Donor 5344 - 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?	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

Your Mother

Your Father

Brothers

Your Brother 1

Sisters

Your Sister 1

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	75
Health Problem	Asthma as a child (used an inhaler, outgrew)
Living / Dead	Living

Your Mother's Mother

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Healthy
Health Problem	Deviated septum, treated with surgery	16
Living / Dead	Living

Your Mother's Brothers 1

Your Mother's Brothers 2

Your Father's Father

Your Father's Mother

Your Father's Sisters 1

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	61
Health Problem	Seasonal allergies, since childhood, treats with over-the-counter medication
Living / Dead	Living

Height: 6'2" (187 cm)	Weight: 240 lb (108 kg)	Eye Color: Hazel	Hair: Brown/ Straight	Skin Tone: Medium	Ancestry: Caucasian
	Blood Type: O+	Ethnic Background: English-German-Irish/German-Irish-English
	Education: MA/Sec. Educ.; M. of Divinity		Occupation: Teacher
Interests:	Cooking, Dancing, Hiking, Reading, Yoga

Faith	Other
Denomination	Buddhist (spiritual but not religious)

Donor Number: 5344

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