Summary Profile

Download AS PDF

Donor Number: 4909

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	50
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	52
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	84
Health Problem	Benign enlargement of the prostate, treated with surgery	75
Health Problem	High blood pressure, treated with medication	78
Living / Dead	Living

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	80
Health Problem	Stroke, fatal, no treatment	80
Health Problem	Cause of death: Stroke	80
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Hepatitis A, treated with medication	11
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Heart attack, fatal, no treatment	65
Health Problem	Cause of death: Heart attack	65
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Heart failure	83
Health Problem	Cause of death: Heart failure	83
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	High cholesterol, treats with medication and diet	57
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	39
Health Problem	Cause of death: Murder	39
Living / Dead	Dead

Religion:

Updates to Profile