Donor 4916: Basic Donor Profile

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Pricing & Ordering Information

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1-3 Unit Purchase
  • Regular Storage Options Apply: $50 per month, $190 for 6 months, $360 for one year
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  • 6 month buy back at 50% of the original purchase cost, when stored at Xytex
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Unit Type Available for Donor #AGL4916 Price Per Unit
Washed ID Disclosure $835
Unwashed ID Disclosure $700

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Canadian Customers

Please contact your Canadian distributor for this donor's availability.

Outreach Health Services - 1-866-785-4709
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ReproMed - 1-877-317-6079 ext 2

General Information
Donor ID:
4916
Year of Birth:
1985
Marital Status:
Single
Number of Children:
0
Religion:
 
Occupation:
Fleet Manager
Blood Type:
A +
Ethnicity:
Father: Portuguese, Maternal: Portuguese
Race:
Caucasian
CMV Status:
NEG
Last Medical History Update:
Aug 14, 2015
Reported Pregnancy:
Yes
Canadian Compliance:
Yes
UK Compliance:
No
Identity Disclosure:
Yes
4 photos available.

Purchase this enhanced profile to view the photos.
Child Photo
Adult Photo
Audio File:
Not Available

Genetic Testing Performed:

Genetic Testing Performed-Please review the list of genetic tests performed before choosing a donor because donors have different levels of testing. Genetics is very complicated and testing can only reduce but not eliminate the risk of a donor being a carrier of a particular condition.

Physical Attributes
Height:
5'07" (170.18 cm)
Weight:
145 lbs (65 kg)
Eye Color:
Brown, Light
Hair Color:
Brown, Medium
Hair Texture:
Thick
Hair Loss:
None
Hair Type:
Average
Body Build:
Medium
Freckles:
 
Skin Tone:
Medium

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$165

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Genetic Testing

Over the years, Xytex has expanded genetic testing of donors as genetic knowledge and technology have advanced. As a result, not all donors have been tested for the same conditions or with the same methods. "xyGene" donors have undergone the most extensive testing. For more information about genetic testing view our "Genetics Video and FAQs."

This donor has been evaluated for carrier status of the listed conditions. A negative result reduces, but does not eliminate, the likelihood of the donor being a carrier. If you are a known carrier of a genetic condition please contact us, and we will provide a copy of the donor's test reports to your physician and/or genetic counselor.

 

No disease-causing mutations detected; normal complete blood count
No disease-causing mutations detected
No disease-causing mutations detected
Normal male karyotype
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected; normal complete blood count
No disease-causing mutations detected (2 copies)
No disease-causing mutations detected
No disease-causing mutations detected
No disease-causing mutations detected
Donor Health Information
Medication Allergy:
No
Food Allergy:
No
Pet Allergy:
No
Hay Fever Allergy:
Yes
Insect Allergy:
No
Vaccine Allergy:
No
Healthy Teeth:
Yes
Braces:
Yes
Back Problems:
No
Bronchitis:
No
Chicken Pox:
Yes
Chicken Pox Age:
2
Vertigo:
No
Eyesight Correction:
No
Near or Far Sighted:
Farsighted
Skin Infection:
No
Gallstones:
No
Removed Gall Bladder:
No
Hernia:
No
Mumps:
No
Measles:
No
Measles Age:
 
German Measles:
No
German Measles Age:
 
Sinus Infection:
No
Stomach Ulcers:
No

*The medical and social history was provided by the donor and cannot be verified for accuracy.

