Physical

Height:
5'9"
(175 cm)
Weight:
144 lb
(65 kg)
Eye Color:
Brown
Hair:
Black/
Wavy
Skin Tone:
Medium
Ancestry:
Multi
Blood Type:
O+
Ethnic Background:
Filipino/Czech-German-Polish
Education:
AA/Art
Occupation:
Student
Interests:
Photography, Skateboarding

Medical

Question Response
Have you or any of your family members been diagnosed with alcoholism or drug addiction?
If yes, relation and age affected:
Yes - Maternal uncle, since age 40
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 AntibodyNegative
CMV IgM AntibodyNegative
Note any comments regarding above items:N/A

Family Medical History
See list of questions asked here

Question Response
Current age or age at death 53
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
35
Medication
Chronic depression
50
Medication
Question Response
Current age or age at death 56
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 23
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 60
Living / DeadDead
Cause of death and any treatment prior to deathHeart attack
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
60
None
Question Response
Current age or age at death 69
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Chronic Obstructive Pulmonary Disease (smoker)
68
Medication
Question Response
Current age or age at death 45
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 47
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alcoholism (ongoing condition)
40
None
Question Response
Current age or age at death 82
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 82
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 52
Living / DeadDead
Cause of death and any treatment prior to deathDrug overdose
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Drug abuse (methamphetamine and others)
18
None
Question Response
Current age or age at death 58
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy

Religion:

Faith None
Denomination N/A

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to profile: January 2021.
Updates - MedicalNo change to profile: January 2021.
Updates - Family Medical HistoryUpdate received January 2021: Donor's Paternal grandfather has died at age 83 of dementia related issues diagnosed at age 82. Update received January 2021.