Donor Profile RR363*

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Identification # RR363*Pregnancy Proven  Yes
Physical & Personal Characteristics
Date of Birth (Y) 1979Place of Birth India
Height 6'2"Weight 170
Eye Color BrownComplexion Fair-Medium, Asian
Hair Black, WavyRight Handed XLeft Handed
Religion Born Into HinduMarried No
Heritage IndianOccupation EngineeringYears of College 5
Interests sports, movies
Notes
Test Results
Blood Type A+HIV 1/2 Ab Nonreactive
Chlamydia NegativeHTLV-1,2 Ab Nonreactive
Chromosome analysis Normal Male 46 XYNeisseria gonorrhea Nonreactive
CMV Screen PositiveSGPT Normal
CMV, IgM/Culture NonreactiveSickle cell Not Applicable
Cystic Fibrosis Noncarrier of 51 Common MutationsSyphilis, antibody Nonreactive
HbsAg NonreactiveTay Sachs & Canavan Not Applicable
HbcAb NonreactiveHepatitis C, Ab Nonreactive
Thalassemia Normal Adult HemoglobinHCVRNA/HIV-1 RNA Nonreactive
Notes
Donor & Family Health History
Medical ProblemDonorRelative
HeartNonePaternal Grandfather: heart attack, high blood pressure
BloodNoneNone
RespiratoryNoneNone
GastrointestinalNoneNone
Metabolic/EndocrineNoneNone
UrinaryNoneNone
Genital/Reproductive SystemNoneNone
NeurologicalNoneNone
Mental HealthNoneNone
Muscles / Bones / JointsNoneNone
Sight / Sound / SmellNoneNone
SkinNoneNone
OtherNoneNone
Family History
Family MemberOccupationLevel of Schooling
MotherHomemakerHigh School
FatherAccountantB.S. degree
 
Family MemberAge if LivingAge at DeathCause of Death
Mother43
Father52
Maternal Grandmother30Car accident
Maternal Grandfather30Car accident
Paternal Grandmother65Unknown
Paternal Grandfather73Heart attack
Sisters
Brothers22