Donor Profile RR371
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| Identification # RR371 | Pregnancy Proven Yes |
| Physical & Personal Characteristics |
| Date of Birth (Y) 1981 | Place of Birth Louisiana |
| Height 5'10" | Weight 200 |
| Eye Color Blue | Complexion Fair |
| Hair Brown, Straight | Right Handed X | Left Handed |
| Religion Born Into Catholic | Married No | |
| Heritage Scottish, Spanish, Italian | Occupation Professional Musician | Years of College 4 |
| Interests Music, socializing, singing, painting |
| Notes 8-3-10: Standard vials only available at this time. Call for availability of PW
vials. |
| Test Results |
| Blood Type O+ | HIV 1/2 Ab Nonreactive |
| Chlamydia Nonreactive | 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 70 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 Nonreactive |
| Notes |
| Donor & Family Health History |
| Medical Problem | Donor | Relative |
| Heart | None | Grandfather: had heart attack; Father: high blood pressure (alleviated by weight reduction) |
| Blood | None | None |
| Respiratory | None | None |
| Gastrointestinal | None | None |
| Metabolic/Endocrine | None | Father: diabetes (controlled with weight loss); Aunt: diabetes |
| 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 | None |
| Skin | None | Aunt: skin cancer (melanoma) |
| Other | None | Grandfather: alcoholic; Cousin: abused drugs |
| Family History |
| Family Member | Occupation | Level of Schooling |
| Mother | Teacher | High School |
| Father | Executive in small business | High School |
| |
| Family Member | Age if Living | Age at Death | Cause of Death |
| Mother | 49 | | |
| Father | 54 | | |
| Maternal Grandmother | | 65 | Natural Causes (heart related) |
| Maternal Grandfather | | 73 | Natural Causes (heart related) |
| Paternal Grandmother | 81 | | |
| Paternal Grandfather | | 53 | Heart Attack |
| Sisters | 28 | | |
| Brothers | 17 | | |