Personality and Interests Attributes
Skills Hobbies and Interest:
Cars, Exercising, Movies, Music, Painting, Playing guitar/piano, Singing
Education Information

In School: No
In School Major: Unknown

Training Type:
Bilingual (Portuguese)

College Degrees:
Technical Degree

Immediate Family Medical History
Family Member:
Brother
Hair Color:
Brown, Medium
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1979
Cause of Death:
 
Hair Loss
 
Height:
5' 07'' (170.18 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
175 lbs. (79 kg)
Occupation:
Pilot
Eye Color:
Brown
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys music, cars, motorcycles, and airplanes.
Family Member:
Father
Hair Color:
Brown, Dark
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1949
Cause of Death:
 
Hair Loss
 
Height:
5' 06'' (167.64 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
160 lbs. (72 kg)
Occupation:
Electrician
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
He is a musician: drummer, guitarist, and singer.
Family Member:
Mother
Hair Color:
Brown, Medium
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1958
Cause of Death:
 
Hair Loss
 
Height:
5' 00'' (152.40 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
140 lbs. (63 kg)
Occupation:
Accounts Receivable
Eye Color:
Hazel
Half Siblings:
No
Education:
High School
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
She is a great cook and she enjoys hair and makeup.
Paternal Family Medical History
Family Member:
Grandfather
Hair Color:
Brown, Light
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1925
Cause of Death:
 
Hair Loss
 
Height:
5' 07'' (170.18 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
160 lbs. (72 kg)
Occupation:
Factory Worker, Farmer
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
Enjoys spending time in the garden and listening to live marching/big band music.
Family Member:
Grandmother
Hair Color:
Brown, Light
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Fair
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1926
Cause of Death:
 
Hair Loss
 
Height:
5' 01'' (154.94 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
130 lbs. (59 kg)
Occupation:
Florist/Farmer
Eye Color:
Green
Half Siblings:
No
Education:
High School
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
She is a farmer and she enjoys flowers and music. She is a great cook who is easy going, with a great personality.
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1945
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Maternal Family Medical History
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1955
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Family Member:
Aunt
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1954
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Family Member:
Grandfather
Hair Color:
Brown, Medium
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1932
Cause of Death:
 
Hair Loss
 
Height:
5' 08'' (172.72 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
180 lbs. (81 kg)
Occupation:
Sales/Businessman
Eye Color:
Hazel
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
 
Comments:
He has dimples. Enjoys the beach, music, bicycling, and building.
Health Condition:
High Cholesterol/Triglycerides at age 70
Family Member:
Grandmother
Hair Color:
Brown, Light
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Olive
Dominant Hand:
Right
Year of Birth:
1934
Cause of Death:
 
Hair Loss
 
Height:
5' 01'' (154.94 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
145 lbs. (65 kg)
Occupation:
Homemaker
Eye Color:
Hazel
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
Enjoys cooking, hairdressing, grandchildren, music, and movies.
Family Member:
None
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
 
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
 
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1957
Cause of Death:
 
Hair Loss
 
Height:
Age at Death:
 
