Summary Profile

Download AS PDF

Donor Number: 4347

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?	No - (Near-sighted before laser surgery)
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	No
CMV IgG Antibody	Negative
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	67
Health Problem	Obesity, in her mid 20s, no treatment	25
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	75
Health Problem	Throat cancer (smoker), treated with chemotherapy and surgery	65
	Stroke, in his late 60s, treated in hospital	67
	Stroke, fatal, no treatment	75
	Cause of death: Stroke	75
Living / Dead	Dead

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Heart attack, in his late 70s, no treatment	77
	Heart attack, fatal, no treatment	83
	Cause of death: Heart attack	83
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Heart attack, fatal, no treatment	60
Health Problem	Cause of death: Heart attack	60
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	69
Health Problem	Stroke, fatal, no treatment	69
Health Problem	Cause of death: Stroke	69
Living / Dead	Dead

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
	Trauma due to train accident	50
	Cause of death: Trauma	50
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Heart failure, taken to hospital, but no treatment administered	60
Health Problem	Cause of death: Heart failure	60
Living / Dead	Dead

Religion:

Updates to Profile