Donor Categories

ID# RR380

ID# Heritage Blood Type Eye Color Hair Complexion Height Weight Years of College Occupation
RR380 Scot, Irish, French, German, trace Native American A+ Blue-Green Brown, Wavy Fair 5'11" 160 4 University Student
Identification #RR380 Pregnancy Proven – Yes
Physical & Personal Characteristics
Height 5’11” Weight 160
Eye Color Blue-Green Complexion Fair
Hair Brown, Wavy Right Handed X Left Handed
Religion Born Into Presbyterian Married No
Heritage Scot, Irish, French, German, trace Native American

Occupation University Student

Years of College 4
Interests Writing/playing music (plays drums & sax), travel, Formula 1 racing, sports, photography
Notes Standard (ICI) and Prewashed vials (IUI) vials available
Test Results Test Results
Blood Type A+ HIV 1/2 Abw. Group O Nonreactive
Chlamydia,by TMA Negative/Negative HTLV-1,2 Ab Nonreactive
Chromosome Analysis Normal Male 46XY Neisseria gonorrhea by TMA Negative
CMV Screen Nonreactive ALT Within normal limits
CMV, IgM/Culture Not applicable Sickle cell Not applicable
Cystic Fibrosis Negative for 60 Common Mutations Syphilis, antibody (RPR) Nonreactive
HbsAg Nonreactive Tay Sachs & Canavan Not applicable
HbcAb Nonreactive Hepatitis C, Ab Nonreactive
Thalassemia Normal adult hemoglobin HCVRNA/HIV RNA NAT multiplex Nonreactive/Nonreactive
Notes HBV DNA NAT multiplex Nonreactive
Donor & Family Health History
Medical Problem Donor Family
Heart None

Paternal and Maternal Grandmothers: High blood pressure

Blood None None
Respiratory None None
Gastrointestinal None None
Metabolic/Endocrine None None
Urinary None None
Genital / Reproductive None Paternal Uncle: Prostate cancer (treated)
Neurological None Maternal Grandmother: Parkinson’s disease
Mental Health None Paternal Cousin at birth: Mental retardation
Muscles / Bones / Joints None None
Sight / Sound / Smell Treated for lazy eye condition as a child None
Skin None

None

Other None

Father/Uncle – Alcohol abuse (treated)

Paternal Cousin: Drug abuse (treated)

Maternal Uncle: Gout (treated)

Family History
Family Member Occupation Level of Schooling
Mother Homemaker High School
Father Businessman B.A.
Family Member Age if Living Age at Death Cause of Death
Mother 51
Father 63
Maternal Grandmother 70 Complications of Parkinson’s disease
Maternal Grandfather 40 Auto Accident
Paternal Grandmother 92 Had High Blood pressure/cholesterol
Paternal Grandfather 90 Natural Causes
Sisters
Brothers 21, 16
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