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
The following medical conditions apply to the donor and his BLOOD RELATIVES ONLY
(grandparents, parents, aunts, uncles, cousins, brothers, sisters, nieces, nephews, and children of the donor). Please click on the Medical History Questionnaire to see all the questions that the donor must answer. If the donor answers "yes" to any high risk question, the donor is ineligible.
Medical History Questionnaire
Autoimmune Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
CREST Syndrome     X        
Lupus     X        
Scleroderma     X        
Sjorgen's Syndrome     X        
Blood Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Anemia     X        
Fanconi Anemia     X        
Hemophilia     X        
Immunodeficiency     X        
Leukemia     X        
Sickle Cell     X        
Thalassemia     X        
VonWillebrand's disease     X        
Cancer   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Cancer (Breast)     X        
Cancer (Lung)     X        
Cancer (Other)     X        
Cancer (Skin)     X        
Lymphoma     X        
Melanoma     X        
Tumor     X        
Cardio Vascular Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Congenital Heart Disease     X        
Heart Attack     X        
Heart Disease     X        
High Blood Pressure     X        
High Cholesterol / Triglycerides   X   Grandfather   X 70
Stroke     X        
Congenital Malformations   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Deviated Septum     X        
Malformations (Cleft Lip)     X        
Malformations (Cleft Palate)     X        
Malformations (Club Foot)     X        
Malformations (Hypospadias)     X        
Malformations (Other)     X        
Malformations (Polydactyly)     X        
Undescended Testicles     X        
Gastro-Intestinal Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Gallstones     X        
GI (Crohns)     X        
GI (Diverticulitis)     X        
GI (Other)     X        
GI (Pyloric Stenosis)     X        
GI (Ulcerative Colitis)     X        
GI (Ulcers)     X        
Hemochromatosis     X        
Hepatitis     X        
Kidney Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Adrenal Hyperplasia     X        
Born with 1 kidney     X        
Kidney (Other)     X        
Kidney disease of urinary tract disorder     X        
Kidney Disorder     X        
Polycystic Kidney Disease     X        
Progressive Kidney Disease     X        
Mental Health   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Mental (Depression)     X        
Mental (Manic Depressive)     X        
Mental (Schizophrenia)     X        
Mental Retardation     X        
Obsessive-compulsive disorder     X        
Metabolic / Endrocrine Dis.   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Diabetes (Insulin Dependent)     X        
Diabetes (Non-Insulin Dependent)     X        
Galactosemia     X        
Gaucher's disease     X        
Goiter     X        
Hypoglycemia     X        
Maple Syrup disease     X        
PKU or Inherited Metabolic Disorder     X        
Tay Sachs     X        
Thyroid Disorder     X        
Muscular / Bones / Joint Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Acondroplasia (Dwarfism)     X        
Arthritis (Other)     X        
Congenital Hip Disease     X        
Gout     X        
Loss of Muscle Coordination     X        
Marfan's Disease     X        
Muscular Dystrophy     X        
Osteoarthritis     X        
Osteoporosis     X        
Rheumatoid Arthritis     X        
Scoliosis     X        
Spinal Muscular Atrophy     X        
Neurological Diseases   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
ADD or ADHD     X        
Autism / Aspergers     X        
Canavan's disease     X        
Cerebral Palsy     X        
Disorders of the spinal cord     X        
Dyslexia     X        
Familial dysautonomia     X        
Lesch-Nyhan Syndrome     X        
Migraines     X        
Mucolipidosis type IV     X        
Neurologic (Alzheimer's)     X        
Neurologic (Creutzfeld-Jacob Disease)     X        
Neurologic (Epilepsy)     X        
Neurologic (Guillain Barre)     X        
Neurologic (Huntington's)     X        
Neurologic (JC Virus)     X        
Neurologic (Lou Gehrig's Disease)     X        
Neurologic (Multiple Sclerosis)     X        
Neurologic (Neural Tube Defect)     X        
Neurologic (Neurofibrimatosis)     X        
Neurologic (Parkinson's Disease)     X        
Neurologic (Subacute Sclerosing Panencephalitis)     X        
Nieman-Pick     X        
Spongioform encephalopathy / prion disease     X        
Tourette Syndrome     X        
Respiratory Disease   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Allergies (Drug)     X        
Allergies (Food)     X        
Allergies (Hay Fever)     X        
Allergies (Insect)     X        
Allergies (Other)     X        
Allergies (Pet)     X        
Asthma     X        
Emphysema     X        
SARS     X        
Tuberculosis     X        
Sight / Sound / Smell   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Cataracts     X        
Deafness     X        
Deafness (before age 50)     X        
Ear deformity     X        
Eyesight (Blindness)     X        
Eyesight (Color Blindness)     X        
Eyesight (Glaucoma)     X        
Eyesight (Other)     X        
Eyesight (Retinoblastoma)     X        
Macular degeneration     X        
Skin   Yes No Which
Relative
Father's
Side
Mother's
Side
Age of
Onset
Albinism     X        
Eczema     X        
Pigmentation disorders (including Vitiligo)     X        
Psoriasis     X        
Skin Disease     X        
Additional Information