This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Physical
Height:
6'4"
(193 cm) |
Weight:
190 lb
(86 kg) |
Eye Color:
Blue
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Norwegian/Swedish
|
||||
Education:
Pursuing BS/Food Science
|
Occupation:
Quality Assurance Technician
|
||||
Interests:
|
Antiques, Individual Sports, Memorabilia, Team 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 | 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 | 60 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Brain Aneurysm |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Brain Aneurysm
60
No treatment, fatal. No prior conditions.
Your Father
Question | Response |
Current age or age at death | 66 |
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 | 77 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Kidney Failure |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Kidney failure
60
Dialysis
Your Mother's Mother
Question | Response |
Current age or age at death | 86 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart failure |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart failure
86
No treatment, passed away in sleep
Your Mother's Sisters 1
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
Disease
Age Diagnosed
Treatment For Condition
Systemic Lupus
49
Daily medication
Your Mother's Sisters 2
Question | Response |
Current age or age at death | 56 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Liver Cancer |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Liver Cancer
56
None, contracted Hepatitis C from husband who was a drug user
Your Father's Father
Question | Response |
Current age or age at death | 84 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
84
No treatment, fatal
Your Father's Mother
Question | Response |
Current age or age at death | 87 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Stroke |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
87
No treatment, fatal
Your Father's Sisters 1
Question | Response |
Current age or age at death | 79 |
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 | 77 |
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 | 75 |
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 | 73 |
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 | 71 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
Faith | Christian |
Denomination | Lutheran |
Updates to Profile
Update Available | Yes |
Updates - Personal | Update received October 2023: Occupation has changed to Spare Parts Coordinator. |
Updates - Medical | No change to donor Medical Profile: October 2023. |
Updates - Family Medical History | No change to donor Family Medical History: October 2023. |