Donor 4076 - Summary 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	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	53
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Bunion treated with surgery	50
	Back pain, treated with lumbar injections and physical therapy	50
	Parkinson's disease, no treatment received	55
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	25
Health Problem	Seasonal allergies, treats with over-the-counter medication	15
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Heart disease (heavy smoker), not treated	70
Health Problem	Cause of death: Heart failure	70
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	76
Health Problem	Lung cancer (heavy smoker), in her late 60s, treated with chemotherapy	65
Health Problem	Cause of death: Lung cancer	76
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	76
Health Problem	Heart problems, not treated	76
Health Problem	Cause of death: Heart failure	76
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	88
Health Problem	Heart problems, not treated	88
Health Problem	Cause of death: Heart failure	88
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	58
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	54
Health Problem	Healthy
Living / Dead	Living

Height: 6'2" (187 cm)	Weight: 190 lb (86 kg)	Eye Color: Blue	Hair: Blond/ Straight	Skin Tone: Medium Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: English-Swedish/Irish-German
	Education: BS/Psychology, Education		Occupation: Equity Analyst
Interests:	Reading, Self-development, Writing

Faith	Other
Denomination	Buddhist

Update Available	Yes
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	Update April 2021: A recipient reports her child has been diagnosed with autism

Donor Number: 4076

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 4076

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here