Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
187 cm
(6'2") |
Weight:
93 kg
(206 lb) |
Eye Color:
Blue
|
Hair:
Blond/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
Irish-Italian/Irish-German
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Education:
AAS/Intelligence Operations
|
Occupation:
Stay at home dad (ex-military)
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Interests:
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Butcher, Carpenter, Competent Electrician, Expert with firearms, Plumber, Very handy
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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 - (Far-sighted before laser surgery) |
| 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 | 53 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 21 | |
| Health Problem | Childhood asthma (treated with inhaler, no longer affected) | |
| Healthy | ||
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 36 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Sister 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 29 | |
| Health Problem | Childhood asthma (treated with inhaler, no longer affected) | |
| Healthy | ||
| Living / Dead | Living |
Sons
Your Son 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 8 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Son 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 1 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Daughters
Your Daughter 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 11 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 76 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Anxiety (treated with medication) | 33 |
| Kidney damage due to long-term medication use (treated by discontinuing medication) | 71 | |
| Dementia (treated with assisted care) | 71 | |
| Heart failure, no treatment | 75 | |
| Cause of death: Heart failure | 75 | |
| Living / Dead | Dead |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 47 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 78 | |
| Health Problem | Healthy | |
| Cause of death: Heart failure | 78 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 82 | |
| Health Problem | Emphysema (smoker, treats with oxygen) | 68 |
| Living / Dead | Living |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Heart attack (caused by drug overdose, no treatment) | 57 |
| Cause of death: Heart attack | 57 | |
| Living / Dead | Dead |
Your Father's Sisters 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Sisters 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | N/A |
| Updates - Medical | December 2017: Donor reports symptoms of PTSD after serving several tours of duty. With treatment, his symptoms have improved. |
| Updates - Family Medical History | Update September 2023: A child from this donor is reported with a congenital heart defect. Other children are at slightly increased risk. An informed consent is required before any shipment of vials. |