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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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