Physical
Height:
5'10"
(177 cm) |
Weight:
160 lb
(72 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
English-Irish/Lebanese-Spanish
|
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Education:
AA/Business
|
Occupation:
HVAC Technician
|
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Interests:
|
Mechanic, Weightlifting
|
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 HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Agoraphobia, in his mid 20s, mild, no treatment | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 29 | |
Health Problem | Healthy | |
Living / Dead | Living |
Daughters
Your Daughter 1
Question | Response | Comment/Age Affected |
Current age or age at death | 5 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 83 | |
Health Problem | Healthy | |
Cause of death: Natural causes | 83 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 82 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
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 | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Cause of death: Car accident | 56 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 92 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Pancreatic cancer, treated with radiation and surgery | 52 |
Cause of death: Pancreatic cancer | 55 | |
Living / Dead | Dead |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Brain hemorrhage, treated in hospital | 65 |
Cause of death: Brain hemorrhage | 65 | |
Living / Dead | Dead |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: July 2015, June 2017, December 2018. |
Updates - Medical | Update received July 2015: Donor had surgery on his shoulder to treat tendonitis; post-operative pain was managed with Butrans patch for a few weeks. No change to donor Medical Profile: June 2017. Donor's CMV status is updated to IgG Antibody positive in June 2017. CMV IgM Antibody remains negative. No change to donor Medical Profile: December 2018. |
Updates - Family Medical History | No change to donor Family Medical History: July 2015. Update received June 2017: Father has been diagnosed with hereditary hemochromatosis, treated with phlebotomy. No change to donor Family Medical History: December 2018. |