Identification #RR341


Pregnancy Proven - Yes
Physical & Personal Characteristics


Date of Birth (Y)1971
Place of BirthMississippi
Height5'9"
Weight170
Eye ColorHazel
ComplexionMedium
HairBrown, Wavy
Right Handed     X
Left Handed
Religion Born IntoMethodist
Married  Yes

Heritage
English, Irish, French 

Occupation  Law Student

Years of College  6
Interests All Sports, Running, Reading



Notes  Standard vials only




Donor & Family Health History

Medical ProblemDonorFamily
HeartNone

Grandmother:  Hypertension @ 85 yrs. old

Blood
NoneNone
RespiratoryNone
None
Gastrointestinal
None
None
Metabolic/Endocrine
NoneNone
UrinaryNoneNone
Genital / ReproductiveNone
None
NeurologicalNoneNone
Mental HealthNoneNone
Muscles / Bones / JointsNoneNone
Sight / Sound / SmellNone
None
Skin
None
None
OtherNoneMother died of aneurysm at 47 years of age


Family History


Family Member
Occupation

Level of Schooling
Mother
librarian

Masters degree
Fatherlaw enforcement

B.S.




Family MemberAge if LivingAge at DeathCause of Death
Mother
47
Aneurysm
Father52


Maternal Grandmother
90
Old Age
Maternal GrandfatherNot known


Paternal Grandmother85


Paternal Grandfather87


Sisters


Brothers




Test Results
Test Results
Blood TypeO+
HIV 1/2 Ab; HIV 1 Ag
Nonreactive/Nonreactive
ChlamydiaNegative
HTLV-1,2 Ab
Nonreactive
Chromosome AnalysisNormal Male 46XY
Neisseria gonorrhea
Negative
CMV ScreenNegative
SGPT
Within normal limits
CMV, IgM/Culture
Not applicable
Sickle cell
Not applicable
Cystic FibrosisNegative 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