Donor 5213 - 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:	Yes - I am lactose intolerant
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:	Yes - Pollen, Cat hair, Cattails (plant): Cause cold-like symptoms
CMV IgG Antibody	Positive
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Your Mother

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	Detached retina, treated with surgery	60
Health Problem	Cataract, treated with surgery	60
Living / Dead	Living

Sisters

Your Sister 1

Daughters

Your Daughter 1

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	High cholesterol, controlled with diet modification	80
	Parkinson's, treated with medication	86
	Cause of death: Parkinson's	87
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	Blood clot in leg, treated with medication	86
Health Problem	Vascular dementia, treated with medication	86
Living / Dead	Living

Your Mother's Sisters 1

Your Mother's Brothers 1

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	Colon cancer, treated with surgery	84
Health Problem	Cause of death: Cardiac arrest	87
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	79
Health Problem	Rheumatoid arthritis, treated with medication	70
	Alzheimer's, no treatment	79
	Cause of death: Alzheimer's	79
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	64	Identical twin
Health Problem	Rheumatoid arthritis, treated with medication	57
	Brain aneurysm	64
	Cause of death: Brain aneurysm	64
Living / Dead	Dead

Your Father's Sisters 2

Your Father's Brothers 1

Height: 6'0" (182 cm)	Weight: 168 lb (76 kg)	Eye Color: Blue	Hair: Brown/ Wavy	Skin Tone: Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: English-Scottish/English-Irish
	Education: MS/Radiologic Education		Occupation: Radiologic Technologist
Interests:	Arts (theater, drawing and painting), Fishing, Gardening, Reading, Teaching, Video games, Writing

Faith	Christian
Denomination	Apostolic

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: January 2017.
Updates - Medical	No change to donor Medical Profile: January 2017. Update April 2020: Donor has tested positive as a healthy carrier for Phenylalanine Hydroxylase Deficiency (PAH). His genetic testing and risk form are located on his webpage. Any further sales or shipment of vials will require a risk form be signed. Notifications to all client who purchased were sent by email.
Updates - Family Medical History	No change to donor Family Medical History: January 2017. February 2024: Donor reports his daughter was diagnosed with Tourette Syndrome at age 11. Another child from a recipient is reported to have a tic disorder.

Donor Number: 5213