Reproductive Resources

Identification # RR281		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1971	Place of Birth New York
Height 5'6"	Weight 165
Eye Color Brown	Complexion Medium
Hair Dark Brown, Curly	Right Handed X	Left Handed
Religion Born Into Judaism	Married No
Heritage Latvian and Eastern European	Occupation Lawyer	Years of College 7
Interests reading, athletics
Notes

Test Results
Blood Type AB+	HIV 1/2 Ab Nonreactive
Chlamydia Nonreactive	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male	Neisseria gonorrhea No Growth
CMV Screen Negative	SGPT Normal
CMV, IgM/Culture Nonreactive	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of 6 Common Mutations	Syphilis, antibody Nonreactive
HbsAg Nonreactive	Tay Sachs & Canavan Result Within Normal Limits
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	Elderly Grandmother: heart attack
Blood	None	None
Respiratory	None	None
Gastrointestinal	None	None
Metabolic/Endocrine	None	Uncle: diabetic
Urinary	None	None
Genital/Reproductive System	None	None
Neurological	None	Father: brain tumor; Sibling: migraines
Mental Health	None	None
Muscles / Bones / Joints	None	Mother: osteoporosis
Sight / Sound / Smell	None	None
Skin	None	None
Other	None	None

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