Physical

Height:
5'11"
(180 cm)
Weight:
184 lb
(83 kg)
Eye Color:
Hazel
Hair:
Brown/
Straight
Skin Tone:
Light
Ancestry:
Caucasian
Blood Type:
O+
Ethnic Background:
Dutch/German
Education:
MA/Healthcare Administration
Occupation:
Quality Improvement Specialist
Interests:
Aerial Acrobatics

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 - Slight near-sightedness
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:		No
CMV IgG AntibodyPositive
CMV IgM AntibodyNegative
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 59
Health Problem Carpal tunnel syndrome, treated with surgery45
Living / DeadLiving
Your Father
Question Response Comment/Age Affected
Current age or age at death 59
Health Problem Healthy 
Living / DeadLiving
Sisters
Your Sister 1
Question Response Comment/Age Affected
Current age or age at death 39
Health Problem Healthy 
Living / DeadLiving
Your Mother's Father
Question Response Comment/Age Affected
Current age or age at death 48
Health Problem Bile duct stone blockage, no treatment48
Cause of death: Bile duct stone blockage48
Living / DeadDead
Your Mother's Mother
Question Response Comment/Age Affected
Current age or age at death 75
Health Problem Stroke, no treatment75
Cause of death: Stroke75
Living / DeadDead
Your Mother's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 67
Health Problem Healthy 
Living / DeadLiving
Your Mother's Sisters 2
Question Response Comment/Age Affected
Current age or age at death 58
Health Problem Healthy 
Living / DeadLiving
Your Mother's Sisters 3
Question Response Comment/Age Affected
Current age or age at death 57
Health Problem Healthy 
Living / DeadLiving
Your Mother's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 21
Health Problem Severe trauma due to car accident, no treatment21
Cause of death: Severe trauma21
Living / DeadDead
Your Father's Father
Question Response Comment/Age Affected
Current age or age at death 90
Health Problem Diabetes mellitus not requiring insulin therapy, controlled with diet modifications85
Prostate cancer, no treatment90
Living / DeadLiving
Your Father's Mother
Question Response Comment/Age Affected
Current age or age at death 85
Health Problem Alzheimer's, controlled with medication85
Cause of death: Alzheimer's85
Living / DeadDead
Your Father's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 57
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 54
Health Problem Healthy 
Living / DeadLiving

Religion:

Faith Christian
Denomination Catholic

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to donor Personal Profile: October 2018. Update received June 2021: Occupation has changed to Strategic Initiatives. No change to donor Personal Profile: May 2022, May 2023.
Updates - MedicalDonor's CMV status is updated to IgG Antibody positive in February 2017. CMV IgM Antibody remains negative. No change to donor Medical Profile: October 2018, June 2021, May 2022, May 2023.
Updates - Family Medical HistoryUpdate received October 2018: Paternal grandfather has died of heart failure at age 94. No change to donor Family Medical History: June 2021, May 2022, May 2023.