Donor 5128: Basic Donor Profile

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Advisory

This donor is currently sold out of units.

Donor 5128 is temporarily out of units. Additional units are expected to become available some time in the future, however there is no guarantee that this will occur. An exact release date is not available. You can arrange to be notified by Xytex if/when further units are released by adding your name to the pending list. To do this, please contact Xytex Client Services.

General Information
Donor ID:
5128
Year of Birth:
1983
Marital Status:
Married
Number of Children:
0
Religion:
 
Occupation:
Student
Blood Type:
A +
Ethnicity:
Cherokee, English, French, Irish
Race:
Caucasian
CMV Status:
NEG
Last Medical History Update:
May 23, 2014
Reported Pregnancy:
No
Canadian Compliance:
Yes
UK Compliance:
Yes
Identity Disclosure:
Yes
2 photos available.

Purchase this enhanced profile to view the photos.
Child Photo
Adult Photo



No Adult Photo Available



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:
6'00" (182.88 cm)
Weight:
155 lbs (70 kg)
Eye Color:
Brown, Dark
Hair Color:
Brown, Dark
Hair Texture:
Average
Hair Loss:
None
Hair Type:
Wavy
Body Build:
Medium
Freckles:
 
Skin Tone:
Medium

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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.

 

Normal complete blood count and hemoglobin analysis; does not exclude silent carrier status or alpha thalassemia minor
Normal complete blood count and hemoglobin analysis
Normal male karyotype
No disease-causing mutations detected
Normal complete blood count and hemoglobin analysis
No disease-causing mutations detected (2 copies)
Normal enzyme analysis
Donor Health Information
Medication Allergy:
Yes
Food Allergy:
No
Pet Allergy:
No
Hay Fever Allergy:
No
Insect Allergy:
No
Vaccine Allergy:
No
Healthy Teeth:
Yes
Braces:
Yes
Back Problems:
No
Bronchitis:
Yes
Chicken Pox:
Yes
Chicken Pox Age:
6
Vertigo:
No
Eyesight Correction:
No
Near or Far Sighted:
Nearsighted
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:
Yes
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:
Cards, Cello, Chess, Film, Music, Swimming
Education Information

In School: Yes
In School Major: Econmics

Training Type:

College Degrees:
Bachelor of Arts

Immediate Family Medical History
Family Member:
Brother
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
 
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1971
Cause of Death:
 
Hair Loss
 
Height:
5' 11'' (180.34 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
165 lbs. (74 kg)
Occupation:
Computer Programmer
Eye Color:
Brown
Half Siblings:
Yes
Education:
College
Body Build:
Medium
Half Siblings
Parent:
Mother
Eyesight
Correction:
Contacts
Near or
Far Sighted:
Nearsighted
Comments:
Has dimples.
Family Member:
Brother
Hair Color:
Brown, Light
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
 
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1987
Cause of Death:
 
Hair Loss
 
Height:
5' 11'' (180.34 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
190 lbs. (86 kg)
Occupation:
Chef
Eye Color:
Blue/Grey
Half Siblings:
No
Education:
College
Body Build:
Large
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
Nearsighted
Comments:
 
Family Member:
Father
Hair Color:
Brown, Dark
Eyesight:
Fair
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1953
Cause of Death:
 
Hair Loss
 
Height:
5' 10'' (177.80 cm)
Age at Death:
 
Body Hair:
Wavy
Weight:
180 lbs. (81 kg)
Occupation:
Naval Captain
Eye Color:
Blue/Grey
Half Siblings:
No
Education:
Masters
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Contacts
Near or
Far Sighted:
Nearsighted
Comments:
 
Health Condition:
Diabetes (Non-Insulin Dependent) at age 57
Family Member:
Mother
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
Medium
Dominant Hand:
Right
Year of Birth:
1951
Cause of Death:
 
Hair Loss
 
Height:
5' 06'' (167.64 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
160 lbs. (72 kg)
Occupation:
Insurance Agent
Eye Color:
Brown
Half Siblings:
No
Education:
College
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Contacts
Near or
Far Sighted:
Nearsighted
Comments:
Has dimples.
Health Condition:
Allergies (Drug) at age 3

