Donor 5106 - 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?	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
See list of questions asked here

Your Mother

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Your Father

Question	Response	Comment/Age Affected
Current age or age at death	73
Health Problem	Benign colon polyps, treated with surgery	60
	Kidney stones, treated with surgery	71
	Prediabetes, controlled with diet modifications	73
Living / Dead	Living

Brothers

Your Brother 1

Question	Response	Comment/Age Affected
Current age or age at death	33
Health Problem	Healthy
Living / Dead	Living

Sisters

Your Sister 1

Question	Response	Comment/Age Affected
Current age or age at death	34
Health Problem	Healthy
Living / Dead	Living

Your Sister 2

Question	Response	Comment/Age Affected
Current age or age at death	31
Health Problem	Healthy
Living / Dead	Living

Your Mother's Father

Question	Response	Comment/Age Affected
Current age or age at death	78
Health Problem	Heart failure, no treatment	78
Health Problem	Cause of death: Heart failure	78
Living / Dead	Dead

Your Mother's Mother

Question	Response	Comment/Age Affected
Current age or age at death	85
Health Problem	Alzheimer's, controlled with medication	85
Living / Dead	Living

Your Mother's Sisters 1

Question	Response	Comment/Age Affected
Current age or age at death	54	(Identical twin)
Health Problem	Healthy
Living / Dead	Living

Your Mother's Sisters 2

Question	Response	Comment/Age Affected
Current age or age at death	54	(Identical twin)
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	60
Health Problem	Mitral valve prolapse, no treatment	60
Living / Dead	Living

Your Mother's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	53
Health Problem	Healthy
Living / Dead	Living

Your Mother's Brothers 4

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Father's Father

Question	Response	Comment/Age Affected
Current age or age at death	66
Health Problem	Stroke, no treatment	66
Health Problem	Cause of death: Stroke	66
Living / Dead	Dead

Your Father's Mother

Question	Response	Comment/Age Affected
Current age or age at death	93
Health Problem	Healthy
Living / Dead	Living

Your Father's Sisters 1

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

Your Father's Sisters 2

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

Your Father's Sisters 3

Question	Response	Comment/Age Affected
Current age or age at death	55
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 1

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Murdered	48
Health Problem	Cause of death: Murder	48
Living / Dead	Dead

Your Father's Brothers 2

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Severe trauma due to car accident, no treatment	50
Health Problem	Cause of death: Severe trauma	50
Living / Dead	Dead

Your Father's Brothers 3

Question	Response	Comment/Age Affected
Current age or age at death	68
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 4

Question	Response	Comment/Age Affected
Current age or age at death	65
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 5

Question	Response	Comment/Age Affected
Current age or age at death	57
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 6

Question	Response	Comment/Age Affected
Current age or age at death	50
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 7

Question	Response	Comment/Age Affected
Current age or age at death	48
Health Problem	Healthy
Living / Dead	Living

Your Father's Brothers 8

Question	Response	Comment/Age Affected
Current age or age at death	45
Health Problem	Healthy
Living / Dead	Living

Height: 6'2" (187 cm)	Weight: 168 lb (76 kg)	Eye Color: Brown	Hair: Black/ Wavy	Skin Tone: Medium Light	Ancestry: Multi
	Blood Type: A+	Ethnic Background: German-Irish-Norwegian/African American
	Education: BA/Technical Communication		Occupation: Higher Education Admin.
Interests:	Astronomy, Martial Arts, Screenwriting

Faith	Christian
Denomination	Catholic

Update Available	Yes
Updates - Personal	Update received September 2018: Donor's occupation has changed from Office Worker to Higher Education Administration. No change to profile: July 2020.
Updates - Medical	No change to donor Medical Profile: September 2018, July 2020.
Updates - Family Medical History	Update received September 2018: Father has been diagnosed with diabetes, treated with dietary adjustments. Update July 2020.: Donor's Paternal grandmother has passed away at age 99. No cause of death was reported.

Donor Number: 5106

Physical

Medical

Family Medical History
See list of questions asked here

Religion:

Updates to Profile

Donor Number: 5106

Physical

Medical

Family Medical HistorySee list of questions asked here

Religion:

Updates to Profile

Family Medical History
See list of questions asked here