Reproductive Resources

Identification # RR350*		Pregnancy Proven Yes
Physical & Personal Characteristics
Date of Birth (Y) 1972	Place of Birth Louisiana
Height 5'10"	Weight 200
Eye Color Green	Complexion Fair
Hair Strawberry Blond, Straight	Right Handed X	Left Handed
Religion Born Into Roman Catholic	Married No
Heritage French, Irish	Occupation Graduate student, teacher and coach	Years of College 8
Interests Sports
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	Paternal Grandfather: heart attack; Father: high blood pressure
Blood	None	None
Respiratory	None	None
Gastrointestinal	None	None
Metabolic/Endocrine	None	Father: diabetic in 50's, diet controlled
Urinary	None	None
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	None

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