Summary Profile

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Donor Number: 4812

Profile:

Family Medical History

Updates to Profile

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:	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 - Seasonal allergies and dust: Nasal congestion, sneezing
CMV IgG Antibody	Positive
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	Comment/Age Affected
Current age or age at death	60
Health Problem	Situational depression, treated with medication and therapy	45
Health Problem	Osteoporosis, treated with diet and exercise management	55
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	62
Health Problem	Pneumonia, no treatment	7
Health Problem	Hay fever, treated with over-the-counter medication	12
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	37	(Half-brother, paternal)
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	39	(Half-sister, paternal)
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	84
Health Problem	High blood pressure, controlled with medication	60
	High cholesterol, controlled with medication	60
	Heart attack, received pacemaker	68
	Leukemia, no treatment	84
	Cause of death: Leukemia	84
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	89
Health Problem	Colon cancer, treated with surgery, chemotherapy and radiation	78
	Breast cancer, treated with surgery, chemotherapy and radiation	78
	Reduced hearing, wears hearing aid	79
	High cholesterol, controlled with medication	79
	Lung cancer, treated with chemotherapy and radiation	80
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	58
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	86
Health Problem	Diabetes mellitus requiring insulin therapy	60
Health Problem	Cause of death: Complications of diabetes	86
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	88
Health Problem	Alzheimer's, controlled with medication	86
Health Problem	Cause of death: Alzheimer's	88
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Breast cancer, treated with surgery and chemotherapy	60
Living / Dead	Living

Your Father's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	59
Health Problem	Healthy
Living / Dead	Living

Religion:

Updates to Profile

Update Available	Yes
Updates - Personal	May 2014, October 2015, August 2017, November 2017, May 2018. Update received August 2018: Donor has earned his bachelor's degree; his occupation has changed from Student to Science Museum Visitor Service Associate. No change to donor Personal Profile: July 2019, April 2020. Update received April 2021: Occupation changed from Science Museum Visitor Service Associate to Student/Data Analyst. Donor reports that he is pursuing a graduate degree in Biostatistics. No change to donor Personal Profile: September 2022.
Updates - Medical	Update received May 2014: Donor reports that his wrist was broken at age 18 (not 19). He had three surgeries, at ages 18, 19 and 20 to repair it. Donor reports that he is allergic to bee and wasp stings, which cause a rash/hives on his upper body and throat swelling. He was hospitalized at age 16 after an anaphylactic reaction to wasp stings. He has been prescribed an EpiPen for treatment of any future stings. Update received October 2015: Donor has been diagnosed with Gastroesophageal reflux disease (GERD), treated with occasional medication as needed. No change to donor Medical Profile: August 2017, November 2017, May 2018, August 2018, July 2019, April 2020. Update received April 2021: Donor donated a kidney in 2020 and was diagnosed with anxiety at age 27, treated with psychotherapy and SSRIs. Update received September 2022: Donor was diagnosed with Attention Deficit Hyperactivity Disorder at age 30, treated with Adderall.
Updates - Family Medical History	No change to donor Family Medical History: May 2014. Update received October 2015: Mother has been diagnosed with vertigo at age 63, no treatment received. Update received August 2017: Mother had cataract removal and astigmatism correction in both of her eyes at age 63. Update received November 2017: Maternal uncle was diagnosed with high levels of iron in his blood at age 61, treatment unknown. Update received May 2018: Father has been diagnosed as pre-diabetic at age 66, managed with diet and lifestyle changes. Update received August 2018: Maternal grandmother was diagnosed with dementia at age 92, managed with medication. No change to donor Family Medical History: July 2019.Update 2019: A child from this donor has been diagnosed with autism. An informed consent will be required for any vial shipments or future purchases. No change to profile: April 2020, April 2021. Update received September 2022: Donor's Mother underwent a preventative sigmoidectomy due to non-cancerous polyps at age 68, she was diagnosed with osteoporosis at age 60, treated with medication, she diagnosed with anxiety at age 70, treated with psychotherapy and SSRI: Donor's Father was diagnosed with ischemic optic neuropathy at age 67, no treatment reported; Maternal Grandmother has died at age 97 from Cardio/pulmonary failure, she had been previously diagnosed with the following: stroke (95), high blood pressure (95), thyroid disease (75), osteoarthritis (85), obesity (80).