Donor 4897 - Summary Profile

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 Antibody	Positive
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Your Mother

Your Father

Brothers

Your Brother 1

Daughters

Your Daughter 1

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	High cholesterol, controlled with medication	55
	Heart attack, no treatment	58
	Heart attack, no treatment	61
	Cause of death: Heart attack	61
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	80
Health Problem	Alzheimer's, treated at memory care unit	75
Living / Dead	Living

Your Mother's Sisters 1

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	Obese, no treatment	35
Health Problem	Diabetes mellitus requiring insulin therapy	45
Living / Dead	Living

Your Mother's Brothers 2

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Lung cancer, (smoker) no treatment	55
Health Problem	Cause of death: Lung cancer	63
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	77
Health Problem	Alzheimer's, no treatment but placed in assisted living	76
Health Problem	Cause of death: Alzheimer's	77
Living / Dead	Dead

Your Father's Sisters 1

Your Father's Sisters 2

Height: 6'2" (187 cm)	Weight: 205 lb (92 kg)	Eye Color: Brown	Hair: Black/ Wavy	Skin Tone: Medium	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: Bohemian-English-German/German-English
	Education: BM/Composition, Songwriting		Occupation: Server/Lifeguard/Musician/EMT
Interests:	Movies, Music, Rock Climbing, Running, Swimming, Volunteering

Faith	Other
Denomination	Agnostic

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: July 2016, November 2018. Update received November 2019: Donor is now in school studying Music Composition. No change to profile: October 2020.
Updates - Medical	No change to donor Medical Profile: July 2016, November 2018, November 2019, October 2020.
Updates - Family Medical History	Update received July 2016: Maternal uncle #1 had died of a stroke at age 64; Maternal uncle #2 was diagnosed with diabetes at age 62, controlled with insulin; Paternal aunt #2 has died at age 59, the cause of death not reported. Update received November 2018: Maternal grandmother has died of complications of Alzheimer's. No change to donor Family Medical History: November 2019, October 2020.

Donor Number: 4897