Physical
Height:
185 cm
(6'1") |
Weight:
97 kg
(215 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Irish-Scottish/Irish-Scottish
|
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Education:
BS/Biology
|
Occupation:
Scientist
|
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Interests:
|
Brewing, Film, Music
|
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 | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 30 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sons
Your Son 1
Question | Response | Comment/Age Affected |
Current age or age at death | 1 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Coal miner's lung, treatment (if any) unknown | 60 |
Cause of death: Coal miner's lung | 60 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 87 | |
Health Problem | Diabetes, treated with diet | 70 |
Heart attack, no treatment | 87 | |
Cause of death: Heart attack | 87 | |
Living / Dead | Dead |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 77 | |
Health Problem | Kidney cancer, treated with chemotherapy | 77 |
Cause of death: Kidney cancer | 77 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 87 | |
Health Problem | Gallstone, treated with surgery | 70 |
High blood pressure, treated with medication | 70 | |
Heart disease, treated with medication | 87 | |
Cause of death: Heart disease | 87 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Church of Christ |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: January 2014, July 2015, June 2016. |
Updates - Medical | No change to donor Medical Profile: January 2014, July 2015, June 2016. |
Updates - Family Medical History | Update received January 2014: Donor reports the birth of a healthy daughter. No change to donor Family Medical History: July 2015, June 2016. |