Reproductive Resources

Identification # RR146		Pregnancy Proven
Physical & Personal Characteristics
Date of Birth (Y) 1970	Place of Birth New York
Height 5'8"	Weight 145
Eye Color Blue-Green	Complexion Fair
Hair Strawberry Blond, Wavy	Right Handed X	Left Handed
Religion Born Into Judaism	Married No
Heritage German, Russian	Occupation Accountant	Years of College 4
Interests music, athletics
Notes

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

Donor & Family Health History
Medical Problem	Donor	Relative
Heart	None	Grandfather: heart disease and heart attack
Blood	None	None
Respiratory	None	None
Gastrointestinal	None	None
Metabolic/Endocrine	None	None
Urinary	None	Grandfather: prostate cancer
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	Grandmother: died of cancer

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