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


Identification #RR343


Pregnancy Proven - Yes
Physical & Personal Characteristics


Date of Birth (Y)1976
Place of BirthNew Mexico
Height5'9"
Weight142
Eye Color
Brown
Complexion
Fair
HairBrown, Wavy
Right Handed     X
Left Handed
Religion Born IntoEpiscopal
Married   No
HeritageGerman, Irish, Scandinavian

Occupation Medical Student

Years of College  7
Interests Athletics, Film Making



Notes Standard (ICI) vials available.



Family History


Family MemberOccupation
Level of Schooling
Mother
Nurse

R.N.
FatherPhysician

M.D.




Family MemberAge if LivingAge at DeathCause of Death
Mother51


Father59


Maternal Grandmother77


Maternal Grandfather83


Paternal Grandmother
62
Brain Tumor
Paternal Grandfather
68
Heart Attack
Sisters34


Brothers36


Donor & Family Health History


Medical ProblemDonor
Family
HeartNone

Maternal Grandfather: High Blood Pressure

Paternal Grandfather:  Heart Disease

BloodNone
None
RespiratoryNone

None
Gastrointestinal
None

Maternal Grandmother:  Gallstones
Metabolic/Endocrine
None
None
UrinaryNone
None
Genital / ReproductiveNone
None
NeurologicalNone

Paternal Cousin: Mildly retarded; undiagnosed

Paternal Grandmother:  Brain Tumor

Mental HealthNone
None
Muscles / Bones / JointsNone

None
Sight / Sound / SmellNone 

None
SkinNone

None
OtherNone

Paternal Grandfather:  Alcoholic