Donor 5148 - 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:	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 - Cats: Cause sneezing
CMV IgG Antibody	Negative
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	54
Health Problem	Miscarriage, one healthy child prior and after	24
	Hyperthyroidism, controlled with medication	40
	Iron deficiency, controlled with medication	50
	Gluten sensitivity (tested negative for Celiac disease), follows gluten-free diet	51
Living / Dead	Living

Your Father

Brothers

Your Brother 1

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	31
Health Problem	Lactose intolerant, takes Lactaid pills	12
Health Problem	Gluten sensitivity (tested negative for Celiac disease), follows gluten-free diet	29
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	Knee injury, treated with two knee replacement surgeries	80
Living / Dead	Living

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Anemia-related heart failure, no treatment	83
Health Problem	Cause of death: Anemia-related heart failure	83
Living / Dead	Dead

Your Mother's Brothers 1

Your Mother's Brothers 2

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	89
Health Problem	Heart attack, mild, no treatment	80
Living / Dead	Living

Your Father's Mother

Your Father's Sisters 1

Your Father's Sisters 2

Your Father's Sisters 3

Height: 6'3" (190 cm)	Weight: 190 lb (86 kg)	Eye Color: Green	Hair: Brown/ Wavy	Skin Tone: Medium Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: Swedish/German-Irish-Welsh
	Education: BM/Music Theory		Occupation: Pianist and Piano Teacher
Interests:	Hiking, Sports, Traveling

Faith	Christian
Denomination	Lutheran

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: July 2018, May 2019, February 2020. Update received February 2021: Donor reported marriage. No change to donor Personal Profile: January 2022, January 2023.
Updates - Medical	No change to donor Medical Profile: July 2018, May 2019, February 2020, February 2021, January 2022, January 2023.
Updates - Family Medical History	Update received July 2018: Father was diagnosed with cataracts at age 56, treated with surgery. Paternal grandmother was diagnosed with dementia after a bad fall a couple of years ago, treated in memory care; she has died at age 85 from complications of dementia. No change to donor Family Medical History: May 2019, February 2020. Update Received February 2021: Donor reported death of Maternal Grandfather at age 89 from COVID-19 and death of Paternal Grandfather at age 91 from COVID-19. No change to donor Family Medical History: January 2022. Update received January 2023: Donor reports the birth of a healthy son.

Donor Number: 5148