme disease, late diagnosis, attempted treatment with antibiotics | 49 |
| Bed sores, developed due to age and infirmity, no treatment received | 79 | |
| Cause of death: Infection resulting from bed sores | 79 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 91 | |
| Health Problem | Pneumonia, treated with antibiotics | 80 |
| Breast cancer, treated with surgery | 83 | |
| Pneumonia, no treatment | 91 | |
| Cause of death: Pneumonia | 91 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy; controlled with diet modifications | 60 |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, controlled with diet modifications | 51 |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Lymphoma, attempted treatment with chemotherapy | 69 |
| Cause of death: Lymphoma | 74 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Stroke, treated with medication | 73 |
| Dementia, due to stroke, no treatment | 74 | |
| Heart attack, no treatment | 78 | |
| Cause of death: Heart attack | 78 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Low blood pressure, controlled with medication | 50 |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | High blood pressure, controlled with medication | 45 |
| Living / Dead | Living |
Your Father's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: July 2015. Update received August 2016: Donor's occupation has changed from IT/Communications Administration to Library Clerk. No change to donor Personal Profile: November 2016, October 2018, March 2019, July 2020, May 2022. Update received September 2025: Occupation has changed to Library Associate. |
| Updates - Medical | No change to donor Medical Profile: July 2015, August 2016, November 2016, October 2018. Update received March 2019: Donor has undergone laser eye surgery. No change to profile: July 2020, May 2022. Update received September 2025: Donor was diagnosed with lung cancer (NSCLC Adenocarcinoma--ALK Mutation) at age 40, treated with Alecensa. |
| Updates - Family Medical History | No change to donor Family Medical History: July 2015. Update received August 2016: Maternal aunt #2 diagnosed with subacute cutaneous lupus at age 64. No change to donor Family Medical History: November 2016, October 2018, March 2019. Update received July 2020: Donor's Maternal uncle #1 has been diagnosed with liver cancer at age 68. Treated with surgery and chemotherapy. Update received May 2022: Donor's brother was diagnosed with Meniere's Disease at age 36, treated with an OTC lipoflavenoid. Update received Septemberr 2025: Maternal Uncle #1 died from liver cancer at age 68. |

Physical
Medical
Family Medical History
Religion
Updates to Profile