Donor Categories

ID# RR345

ID# Heritage Blood Type Eye Color Hair Complexion Height Weight Years of College Occupation
RR345 English, German, Czech A+ Brown Brown, Straight Medium 5'11" 175 5 Respiratory Therapy Student
Identification #RR345 Pregnancy Proven – Yes
Physical & Personal Characteristics
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 PW (IUI) vials only
Test Results Test Results
Blood Type A+ 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 Positive SGPT Within normal limits
CMV, IgM/Culture Negative 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: Heart Disease
Blood None None
Respiratory None Maternal Grandfather: Emphysema; Bronchitis
Gastrointestinal None Father: Gallstones
Metabolic/Endocrine None None
Urinary None None
Genital / Reproductive 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
Family History
Family Member Occupation Level of Schooling
Mother Office Manager One Year of College
Father Electrical Engineer B.S.
Family Member Age if Living Age at Death Cause of Death
Mother 53
Father 54
Maternal Grandmother 70
Maternal Grandfather 60 Heart Disease
Paternal Grandmother 72
Paternal Grandfather 73 Prostate Cancer
Sisters
Brothers 31
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