Donor 5062 - 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:	No
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	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	Healthy
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	33
Health Problem	Healthy
Living / Dead	Living

Your Brother 2

Question	Response	Comment/Age Affected
Current age or age at death	31
Health Problem	Post-traumatic stress disorder (from military service), treatment unknown	24
Living / Dead	Living

Sons

Your Son 1

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	93
Health Problem	Healthy
Health Problem	Cause of death: Heart failure (he died in his sleep)	93
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	89
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 1

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

Your Mother's Sisters 2

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

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Unknown
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Unknown
Living / Dead	Living

Your Mother's Brothers 3

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

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	93
Health Problem	Heart attack, fatal, no treatment	93
Health Problem	Cause of death: Heart attack	93
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	91
Health Problem	Heart attack, fatal, no treatment	91
Health Problem	Cause of death: Heart attack	91
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	51
Health Problem	Unknown
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Unknown
Living / Dead	Living

Your Father's Brothers 2

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

Your Father's Brothers 3

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

Height: 5'10" (177 cm)	Weight: 190 lb (86 kg)	Eye Color: Brown	Hair: Black/ Straight	Skin Tone: Medium	Ancestry: Latino
	Blood Type: O+	Ethnic Background: Bolivian/Bolivian
	Education: BS/Life Sciences		Occupation: Chiropractic Assistant
Interests:	Exercise, Gym

Faith	Christian
Denomination	Non-denominational

Donor Number: 5062

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Update Available	N/A
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	N/A

Donor Number: 5062

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here