Reproductive Resources

Identification # RR307*		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1963	Place of Birth New York
Height 5'8"	Weight 133
Eye Color Hazel	Complexion Medium
Hair Dark Brown, Straight	Right Handed X	Left Handed
Religion Born Into Judaism	Married No
Heritage Polish, Austro-Hungarian	Occupation Ph.D. Candidate Linguistics; Educator	Years of College 8
Interests soccer, running, fishing
Notes

Test Results
Blood Type O+	HIV 1/2 Ab Nonreactive
Chlamydia Negative	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46 XY	Neisseria gonorrhea No Growth
CMV Screen Negative	SGPT Normal
CMV, IgM/Culture Not Applicable	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of 33 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	Father: high blood pressure; Grandfather: stroke
Blood	None	None
Respiratory	Hay fever as a child	Sibling: asthma
Gastrointestinal	None	None
Metabolic/Endocrine	None	Father: diabetes at age 45
Urinary	None	None
Genital/Reproductive System	None	None
Neurological	None	None
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	deviated septum, nearsighted	None
Skin	None	None
Other	None	None

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