Reproductive Resources

Identification # RR097		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1967	Place of Birth Ohio
Height 6'1"	Weight 200
Eye Color Blue	Complexion Fair
Hair Light Brown, Wavy	Right Handed X	Left Handed
Religion Born Into Roman Catholic	Married Yes
Heritage Polish, German	Occupation Professor	Years of College 8
Interests Family, Soccer, Basketball, SCUBA
Notes

Test Results
Blood Type A-	HIV 1/2 Ab Nonreactive
Chlamydia Negative	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46XY	Neisseria gonorrhea No Growth
CMV Screen Positive	SGPT Normal
CMV, IgM/Culture Nonreactive	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of 33 Common Mutations	Syphilis, antibody Nonreactive
HbsAg Nonreactive	Tay Sachs & Canavan Not Applicable
HbcAb Nonreactive	Hepatitis C, Ab Nonreactive
Thalassemia Normal Adult Hemoglobin	HCVRNA/HIV-1 RNA Not Done Prior to 2004
Notes

Donor & Family Health History
Medical Problem	Donor	Relative
Heart	None	Father: Stroke at age 52 (overweight smoker) Grandfather: Stroke at age 60, Heart disease
Blood	None	None
Respiratory	None	Mother: Lung Cancer (smoker)
Gastrointestinal	None	None
Metabolic/Endocrine	None	Mother: Diabetes at age 50
Urinary	None	None
Genital/Reproductive System	None	None
Neurological	None	None
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	None	None
Skin	None	None
Other	None	None

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