Donor 4762 - 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:	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 History
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	63
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	64
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	43
Health Problem	Psoriasis, treated with medication	30
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	33	(Maternal half sister)
Health Problem	Healthy
Living / Dead	Living

Daughters

Your Daughter 1

Question	Response	Comment/Age Affected
Current age or age at death	7
Health Problem	Healthy
Living / Dead	Living

Your Daughter 2

Question	Response	Comment/Age Affected
Current age or age at death	4
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	71
Health Problem	Stroke, treated with medication	67
	Heart attack, treated with medication	67
	Heart failure, no treatment	71
	Cause of death: Heart failure	71
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	82
Health Problem	Osteoporosis, treated with medication	70
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	11
Health Problem	Leukemia, attempted treatment with chemotherapy	11
Health Problem	Cause of death: Leukemia	11
Living / Dead	Dead

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	51
Health Problem	Kidney infection, attempted treatment with medication	51
Health Problem	Cause of death: Kidney infection	51
Living / Dead	Dead

Your Mother's Sisters 3

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

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	88
Health Problem	Heart failure, no treatment	88
Health Problem	Cause of death: Heart failure	88
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Bone cancer, attempted treatment with chemotherapy	85
Health Problem	Cause of death: Bone cancer	85
Living / Dead	Dead

Your Father's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	67
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	66
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Healthy
Living / Dead	Living

Height: 175 cm (5'9")	Weight: 83 kg (185 lb)	Eye Color: Green	Hair: Brown/ Straight	Skin Tone: Medium Light	Ancestry: Caucasian
	Blood Type: A+	Ethnic Background: German/Dutch-German
	Education: BS/Microbiology		Occupation: IT Director
Interests:	Backpacking, Landscaping, Outdoors

Faith	Christian
Denomination	Non-denominational

Update Available	Yes
Updates - Personal	No change to donor Personal Profile: June 2016.
Updates - Medical	No change to donor Medical Profile: June 2016.
Updates - Family Medical History	No change to donor Family Medical History: June 2016.

Donor Number: 4762

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 4762

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here