Physical

Height:
177 cm
(5'10")
Weight:
68 kg
(150 lb)
Eye Color:
Hazel
Hair:
Blond/
Straight
Skin Tone:
Light
Ancestry:
Caucasian
Blood Type:
O+
Ethnic Background:
English-Hungarian-Irish/French-Italian
Education:
MBA/Marketing
Occupation:
Supply Chain Analyst
Interests:
Cars, Computer

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 AntibodyNegative
CMV IgM AntibodyNegative
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 50
Health Problem Healthy 
Living / DeadLiving
Your Father
Question Response Comment/Age Affected
Current age or age at death 50
Health Problem Healthy 
Living / DeadLiving
Brothers
Your Brother 1
Question Response Comment/Age Affected
Current age or age at death N/A
Health Problem Fairfax Cryobank Donor #2533 
Healthy 
Living / DeadLiving
Your Mother's Father
Question Response Comment/Age Affected
Current age or age at death 68
Health Problem Prostate cancer64
Cause of death: Prostate cancer68
Living / DeadDead
Your Mother's Mother
Question Response Comment/Age Affected
Current age or age at death 69
Health Problem Diagnosed with unknown type of cancer63
Cause of death - complications due to pneumonia69
Living / DeadDead
Your Mother's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 45
Health Problem Healthy 
Living / DeadLiving
Your Father's Father
Question Response Comment/Age Affected
Current age or age at death 62
Health Problem Diabetes45
Cause of death - Diabetes62
Living / DeadDead
Your Father's Mother
Question Response Comment/Age Affected
Current age or age at death 73
Health Problem Healthy 
Living / DeadLiving
Your Father's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 51
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 50
Health Problem Healthy 
Living / DeadLiving

Religion:

Faith Other
Denomination Agnostic

Updates to Profile

Update AvailableYes
Updates - PersonalUpdate received February 2012: The donor has completed his BS in Marketing and Supply Chain Management. Update received October 2014: Donor is pursuing an MBA in Marketing and is employed as a Supply Chain Analyst. Update received July 2015: Donor has earned an MBA degree in Marketing and Management.
Updates - MedicalNo change to donor Medical Profile: February 2012, October 2014, July 2015.
Updates - Family Medical HistoryNo change to donor Family Medical History: February 2012. Update received October 2014: Paternal grandmother has died at age 78, the cause of death is not known. No change to donor Family Medical History: July 2015.