Physical
Height:
180 cm
(5'11") |
Weight:
70 kg
(155 lb) |
Eye Color:
Blue
|
Hair:
Blond/
Wavy |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
A+
|
Ethnic Background:
Czech/Italian
|
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Education:
BA/Chemistry
|
Occupation:
Quality Control Technician
|
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Interests:
|
Flying, Photography, Target Shooting
|
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 - Poison ivy, poison oak, poison sumac: Rash/itching |
CMV IgG Antibody | Positive |
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 | 46 | |
Health Problem | High blood pressure, treated with medication and diet modification | 41 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Type 2 Diabetes, treated with insulin | 38 |
High blood pressure, treated with medication and diet modification | 45 | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 15 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Type 2 Diabetes, treated with insulin | 40 |
High blood pressure, treated with medication | 50 | |
Cause of death: Complications of diabetes | 65 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 85 | |
Health Problem | High blood pressure, treated with medication | 40 |
Stroke, no treatment received | 85 | |
Cause of death: Stroke | 85 | |
Living / Dead | Dead |
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 Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Stomach cancer, no treatment received | 70 |
Cause of death: Stomach cancer | 70 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 85 | |
Health Problem | Breast cancer, no treatment received | 85 |
Cause of death: Breast cancer | 85 | |
Living / Dead | Dead |
Religion:
Faith | Other |
Denomination | Agnostic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: September 2012, October 2014, July 2015, June 2016. Update received September 2018: Donor has earned a bachelor's degree in Chemistry; his occupation has changed from Student to Quality Control Technician. No change to donor Personal Profile: May 2019, February 2020, March 2021, February 2022. Update received March 2023: Occupation has changed to Plant Chemist. |
Updates - Medical | No change to donor Medical Profile: September 2012, October 2014. Update received July 2015: Donor is taking medication to treat anxiety. No change to donor Medical Profile: June 2016, September 2018, May 2019, February 2020, March 2021, February 2022, March 2023. |
Updates - Family Medical History | No change to donor Family Medical History: September 2012, October 2014, July 2015, June 2016, September 2018, May 2019, February 2020, March 2021, February 2022, March 2023. |