Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
193 cm
(6'4") |
Weight:
97 kg
(215 lb) |
Eye Color:
Green
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
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Blood Type:
B+
|
Ethnic Background:
German/Dutch-English-German
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Education:
BS/Accounting & Financial Mgmt
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Occupation:
Accountant
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Interests:
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Cook, Cycle, Family, Hike, Movies, Music, Run
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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 - Near-sighted prior to LASIK procedure |
| 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 HistorySee list of questions asked here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Hysterectomy (elective surgery) | 49 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | |
| Health Problem | Colon cancer, treated with radiation | 57 |
| Prostate cancer, treated with radiation | 57 | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 32 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 71 | |
| Health Problem | Heart attack, no treatment | 71 |
| Cause of death: Heart attack | 71 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 89 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, controlled with diet | 55 |
| Breast cancer, treated with mastectomy and radiation | 65 | |
| Cataracts, treated with eye injections every other month | 65 | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 67 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 79 | |
| Health Problem | Heart failure, no treatment | 79 |
| Cause of death: Heart failure | 79 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 84 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 58 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 43 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Liver cancer, no treatment | 50 |
| Cause of death: Liver cancer | 50 | |
| Living / Dead | Dead |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 63 | Identical twin to donor's father |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Lutheran |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: September 2014, July 2015, June 2016, August 2018, May 2019, March 2020, April 2021, March 2022 March 2023. |
| Updates - Medical | No change to donor Medical Profile: September 2014, July 2015, June 2016, August 2018, May 2019, March 2020, April 2021, March 2022, March 2023. |
| Updates - Family Medical History | No change to donor Family Medical History: September 2014. Update received July 2015: Paternal grandmother has died of heart failure at age 86, no treatment received. No change to donor Family Medical History: June 2016. Update received August 2018: Maternal grandmother has died of heart failure at age 93, no treatment received. Update received May 2019: Maternal uncle #2 has died of emphysema and COPD at age 69. No change to profile: March 2020. Update September 2020: An offspring from this donor is reported with a brain anomaly present at birth that is highly unlikey to be inherited from the donor. Any furtures shipments or sales of this donor's vials will require an informed consent to be signed and notarized. Update received April 2021: Paternal Uncle #2 has died at age 69 due to complications from surgery; Paternal Uncle #4 has died at age 51 from a heart attack. No change to donor Family Medical History: March 2022, March 2023. |