Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
185 cm
(6'1") |
Weight:
91 kg
(201 lb) |
Eye Color:
Blue
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Hair:
Blond/
Curly |
Skin Tone:
Light
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Ancestry:
Caucasian
|
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Blood Type:
O-
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Ethnic Background:
English-German-Irish/German
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Education:
BSE/Chemical Engineering
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Occupation:
Student
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Interests:
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Involved in my community through Neighborhood Ministries and Big Brothers, Sports
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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? | Yes - Near-sighted |
| 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 | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 19 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Heart attack (lifelong smoker) | 62 |
| Cause of death: Heart attack | 62 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 68 | |
| Health Problem | Pneumonia, due to smoking, treated in hospital | 68 |
| Methicillin-resistant Staphylococcus aureus (MRSA) infection | 68 | |
| Cause of death: MRSA and pneumonia | 68 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 77 | |
| Health Problem | Glaucoma, treated with eye drops and vitamins | 75 |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: December 2013, August 2015. |
| Updates - Medical | No change to donor Medical Profile: December 2013, August 2015. |
| Updates - Family Medical History | Update 2015: Donor has been tested and found to be a healthy carrier for Very Long Chain Acyl-CoA Dehydrogenase Deficiency in the ACADVL gene. Partner testing is recommended before use.Children of the donor have a 50% chance of being healthy carriers as well. Any future sales or vial shipments will require an informed consent. No change to donor Family Medical History: December 2013, August 2015. |