Donor 5243 - 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?	No
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	No
CMV IgG Antibody	Positive
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	57
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	Complications of Agent Orange exposure (Vietnam)	22
	Eczema, treated with prescription cream	25
	Wegener's granulomatosis, treated with medication and hospitalization	30
	Cause of death: Complications of Agent Orange exposure/lung failure	64
Living / Dead	Dead

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	30
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	28
Health Problem	Healthy
Living / Dead	Living

Your Sister 3

Question	Response	Comment/Age Affected
Current age or age at death	26
Health Problem	Healthy
Living / Dead	Living

Your Sister 4

Question	Response	Comment/Age Affected
Current age or age at death	21
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	87
Health Problem	Heart attack, no treatment	70
	Heart attack, no treatment	87
	Cause of death: Heart attack	87
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	98
Health Problem	High blood pressure, treated with medication	86
Health Problem	Cause of death: Heart failure	98
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	67
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Cirrhosis of liver, treated with medication	47
Health Problem	Cause of death: Cirrhosis of liver	60
Living / Dead	Dead

Your Mother's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	62
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 4

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Diabetes, not requiring insulin therapy, treated with medication	43
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	80
Health Problem	Healthy
Health Problem	Cause of death: Respiratory failure	80
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Brest cancer, treated with chemotherapy	72
Health Problem	Cause of death: Breast cancer	86
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	49
Health Problem	Healthy
Living / Dead	Living

Height: 5'8" (172 cm)	Weight: 131 lb (59 kg)	Eye Color: Brown	Hair: Black/ Curly	Skin Tone: Medium	Ancestry: Black
	Blood Type: O-	Ethnic Background: African American/African American
	Education: BS/Aviation Management		Occupation: Fitness trainer
Interests:	Acting

Faith	Other
Denomination	Spiritual - The belief in one God

Update Available	Yes
Updates - Personal	No change to Personal Profile: December 2019.
Updates - Medical	Donor's CMV status is updated to IgG Antibody positive in July 2017. CMV IgM Antibody remains negative. No change to Donor Medical Profile: December 2019.
Updates - Family Medical History	No change to Donor Family Medical History: December 2019.

Donor Number: 5243

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5243

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here