Donor 5195 - Summary Profile

This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details

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:	Yes - Maternal uncle, drugs and alcohol, ages 18-45 (recovered)
Any dietary restrictions? If yes, explain:	No
Do you wear glasses or contact lenses? Are you near or far-sighted?	Yes - Astigmatism
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused:	Yes - Dust and mold: Cause stuffy nose and swollen eyes
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
Current age or age at death	47
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Disease

Age Diagnosed

Treatment For Condition

Thyroid disease

Medication

Migraines

Over-the-counter medication

Your Father

Question	Response
Current age or age at death	46
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	26 - Maternal half brother
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	16
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	12
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	30
Living / Dead	Dead
Cause of death and any treatment prior to death	Trauma due to car accident

Health Problems

Healthy

Your Mother's Mother

Question	Response
Current age or age at death	63
Living / Dead	Dead
Cause of death and any treatment prior to death	Lung cancer

Health Problems

Disease

Age Diagnosed

Treatment For Condition

Lung cancer (smoker)

Chemotherapy and radiation

Your Mother's Sisters 1

Question	Response
Current age or age at death	40
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	38
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Mother's Sisters 3

Question	Response
Current age or age at death	36
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Mother's Sisters 4

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 Mother's Brothers 1

Question	Response
Current age or age at death	49
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Disease

Age Diagnosed

Treatment For Condition

Alcoholism, recovered at age 45

Unknown

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

None

Your Father's Mother

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 Father's Sisters 1

Question	Response
Current age or age at death	45
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Sisters 2

Question	Response
Current age or age at death	43
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Sisters 3

Question	Response
Current age or age at death	40
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Sisters 4

Question	Response
Current age or age at death	38
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	48
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	47
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Brothers 3

Question	Response
Current age or age at death	39
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Brothers 4

Question	Response
Current age or age at death	37
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Brothers 5

Question	Response
Current age or age at death	36
Living / Dead	Living
Cause of death and any treatment prior to death	N/A

Health Problems

Healthy

Your Father's Brothers 6

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

Height: 5'10" (177 cm)	Weight: 163 lb (73 kg)	Eye Color: Brown	Hair: Brown/ Straight	Skin Tone: Medium Light	Ancestry: Multi
	Blood Type: B+	Ethnic Background: Finnish-Swedish/Mexican
	Education: AS/Criminal Justice		Occupation: Student/Postal Worker
Interests:	Music, Sports

Faith	Islam
Denomination	N/A

Donor Number: 5195

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

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

Donor Number: 5195

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here