Physical

Height:
5'7"
(170 cm)
Weight:
170 lb
(77 kg)
Eye Color:
Brown
Hair:
Brown/
Wavy
Skin Tone:
Medium
Ancestry:
Multi
Blood Type:
B+
Ethnic Background:
French-Italian-Mexican/Spanish-Mexican
Education:
BA/Art History
Occupation:
Cook
Interests:
Art, Capoeira (Afro-Brazilian martial arts), Reading, Soccer, Writing

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 AntibodyPositive
CMV IgM AntibodyNegative
Note any comments regarding above items:N/A

Family Medical History
See list of questions asked here

Your Mother
Question Response
Current age or age at death 57
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Father
Question Response
Current age or age at death 65
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Sisters
Your Sister 1
Question Response
Current age or age at death 32
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Sister 2
Question Response
Current age or age at death 30
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Father
Question Response
Current age or age at death 35
Living / DeadDead
Cause of death and any treatment prior to deathPolitical assassination
Health Problems
Healthy
Your Mother's Mother
Question Response
Current age or age at death 87
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Sisters 1
Question Response
Current age or age at death 51
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 1
Question Response
Current age or age at death 56
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 2
Question Response
Current age or age at death 55
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 3
Question Response
Current age or age at death 53
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Brothers 4
Question Response
Current age or age at death 49
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Father's Father
Question Response
Current age or age at death 80
Living / DeadDead
Cause of death and any treatment prior to deathHeart attack
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
80
Unknown
Your Father's Mother
Question Response
Current age or age at death 94
Living / DeadDead
Cause of death and any treatment prior to deathUnknown
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes, in her late 70s
 
Unknown
Your Father's Sisters 1
Question Response
Current age or age at death 60
Living / DeadDead
Cause of death and any treatment prior to deathBreast cancer
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Breast cancer
50
Chemotherapy
Your Father's Sisters 2
Question Response
Current age or age at death 80
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Sisters 3
Question Response
Current age or age at death 78
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Sisters 4
Question Response
Current age or age at death 76
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Sisters 5
Question Response
Current age or age at death 70
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Sisters 6
Question Response
Current age or age at death 68
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Brothers 1
Question Response
Current age or age at death 74
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Brothers 2
Question Response
Current age or age at death 72
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Brothers 3
Question Response
Current age or age at death 61
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
(Medical history unknown)
 
N/A
Your Father's Brothers 4
Question Response
Current age or age at death 58
Living / DeadDead
Cause of death and any treatment prior to deathRenal deficiency
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Renal deficiency
52
Dialysis
Your Father's Brothers 5
Question Response
Current age or age at death 2
Living / DeadDead
Cause of death and any treatment prior to deathScorpion sting
Health Problems
Healthy

Religion:

Faith Other
Denomination Somewhat of an agnostic

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to donor Personal Profile: September 2018.
Updates - MedicalNo change to donor Medical Profile: September 2018.
Updates - Family Medical HistoryUpdate received September 2018: Maternal uncle #3 suffered a stroke at age 53, and died after a second stroke at age 55.