| Cryogenic Laboratories, Inc. |
| Donor 2961 Summary Profile |
| Questions |
| Physical |
| Medical |
| Family Medical History |
| Updates to Profile |
| Race | Cauc |
| Ethnic Background | French-English/Welsh-Irish |
| Height | 5'11'' |
| Weight | 170 Update received June 2012. See below. |
| Eye Color | Brown |
| Hair | Brown/Wavy |
| Skin Tone | Med |
| Blood Type | A+ |
| Education | AS/Life Sciences |
| Occupation | Non-profit Arts Support |
| Interests | Philanthropy, Sports, Theatre |
| Medical | ||
| Question | Response | |
| 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 | Negative | |
| CMV IgM Antibody | Negative | |
| Note any comments regarding above items: | N/A | |
| Family Medical History |
Your Mother| Question | Response | Comment/Age Affected | Current age or age at death | 45 | | Health Problem |
Living / Dead | Living | |
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Your Father| Question | Response | Comment/Age Affected | Current age or age at death | 47 | | Health Problem |
Living / Dead | Living | |
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| Brother(s) |
Your Brother 1| Question | Response | Comment/Age Affected | Current age or age at death | 24 | | Health Problem |
Living / Dead | Living | |
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| Sister(s) |
Your Sister 1| Question | Response | Comment/Age Affected | Current age or age at death | 20 | | Health Problem |
Living / Dead | Living | |
| ||||||
Your Mother's Father| Question | Response | Comment/Age Affected | Current age or age at death | 67 | | Health Problem |
Living / Dead | Living | |
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Your Mother's Mother| Question | Response | Comment/Age Affected | Current age or age at death | 64 | | Health Problem |
Living / Dead | Living | |
| ||||||
Your Mother's Brothers 1| Question | Response | Comment/Age Affected | Current age or age at death | 42 | | Health Problem |
Living / Dead | Living | |
| ||||||
Your Father's Father| Question | Response | Comment/Age Affected | Current age or age at death | 68 | | Health Problem |
Living / Dead | Living |
|
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Your Father's Mother| Question | Response | Comment/Age Affected | Current age or age at death | 66 | | Health Problem |
Living / Dead | Living | |
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Your Father's Sisters 1| Question | Response | Comment/Age Affected | Current age or age at death | 40 | | Health Problem |
Living / Dead | Living | |
| ||||||
Your Father's Brothers 1| Question | Response | Comment/Age Affected | Current age or age at death | 44 | | Health Problem |
Living / Dead | Living | | | ||||||
Your Father's Brothers 2| Question | Response | Comment/Age Affected | Current age or age at death | 44 | | Health Problem |
Living / Dead | Living | |
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| Religion: | ||
| Faith | Christian | |
| Denomination | Non-denominational | |
| Updates to Profile | ||
| Update Available | Yes | |
| Updates - Personal | Update received June 2012: Donor reports weight gain to 185 lbs., due to working-out. Update received July 2015: Occupation has changed from Actor to Operations Management. Update received June 2016: Occupation has changed to Non-profit Arts Support. | |
| Updates - Medical |
No change to donor Medical Profile: June 2012, July 2015, June 2016. |
|
| Updates - Family Medical History | Update received June 2012: Donor reports the death of his paternal grandfather, age 72, from a heart attack. No change to donor Family Medical History: July 2015. Update received June 2016: Father has been diagnosed with insulin-dependent diabetes at age 52. | |