Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
5'9"
(175 cm) |
Weight:
136 lb
(61 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
German-Norwegian/Austrian-Swedish
|
||||
|
Education:
AA/Entrepreneurship (incompl.)
|
Occupation:
Delivery Driver
|
||||
|
Interests:
|
Band manager, Bikes, Bonfires, Outdoors
|
||||
Medical
| Question | Response |
| Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | Yes - Sister #1, ages 20-30; Maternal grandfather, in his 20s |
| Any dietary restrictions? If yes, explain: | No |
| 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: | 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 | 61 | |
| Health Problem | Migraines, controlled with medication | 40 |
| Lung cancer (smoker), attempted treatment with chemotherapy and radiation | 59 | |
| Cause of death: Lung cancer | 61 | |
| Living / Dead | Dead |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | Paternal half sister |
| Health Problem | Alcoholism, treated through Alcoholics Anonymous (24 years sober) | 20 |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 31 | Maternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Alcoholism, began in his 20s, no treatment | 20 |
| Lung cancer (smoker), no treatment | 63 | |
| Cause of death: Lung cancer | 63 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 80 | |
| Health Problem | Stomach cancer, no treatment | 80 |
| Cause of death: Stomach cancer | 80 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Anxiety, controlled with medication | 50 |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 70 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 69 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 6
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Heart palpitations, no treatment | 50 |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 99 | |
| Health Problem | Heart failure, no treatment | 99 |
| Cause of death: Heart failure | 99 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 90 | |
| Health Problem | Alzheimer's disease, controlled with medication | 85 |
| Cause of death: Alzheimer's disease | 90 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 69 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 65 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | Update November 2020: Donor's occupation has changed from Delivery Driver to Coffee Roaster. |
| Updates - Medical | No change to profile: November 2020. |
| Updates - Family Medical History | Update November 2020: Donor's father has passed away at age 79 of prostate cancer. He had no treatment before his death. |