Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
6'0"
(182 cm) |
Weight:
222 lb
(100 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Irish-Italian-Lithuanian/Italian
|
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|
Education:
BA/ Law/Justice
|
Occupation:
Cook, Student
|
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|
Interests:
|
Drawing, Hiking, Reading, Video games
|
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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 | Negative |
| CMV IgM Antibody | Negative |
| Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 39 | |
| Health Problem | Miscarriage, due to an automobile accident | 20 |
| High cholesterol, controlled with diet changes | 25 | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 41 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 2 | Maternal half brother |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 11 | Maternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 9 | Paternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 7 | Paternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 5 | Paternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Trauma due to car accident | 58 | |
| Cause of death: Trauma | 58 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Heroin addiction, in her 20's, no treatment | |
| Lung cancer (heavy smoker), treated with chemotherapy | 52 | |
| Cause of death: Lung cancer | 54 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 37 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 35 | Half sibling |
| Health Problem | Healthy | |
| Trauma due to car accident | 35 | |
| Cause of death: Trauma | 35 | |
| Living / Dead | Dead |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Heart attack, fatal, no treatment | 64 |
| Cause of death: Heart attack | 64 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 76 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 46 | |
| Health Problem | Healthy | |
| Gluten allergy | 46 | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: September 2018, November 2018, December 2018, February 2019. Update received June 2022: Occupation has changed to Operations Lead. Update received July 2023: Occupation has changed to Operations Supervisor. |
| Updates - Medical | No change to donor Medical Profile: September 2018, November 2018, December 2018, February 2019, June 2022, July 2023. |
| Updates - Family Medical History | Update received September 2018: Donor reports that his paternal grandmother suffered a brain aneurysm at age 68, treated with surgery. Update received November 2018: Paternal grandmother has had a stent placed in her brain at age 78 to prevent rupture of the aneurysm. No change to donor Family Medical History: December 2018, February 2019, June 2022, July 2023. |