Physical

Height:
5'7"
(170 cm)
Weight:
201 lb
(91 kg)
Eye Color:
Brown
Hair:
Black/
Curly
Skin Tone:
Medium
Ancestry:
Multi
Blood Type:
O+
Ethnic Background:
Mexican-Native American/African American
Education:
AAS/Biomedical Engineering
Occupation:
Student and retail
Interests:
Dancing, Guitar, Learning about various medical situations, Singing

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
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:		No
CMV IgG AntibodyNegative
CMV IgM AntibodyNegative
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 40
Health Problem Healthy  
Living / DeadLiving
Your Father
Question Response Comment/Age Affected
Current age or age at death 43
Health Problem Healthy  
Living / DeadLiving
Brothers
Your Brother 1
Question Response Comment/Age Affected
Current age or age at death 21
Health Problem Healthy 
Living / DeadLiving
Your Brother 2
Question Response Comment/Age Affected
Current age or age at death 12Maternal half brother
Health Problem Healthy 
Living / DeadLiving
Sisters
Your Sister 1
Question Response Comment/Age Affected
Current age or age at death 16Maternal half sister
Health Problem Healthy  
Living / DeadLiving
Your Sister 2
Question Response Comment/Age Affected
Current age or age at death 14Maternal half sister
Health Problem Healthy  
Living / DeadLiving
Your Mother's Father
Question Response Comment/Age Affected
Current age or age at death 67
Health Problem Healthy  
Living / DeadLiving
Your Mother's Mother
Question Response Comment/Age Affected
Current age or age at death 65
Health Problem High blood pressure, mild, no treatment needed58
Living / DeadLiving
Your Mother's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 45
Health Problem Healthy  
Living / DeadLiving
Your Mother's Sisters 2
Question Response Comment/Age Affected
Current age or age at death 39
Health Problem Healthy  
Living / DeadLiving
Your Mother's Sisters 3
Question Response Comment/Age Affected
Current age or age at death 36
Health Problem Healthy  
Living / DeadLiving
Your Mother's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 42
Health Problem Healthy  
Living / DeadLiving
Your Mother's Brothers 2
Question Response Comment/Age Affected
Current age or age at death 35
Health Problem Healthy  
Living / DeadLiving
Your Father's Father
Question Response Comment/Age Affected
Current age or age at death 75
Health Problem Healthy  
Heart failure, no treatment75
Cause of death: Heart failure75
Living / DeadDead
Your Father's Mother
Question Response Comment/Age Affected
Current age or age at death 79
Health Problem Pneumonia, treated with hospitalization79
Cause of death: Pneumonia79
Living / DeadDead
Your Father's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 31
Health Problem Healthy  
Living / DeadLiving
Your Father's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 29
Health Problem Healthy  
Living / DeadLiving

Religion:

Faith Christian
Denomination Non-denominational

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to donor Personal Profile: June 2016.
Updates - MedicalNo change to donor Medical Profile: June 2016.
Updates - Family Medical HistoryNo change to donor Family Medical History: June 2016.