Physical
Height:
5'8"
(172 cm) |
Weight:
196 lb
(88 kg) |
Eye Color:
Brown
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
Irish/German-Italian
|
||||
Education:
MPH/Public Health
|
Occupation:
Safety Engineer
|
||||
Interests:
|
Hockey, Saxophone
|
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 - Pollen (ragweed): Causes sneezing |
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 |
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
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
Healthy
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 33 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Brother 2
Question | Response |
Current age or age at death | 32 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Brother 3
Question | Response |
Current age or age at death | 27 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Brother 4
Question | Response |
Current age or age at death | 8 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Sisters
Your Sister 1
Question | Response |
Current age or age at death | 35 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Sister 2
Question | Response |
Current age or age at death | 16 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Sister 3
Question | Response |
Current age or age at death | 11 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Father
Question | Response |
Current age or age at death | 69 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Renal cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Renal cancer
68
None
Your Mother's Mother
Question | Response |
Current age or age at death | 79 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Carcinoid tumor |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Carcinoid tumor
78
None
Your Mother's Brothers 1
Question | Response |
Current age or age at death | 65 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 2
Question | Response |
Current age or age at death | 62 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
62
None
Your Father's Father
Question | Response |
Current age or age at death | 67 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack, fatal
67
None
Your Father's Mother
Question | Response |
Current age or age at death | 67 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Bladder cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Bladder cancer
62
Chemotherapy
Your Father's Sisters 1
Question | Response |
Current age or age at death | 53 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: May 2019, August 2020, May 2022. |
Updates - Medical | No change to donor Medical Profile: May 2019, August 2020, May 2022. |
Updates - Family Medical History | No change to donor Family Medical History: May 2019, August 2020, May 2022. |