Donor 5322 - Summary Profile

Physical

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?	Yes - Near-sighted
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Tree pollens: Cause chest tightness
CMV IgG Antibody	Negative
CMV IgM Antibody	Negative
Note any comments regarding above items:	N/A

Family Medical History
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Healthy
Health Problem	Eczema (treated with a cream)	35
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Blocked coronary artery (treated with surgery, is recovering well)	65
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	37	Maternal half brother
Health Problem	HIV (treats with medication)	30
Living / Dead	Living

Your Brother 2

Question	Response	Comment/Age Affected
Current age or age at death	29	Maternal half brother
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

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	89
Health Problem	Pneumonia (no treatment)	89
Health Problem	Cause of death: Pneumonia	89
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	93
Health Problem	Alzheimer's (treated with assisted care)	93
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	66
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	25
Health Problem	HIV (no treatment)	25
Health Problem	Cause of death: Complications of HIV/AIDS	25
Living / Dead	Dead

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Obesity, no treatment	50
	Heart attack, no treatment	59
	Cause of death: Heart attack	59
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	Healthy
Health Problem	Cause of death: Heart failure (passed in her sleep)	87
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	68
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	30
Health Problem	Healthy
Health Problem	Cause of death: Car accident	30
Living / Dead	Dead

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	74
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	72
Health Problem	Overweight, managed with changes to diet	65
Living / Dead	Living

Height: 6'1" (185 cm)	Weight: 175 lb (79 kg)	Eye Color: Green	Hair: Brown/ Curly	Skin Tone: Medium	Ancestry: Multi
	Blood Type: A+	Ethnic Background: English-German-Scottish/African American
	Education: BA/Christian Leadership		Occupation: Consultant
Interests:	Being Active, Cooking, Outdoors, Working out

Faith	Christian
Denomination	Ecumenical

Donor Number: 5322

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Update Available	N/A
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	N/A

Donor Number: 5322

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here