Physical
Height:
5'9"
(175 cm) |
Weight:
195 lb
(88 kg) |
Eye Color:
Brown
|
Hair:
Black/
Curly |
Skin Tone:
Medium Light
|
Ancestry:
Black
|
Blood Type:
B+
|
Ethnic Background:
African American/African American
|
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Education:
MBA/Business Administration
|
Occupation:
Associate
|
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Interests:
|
Avid football fan, Enjoy outdoors and spending time with family, Exercise regularly
|
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 Antibody | Negative |
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 | 51 | |
Health Problem | Miscarriage, in her early 30s | 30 |
Obesity, no treatment | 30 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Heart attack, treated with medication | 55 |
Stroke, treated with medication | 58 | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 29 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 22 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 3
Question | Response | Comment/Age Affected |
Current age or age at death | 19 | Maternal half brother |
Health Problem | Asthma, exercise-induced, treated with medication | 15 |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 42 | Paternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 37 | Paternal half sister |
Health Problem | Gallstones, treated with medication | 34 |
Living / Dead | Living |
Your Sister 3
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | Paternal half sister |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 4
Question | Response | Comment/Age Affected |
Current age or age at death | 25 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Diabetes mellitus requiring insulin therapy, in his 60s | 60 |
Alzheimer's, treated with medication | 72 | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | High blood pressure, treated with medication | 65 |
Glaucoma, treated with surgery | 68 | |
Heart failure, treated with medication | 70 | |
Cause of death: Heart failure | 70 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 75 | |
Health Problem | Diabetes requiring insulin treatment | 65 |
Heart failure, treated with medication | 72 | |
Cause of death: Heart failure | 75 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 67 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Fatty deposits under the skin, treated with medication | 40 |
Living / Dead | Living |
Your Father's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 61 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 4
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 5
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 40 | |
Health Problem | Colon cancer, no treatment | 38 |
Cause of death: Colon cancer | 40 | |
Living / Dead | Dead |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 4
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 5
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Baptist |
Updates to Profile
Update Available | Yes |
Updates - Personal | Update received September 2018: Donor's occupation has changed from Business Analyst to Associate. |
Updates - Medical | No change to donor Medical Profile: September 2018. |
Updates - Family Medical History | No change to donor Family Medical History: September 2018. |