Reproductive Resources

Identification # RR345*		Pregnancy Proven
Physical & Personal Characteristics
Date of Birth (Y) 1978	Place of Birth Louisiana
Height 5'11"	Weight 175
Eye Color Brown	Complexion Medium
Hair Brown, Straight	Right Handed X	Left Handed
Religion Born Into Methodist	Married No
Heritage English, German, Czech	Occupation Respiratory Therapy Student	Years of College 5
Interests sports, music
Notes 8-3-10: Only prewashed vials available at this time.

Test Results
Blood Type A+	HIV 1/2 Ab Nonreactive
Chlamydia Negative	HTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46 XY	Neisseria gonorrhea Nonreactive
CMV Screen Positive	SGPT Normal
CMV, IgM/Culture Nonreactive	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 Grandfather: died of heart disease
Blood	None	None
Respiratory	None	Maternal Grandfather: emphysema and chronic bronchitis
Gastrointestinal	None	Father: gallstones
Metabolic/Endocrine	None	None
Urinary	None	None
Genital/Reproductive System	None	Paternal Grandfather: prostate cancer
Neurological	None	None
Mental Health	None	None
Muscles / Bones / Joints	None	None
Sight / Sound / Smell	None	None
Skin	non-scarring acne as a teen	None
Other	None	None

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