Penicillin
Health Condition:
Gallstones at age 50
Paternal Family Medical History
Family Member:
Grandfather
Hair Color:
Brown, Dark
Eyesight:
Excellent
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1930
Cause of Death:
Skin Cancer/Melanoma
Hair Loss
 
Height:
5' 09'' (175.26 cm)
Age at Death:
72
Body Hair:
Wavy
Weight:
180 lbs. (81 kg)
Occupation:
Construction Superintendant
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Health Condition:
Cancer (Skin) at age 68

Melanoma
Family Member:
Grandmother
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Fair
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1930
Cause of Death:
 
Hair Loss
 
Height:
5' 03'' (160.02 cm)
Age at Death:
 
Body Hair:
Straight
Weight:
130 lbs. (59 kg)
Occupation:
Landlord
Eye Color:
Blue
Half Siblings:
No
Education:
High School
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
Nearsighted
Comments:
 
Health Condition:
Heart Attack at age 70
Health Condition:
Heart Disease at age 70
Health Condition:
High Blood Pressure at age 70
Health Condition:
High Cholesterol/Triglycerides at age 70
Health Condition:
Rheumatoid Arthritis at age 67
Health Condition:
Stroke at age 70
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1964
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:
Deceased
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1960
Cause of Death:
Car Accident
Hair Loss
 
Height:
Age at Death:
17
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:
1946
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:
 
Health Condition:
Cancer (Breast) at age 61
Family Member:
Grandfather
Hair Color:
Brown, Dark
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Fair
Dominant Hand:
Right
Year of Birth:
1916
Cause of Death:
Lung Cancer/ Heavy Smoker
Hair Loss
 
Height:
6' 04'' (193.04 cm)
Age at Death:
70
Body Hair:
Straight
Weight:
220 lbs. (99 kg)
Occupation:
Truck Driver
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Medium
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
Nearsighted
Comments:
 
Health Condition:
Cancer (Lung) at age 65
Family Member:
Grandmother
Hair Color:
Brown, Medium
Eyesight:
Good
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Deceased
Skin Tone:
Medium
Dominant Hand:
Ambidextrious
Year of Birth:
1911
Cause of Death:
Old Age
Hair Loss
 
Height:
5' 02'' (157.48 cm)
Age at Death:
97
Body Hair:
Straight
Weight:
160 lbs. (72 kg)
Occupation:
Housewife, Artist
Eye Color:
Brown
Half Siblings:
No
Education:
High School
Body Build:
Small
Half Siblings
Parent:
 
Eyesight
Correction:
Glasses
Near or
Far Sighted:
Nearsighted
Comments:
 
Health Condition:
Cataracts at age 52
Health Condition:
Osteoporosis at age 82
Family Member:
Uncle
Hair Color:
 
Eyesight:
 
 
 
Freckles:
 
Hair Texture:
 
 
 
Health Status:
Good
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1944
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:
Fair
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1937
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:
Deceased
Skin Tone:
 
Dominant Hand:
 
Year of Birth:
1935
Cause of Death:
Heart Attack
Hair Loss
 
Height:
Age at Death:
69
Body Hair:
 
Weight:
Occupation:
 
Eye Color:
 
Half Siblings:
No
Education:
 
Body Build:
 
Half Siblings
Parent:
 
Eyesight
Correction:
 
Near or
Far Sighted:
 
Comments:
 
Health Condition:
Heart Attack at age 69
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   Aunt   X 61
Cancer (Lung)   X   Grandfather   X 65
Cancer (Other)     X        
Cancer (Skin)   X   Grandfather X   68
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   Grandmother X   70
Heart Disease   X   Grandmother X   70
High Blood Pressure   X   Grandmother X   70
High Cholesterol / Triglycerides   X   Grandmother X   70
Stroke   X   Grandmother X   70
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   Mother   X 50
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   Father X   57
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   Grandmother   X 82
Rheumatoid Arthritis   X   Grandmother X   67
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   Mother   X 3
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   Grandmother   X 52
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