Summary Profile

Download AS PDF

Donor Number: 2783

Profile:

Family Medical History

Updates to 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:	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	63
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	62
Health Problem	Healthy
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

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	95
Health Problem	Parkinson's disease, treated with medication and surgery	82
	Prostate cancer, no treatment	85
	Cause of death: Heart failure	95
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Osteoporosis, treatment unknown	80
Health Problem	Cause of death: Accidental fall	86
Living / Dead	Dead

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	88
Health Problem	Heart failure	88
Health Problem	Cause of death: Heart failure	88
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: Automobile accident	70
Living / Dead	Dead

Religion:

Updates to Profile