Donor 5277 - 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 - Dust, pollen: Cause sneezing
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	59
Health Problem	Healthy
Living / Dead	Living

Your Father

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

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	30
Health Problem	Asthma, ages 2-16, treated with inhaler (no longer affected)	2
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	38	Maternal half sister
Health Problem	Healthy
Living / Dead	Living

Sons

Your Son 1

Question	Response	Comment/Age Affected
Current age or age at death	10
Health Problem	Healthy
Living / Dead	Living

Your Son 2

Question	Response	Comment/Age Affected
Current age or age at death	5
Health Problem	Healthy
Living / Dead	Living

Your Son 3

Question	Response	Comment/Age Affected
Current age or age at death	1
Health Problem	Healthy
Living / Dead	Living

Your Son 4

Question	Response	Comment/Age Affected
Current age or age at death	0.25
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	82
Health Problem	Lung cancer (smoker), no treatment	82
Health Problem	Cause of death: Lung cancer	82
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	96
Health Problem	Congestive heart failure, palliative care only	95
Health Problem	Cause of death: Congestive heart failure	96
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Diabetes requiring insulin therapy	35
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 3

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

Your Mother's Sisters 4

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Lung cancer (smoker), treated with chemotherapy	59
Health Problem	Cause of death: Lung cancer	59
Living / Dead	Dead

Your Mother's Sisters 5

Question	Response	Comment/Age Affected
Current age or age at death	46
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	73
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 2

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

Your Mother's Brothers 3

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

Your Mother's Brothers 5

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 6

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	83
Health Problem	Healthy
Living / Dead	Living

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	78
Health Problem	Stroke, resulting in a fall, which caused swelling of the brain; surgery option was declined	78
Health Problem	Cause of death: Swelling of the brain	78
Living / Dead	Dead

Your Father's Sisters 1

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

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	53
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

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

Height: 6'2" (187 cm)	Weight: 205 lb (92 kg)	Eye Color: Hazel	Hair: Black/ Curly	Skin Tone: Medium	Ancestry: Caucasian
	Blood Type: O+	Ethnic Background: French-Italian-Spanish/German-Hungarian
	Education: AS/Recording Arts		Occupation: Engineer
Interests:	Camping, Cooking, Photography, Staying active in veteran activities

Faith	Christian
Denomination	Catholic

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: August 2019, December 2019.
Updates - Medical	No change to donor Medical Profile: August 2019, December 2019.
Updates - Family Medical History	No change to donor Family Medical History: August 2019, December 2019.

Donor Number: 5277

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5277

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here