Donor 2787 - Summary 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:	Yes - Maternal uncle, age 29, has been sober for 5 years
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	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	51
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	51
Health Problem	Healthy
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	27
Health Problem	Drug abuse, treated with rehab	14
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	28
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	40
Health Problem	Tuberculosis, no treatment	40
Health Problem	Cause of death: Complications of Tuberculosis	40
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Diabetes, no treatment	40
Health Problem	Cause of death: Complications of diabetes	55
Living / Dead	Dead

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	56
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	53
Health Problem	Diabetes, treated with Insulin	35
Health Problem	Cause of death: Murder	53
Living / Dead	Dead

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	49
Health Problem	Alcoholism, no treatment (has been sober for five years)	29
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	70
Health Problem	Healthy
Living / Dead	Living

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	68
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	49
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	47
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	46
Health Problem	Healthy
Living / Dead	Living

Height: 175 cm (5'9")	Weight: 86 kg (190 lb)	Eye Color: Blue	Hair: Brown/ Straight	Skin Tone: Medium	Ancestry: Caucasian
	Blood Type: O+	Ethnic Background: Irish-Native American/German
	Education: JD/Law		Occupation: Business Executive
Interests:	Participating in my local church, Reading classic authors, spending evenings cooking

Faith	Christian
Denomination	Non-denominational

Update Available	Yes
Updates - Personal	N/A
Updates - Medical	N/A
Updates - Family Medical History	Update 2017: A child has been reported with a Congenital Heart Defect (Hypoplastic Left Heart). Any future sales or vial shipments will require an informed consent.

Donor Number: 2787

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 2787

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here