Donor Categories

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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