Reproductive Resources

Identification # RR343*		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1976	Place of Birth New Mexico
Height 5'9"	Weight 142
Eye Color Brown	Complexion Fair
Hair Brown, Wavy	Right Handed X	Left Handed
Religion Born Into Episcopal	Married No
Heritage German, Irish, Scandinavian	Occupation Medical Student	Years of College 7
Interests athletics, film making
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 Nonreactive
CMV Screen Negative	SGPT Normal
CMV, IgM/Culture Not Applicable	Sickle cell Not Applicable
Cystic Fibrosis Noncarrier of 37 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	Maternal Grandmother: hypertension; Paternal Grandfather: heart disease
Blood	None	None
Respiratory	None	None
Gastrointestinal	None	Maternal Grandmother: gallstones
Metabolic/Endocrine	None	None
Urinary	None	None
Genital/Reproductive System	None	None
Neurological	None	Paternal Cousin: mildly retarded - undiagnosed; Paternal Grandmother: brain tumor
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	None	None
Skin	None	None
Other	None	Paternal Grandfather: alcoholic

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