Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
|
Height:
6'1"
(185 cm) |
Weight:
176 lb
(79 kg) |
Eye Color:
Brown
|
Hair:
Black/
Curly |
Skin Tone:
Medium Light
|
Ancestry:
Latino
|
|
Blood Type:
O+
|
Ethnic Background:
Dominican/Dominican
|
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|
Education:
AS/Fine and Performing Arts
|
Occupation:
Actor
|
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|
Interests:
|
Acting, Exercise, Outdoor Activities, Team Sports, Writing
|
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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? | Yes - Near-sighted |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Pollen, sneezing and red eyes |
| 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 | 64 |
| 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 | Dead |
| Cause of death and any treatment prior to death | Stroke - Treatment unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
Age of diagnosis, treatment unknown
High Cholesterol
Age of diagnosis, treatment unknown
Brothers
Your Brother 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
Healthy
Your Brother 2
| Question | Response |
| Current age or age at death | 26 |
| 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 | 38 |
| 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 | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Prostate Cancer - No treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Prostate Cancer
80
No treatment
Your Mother's Mother
| Question | Response |
| Current age or age at death | 70 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Diabetes - No treatment |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes
70
Late diagnosis, no treatment
Your Mother'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
Healthy
Your Mother's Brothers 1
| Question | Response |
| Current age or age at death | 71 |
| 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 | 71 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 3
| Question | Response |
| Current age or age at death | 70 - Half Brother |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Mother's Brothers 4
| Question | Response |
| Current age or age at death | 69 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 5
| Question | Response |
| Current age or age at death | 68 - Half Brother |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Mother's Brothers 6
| Question | Response |
| Current age or age at death | 67 - Half Brother |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Mother's Brothers 7
| Question | Response |
| Current age or age at death | 66 - Half Brother |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Mother's Brothers 8
| 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
Your Mother's Brothers 9
| Question | Response |
| Current age or age at death | 51 |
| 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 | 80 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart Disease |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart disease
Age of diagnosis, treatment unknown
Your Father's Mother
| Question | Response |
| Current age or age at death | 85 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
85
N/A
Your Father's Sisters 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 Father's Brothers 1
| Question | Response |
| Current age or age at death | 68 |
| 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 | 67 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Father's Brothers 3
| Question | Response |
| Current age or age at death | 66 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Father's Brothers 4
| Question | Response |
| Current age or age at death | 65 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Your Father's Brothers 5
| Question | Response |
| Current age or age at death | 64 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Unknown |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Unknown
N/A
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: August 2023. |
| Updates - Medical | No cahnge to donor Medical Profile: August 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: August 2023. |