Donor 5104 - 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 - Lactose intolerant, causes stomach ache
Do you wear glasses or contact lenses? Are you near or far-sighted?	No - (Near-sighted prior to Lasik)
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Seasonal pollens: Cause: Sneezing, itchy eyes
CMV IgG Antibody	Positive
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	High blood pressure, controlled with medication	50
	Celiac disease, controlled with diet modifications	50
	Hysterectomy at onset of menopause	58
	Breast cancer, treated with radiation	60
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	High cholesterol, controlled with diet modifications	55
Living / Dead	Living

Sisters

Your Sister 1

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	81
Health Problem	Stroke, no treatment	75
	Parkinson's disease, controlled with medication	75
	Cause of death: Parkinson's disease	81
Living / Dead	Dead

Your Mother's Mother

Your Mother's Sisters 1

Your Mother's Brothers 1

Your Father's Father

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Breast cancer, treated with chemotherapy	60
Health Problem	Alzheimer's disease, controlled with medication	77
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	53
Health Problem	Multiple sclerosis, no treatment	49
Living / Dead	Living

Your Father's Sisters 2

Your Father's Brothers 1

Your Father's Brothers 2

Height: 6'2" (187 cm)	Weight: 190 lb (86 kg)	Eye Color: Blue	Hair: Brown/ Curly	Skin Tone: Medium Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: English-Irish/German-Polish-Russian
	Education: MS/School Psychology		Occupation: Graduate Student
Interests:	2D art, Portraits, Rock Climbing, Writing fiction

Faith	None
Denomination	Atheist

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: August 2023.
Updates - Medical	Donor's CMV status is updated to IgG Antibody positive in September 2016. CMV IgM Antibody remains negative. No change to donor Medical Profile: August 2023.
Updates - Family Medical History	Update received August 2023: Donor's Mother has died from breast cancer at age 69; Paternal Grandmother has died from Alzheimer's at age 89.

Donor Number: 5104