Physical
Height:
182 cm
(6'0") |
Weight:
85 kg
(189 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
German-Irish/Colombian-Native American-Mexican
|
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Education:
BA/Mathematics
|
Occupation:
Overnight Manager
|
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Interests:
|
Acting, Singing
|
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 | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 19 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 24 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 78 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Broken hip, treated with physical therapy | 84 |
Cause of death: Heart failure | 84 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | |
Health Problem | Healthy | |
Cause of death: Automobile accident | 35 | |
Living / Dead | Dead |
Religion:
Faith | Christian |
Denomination | Methodist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: July 2012. |
Updates - Medical | No change to donor Medical Profile: July 2012. |
Updates - Family Medical History | No change to donor Family Medical History: July 2012. June 2015: A recipient has reported her child has keratosis pilaris, a benign skin condition that is very common and can run in families. The donor's medical history is negative for this condition. Update 2017: A child has been reported with a Hypospadias. Any future sales or vial shipments will require an informed consent. |