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ID# RR343
ID# | Heritage | Blood Type | Eye Color | Hair | Complexion | Height | Weight | Years of College | Occupation |
RR343 | German, Irish, Scandinavian | O+ | Brown | Brown, Wavy | Fair | 5'9" | 142 | 7 | Medical Student |
Identification #RR343 | Pregnancy Proven – Yes | ||
Physical & Personal Characteristics | |||
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 Standard (ICI) & prewashed (IUI) vials |
Test Results | Test Results | ||
Blood Type | O+ | HIV 1/2 Ab; HIV 1 Ag | Nonreactive/Nonreactive |
Chlamydia | Negative | HTLV-1,2 Ab | Nonreactive |
Chromosome Analysis | Normal Male 46XY | Neisseria gonorrhea | Negative |
CMV Screen | Negative | SGPT | Within normal limits |
CMV, IgM/Culture | Not Applicable | Sickle cell | Not applicable |
Cystic Fibrosis | Negative for 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 | Family | |
Heart | None |
Maternal Grandfather: High Blood Pressure Paternal Grandfather: Heart Disease |
|
Blood | None | None | |
Respiratory | None | None | |
Gastrointestinal | None | Maternal Grandmother: Gallstones | |
Metabolic/Endocrine | None | None | |
Urinary | None | None | |
Genital / Reproductive | 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 |
Family History | |||
Family Member | Occupation | Level of Schooling | |
Mother | Nurse | R.N. | |
Father | Physician | M.D. | |
Family Member | Age if Living | Age at Death | Cause of Death |
Mother | 51 | ||
Father | 59 | ||
Maternal Grandmother | 77 | ||
Maternal Grandfather | 83 | ||
Paternal Grandmother | 62 | Brain Tumor | |
Paternal Grandfather | 68 | Heart Attack | |
Sisters | 34 | ||
Brothers | 36 |
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