Family History


Family MemberOccupation
Level of Schooling
MotherManagement
B.A. Degree
FatherPhysician
M.D. Degree




Family MemberAge if LivingAge at DeathCause of Death
Mother58

Father63

Maternal Grandmother
85Old Age
Maternal Grandfather
91Old Age
Paternal Grandmother
UnknownWar Casualty
Paternal Grandfather
UnknownWar Casualty
Sisters


Brothers33

Donor & Family Health History

Medical ProblemDonorFamily
HeartNoneFather:High Blood Pressure
BloodNoneNone
RespiratoryNoneNone
Gastrointestinal
NoneNone
Metabolic/Endocrine
NoneNone
UrinaryNoneNone
Genital / ReproductiveNoneNone
NeurologicalNoneNone
Mental HealthNoneNone
Muscles / Bones / JointsNoneNone
Sight / Sound / SmellNoneNone
SkinNoneNone
OtherNoneNone


Test Results
Test Results
Blood TypeA+
HIV 1/2 Ab & HIV 1 Ag
Nonreactive
ChlamydiaNegative
HTLV-1,2 Ab
Nonreactive
Chromosome AnalysisNormal Male 46XY
Neisseria gonorrhea
No growth
CMV ScreenNegative
SGPT
Normal
CMV, IgM/Culture
Not Applicable
Sickle cell
Not applicable
Cystic FibrosisNoncarrier of 33 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


Identification #RR303

Pregnancy Proven - Yes
Physical & Personal Characteristics


Date of Birth (Y)1973Place of BirthAlabama
Height5'7"Weight170
Eye ColorBrownComplexionFair-Medium, Asian
HairBlack, straightRight HandedLeft Handed
Religion Born IntoAgnosticMarried   No
HeritageChinese

Occupation Graduate Student in Public Health and Communications

Years of College  8
Interests cycling, sports, movies and films


Notes Standard and Prewashed vials available.