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ID# RR351
ID# | Heritage | Blood Type | Eye Color | Hair | Complexion | Height | Weight | Years of College | Occupation |
RR351 | German | O+ | Blue | Light Brown, Curly | Fair | 5'10" | 180 | 2 | College Student; majors Computer Systems and Spanish |
Identification #RR351 | Pregnancy Proven – Yes | ||
Physical & Personal Characteristics | |||
Height | 5’10” | Weight | 180 |
Eye Color | Blue | Complexion | Fair |
Hair | Light Brown, Curly | Right Handed X | Left Handed |
Religion Born Into | Roman Catholic | Married No | |
Heritage | German | Occupation College Student; majors Computer Systems and Spanish | Years of College 2 |
Interests Running, Weight lifting | |||
Notes Standard (ICI) and Prewashed vials (IUI) vials available /span> |
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 | Positive | SGPT | Within normal limits |
CMV, IgM/Culture | Not applicable | Sickle cell | Not applicable |
Cystic Fibrosis | Negative for 37 Common Mutations | Syphilis, antibody MHA-TP | Nonreactive |
HbsAg | Nonreactive | Tay Sachs & Canavan | Not applicable |
HbcAb | Nonreactive | Hepatitis C, Ab | Nonreactive |
Thalassemia | Normal adult hemoglobin | HCVRNA/HIV-1 RNA | Nonreactive/Nonreactive |
Notes |
Donor & Family Health History | ||
Medical Problem | Donor | Family |
Heart | None | None |
Blood | None | None |
Respiratory | None | Grandfather: Hayfever |
Gastrointestinal | None | None |
Metabolic/Endocrine | None | None |
Urinary | None | None |
Genital / Reproductive | None | None |
Neurological | None | None |
Mental Health | None | None |
Muscles / Bones / Joints | None | None |
Sight / Sound / Smell | None | None |
Skin | None | None |
Other | None | Paternal Grandfather: Alcoholism |
Family History | |||
Family Member | Occupation | Level of Schooling | |
Mother | Nurse/Drug Rep | B.S. | |
Father | Business Owner | B.S. | |
Family Member | Age if Living | Age at Death | Cause of Death |
Mother | 48 | ||
Father | 52 | ||
Maternal Grandmother | 68 | ||
Maternal Grandfather | 67 | ||
Paternal Grandmother | 68 | ||
Paternal Grandfather | 50 | Cirrhosis of liver due to alcoholism | |
Sisters | |||
Brothers | 22 |
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