Physical
Height:
5'11"
(180 cm) |
Weight:
174 lb
(78 kg) |
Eye Color:
Brown
|
Hair:
Black/
Curly |
Skin Tone:
Dark
|
Ancestry:
Black
|
Blood Type:
O+
|
Ethnic Background:
African American/Yoruba tribe of Nigeria
|
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Education:
BS/International Business
|
Occupation:
Accountant
|
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Interests:
|
Avid reader, Camping, Meeting people from different backgrounds, Travel, Writing poetry
|
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 HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | (Maternal half brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 34 | (Maternal half brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 3
Question | Response | Comment/Age Affected |
Current age or age at death | 28 | |
Health Problem | Eczema, treated with prescription lotion | 16 |
Living / Dead | Living |
Your Brother 4
Question | Response | Comment/Age Affected |
Current age or age at death | 10 | (Paternal half brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | 3 | |
Health Problem | Healthy | |
Living / Dead | Living |
Daughters
Your Daughter 1
Question | Response | Comment/Age Affected |
Current age or age at death | 11 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Daughter 2
Question | Response | Comment/Age Affected |
Current age or age at death | 1 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 82 | |
Health Problem | Heart attack, no treatment other than diet modification | 67 |
Heart failure, no treatment | 82 | |
Cause of death: Heart failure | 82 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 88 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Severe trauma due to accident, no treatment | 64 |
Cause of death: Severe trauma | 64 | |
Living / Dead | Dead |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 47 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Medical history unknown | |
Cause of death: Unknown | 64 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Medical history unknown | 53 |
Cause of death: Unknown | 53 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | Identical twin |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | Identical twin |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 67 | |
Health Problem | Medical history unknown | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Medical history unknown | |
Living / Dead | Living |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Baptist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: August 2015, July 2016. Update received October 2018: Donor's occupation has changed from Teacher to Accountant. |
Updates - Medical | No change to donor Medical Profile: August 2015, July 2016, October 2018. |
Updates - Family Medical History | Update received August 2015: Donor reports the birth of a healthy third daughter. No change to donor Family Medical History: July 2016, October 2018. |