Donor 5340 - 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?	Yes - Near-sighted
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Cedar and oak pollen: Causes sneezing, 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	58
Health Problem	High blood pressure, controlled with medication	50
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	High blood pressure, controlled with medication	58
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	40
Health Problem	Healthy
Living / Dead	Living

Your Brother 2

Question	Response	Comment/Age Affected
Current age or age at death	34
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	35
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	78
Health Problem	Heart attack, fatal, no treatment	78
Health Problem	Cause of death: Heart attack	78
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Leukemia, treated with radiation	55
Health Problem	Cause of death: Complications of leukemia	70
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	High blood pressure, controlled with medication	40
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	High cholesterol, controlled with medication	40
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Unknown (estranged from family)
Health Problem	Cause of death: Unknown	48
Living / Dead	Dead

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Heart attack, fatal, no treatment	45
Health Problem	Cause of death: Heart attack	45
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Health Problem	Cause of death: Heart failure	70
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Health Problem	Cause of death: Heart failure	70
Living / Dead	Dead

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	72
Health Problem	High 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	66
Health Problem	High blood pressure, controlled with medication	45
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	14
Health Problem	Healthy
Health Problem	Cause of death: Accident	14
Living / Dead	Dead

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	68
Health Problem	Heart attack, fatal, no treatment	68
Health Problem	Cause of death: Heart attack	68
Living / Dead	Dead

Your Father's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	High blood pressure, controlled with medication	45
Living / Dead	Living

Height: 5'5" (165 cm)	Weight: 167 lb (75 kg)	Eye Color: Brown	Hair: Black/ Wavy	Skin Tone: Dark	Ancestry: Asian
	Blood Type: O+	Ethnic Background: Indian/Indian
	Education: MS/Information Technology		Occupation: Software Engineer
Interests:	Cooking, Soccer

Faith	Other
Denomination	Hindu

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: July 2018.
Updates - Medical	No change to donor Medical Profile: July 2018.
Updates - Family Medical History	No change to donor Family Medical History: July 2018.

Donor Number: 5340

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5340

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here