Physical
Height:
5'10"
(177 cm) |
Weight:
170 lb
(77 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
B+
|
Ethnic Background:
Irish-Italian/German
|
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Education:
MBA
|
Occupation:
Engineer
|
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Interests:
|
Exercising, Reading, Sports
|
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 HistorySee list of questions asked here
Your Mother
Question | Response |
Current age or age at death | 58 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Acid reflux
43
Medication
Your Father
Question | Response |
Current age or age at death | 59 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
47
Medication
Your Mother's Father
Question | Response |
Current age or age at death | 75 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Natural causes |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Dementia, in his 60s
None
Died of natural causes in his mid-70s
N/A
Your Mother's Mother
Question | Response |
Current age or age at death | 81 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 1
Question | Response |
Current age or age at death | 60 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 2
Question | Response |
Current age or age at death | 56 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Father
Question | Response |
Current age or age at death | 85 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Bowel cancer, in his 70s
Surgery
Your Father's Mother
Question | Response |
Current age or age at death | 73 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes requiring insulin therapy
53
N/A
Heart attack
73
None
Your Father's Sisters 1
Question | Response |
Current age or age at death | 62 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
42
Medication
Your Father's Sisters 2
Question | Response |
Current age or age at death | 55 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 1
Question | Response |
Current age or age at death | 61 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 2
Question | Response |
Current age or age at death | 58 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure, in his 40s
Medication
Your Father's Brothers 3
Question | Response |
Current age or age at death | 56 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
Faith | None |
Denomination | Atheist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: January 2019, November 2019. |
Updates - Medical | No change to donor Medical Profile: January 2019. Donor's CMV status is updated to IgG Antibody positive in May 2019. CMV IgM Antibody remains negative. No change to Medical Profile: November 2019. |
Updates - Family Medical History | No change to donor Family Medical History: January 2019, November 2019. |